Rimming Diseases
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Rimming is causing an outbreak of infection in gay men
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There has been a recent spike in the number of gay and bisexual men presenting with a rare infection in parts of the US.
Men who have sex with men (MSM) are especially at risk of contracting the unusual infection, which is called Shigella, through rimming, according to the American Centres for Disease Control and Prevention .
Shigella is contracted when faecal matter gets into the stomach and causes an infection in the intestines. The symptoms – which include diarrhoea, fever and abdominal pain and can last up to a week – can be extremely painful and uncomfortable.
Outbreaks among gay and bisexual men have been reported in the US, Australia, Canada, Japan and Europe since 1999.
The infection is spreading so rapidly in San Diego that health professionals had to issue an advisory document over it last month, which warned that gay and bisexual men and homeless people were most at risk.
San Diego experienced its highest number of cases of Shigella in 20 years in 2017, which a particular increase in the numbers of gay and bisexual men presenting with the infection.
Shigella – which is closely related to E.coli – can be caught from rimming and oral sex, although rimming is thought to be the cause of most cases in the gay community.
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According to outbreaknewstoday.com, the number of cases of Shigella tends to go up in late summer and autumn.
The LGBT Foundation is suggesting that people take measures to lower their risk, like washing their hands and body after sex. They also suggest using dental dams if rimming and condoms for oral sex.
If you think you might have Shigella, you should see a GP or visit a sexual health clinic and explain that you think you might have picked up an infection through sex.
The American Centres for Disease Control and Prevention also recommend that people who do contract Shigella stay away from sex at least until the diarrhoea has stopped, but suggest waiting a few weeks after that too.
Most cases of Shigella pass within five to seven days, however severe cases can last beyond that and may require antibiotics.
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The risks: herpes (genital or oral), parasites, hepatitis A, syphilis, chlamydia, gonorrhea
Analingus (also known as rimming) is risky for transmission of sexually transmitted diseases and—because of the presence of stool—for gastrointestinal illnesses as well.
While infections on the skin such as herpes and syphilis can pass between partners during analingus, the person performing oral sex is also vulnerable to parasites, hepatitis A, and other gastrointestinal illnesses, reports Jeanne Marrazzo, MD, an infectious disease specialist at the University of Washington in Seattle.
Gonorrhea and chlamydia don't transmit easily between partners during analingus, but it is possible.
Using barrier methods such as dental dams, plastic wrap, or cut condoms can greatly reduce the risk of infections. "One should also consider a hepatitis A vaccination to prevent infection," says Dr. Marrazzo.
Also ensure that your mouth is in good health. Avoid oral sex of any kind if you have cuts, bleeding gums, or open sores in or around the mouth, which can greatly increase your risk of catching a sexually transmitted disease.
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Forums > STDs > Risks in Performing Rimming
This question is for either Dr. Hook or Hansfield, I would like to know how much at risk did I put myself in for stds and other diseases by performing a rimjob on a women of unknown status. It was only brief, I do not know the exact time now I seem to be thinking it could have been a few seconds (30ish) to a bit over a min. My main concern with reading the internet is a Hepatitis infection. Furthermore, am I virtually guaranteed to get some sort of viral illness that causes diarrhea? What are my chances for escaping this episode with my health 100% unaffected?
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H. Hunter Handsfield, M.D.
Sep 26, 2011
Thanks for the response sir it was greatly appreciated, from my understanding of your post the odds should hopefully be in my favor that I escape this incident without getting sick and can continue my regular day-day activities without taking any extra precautions?
H. Hunter Handsfield, M.D.
Sep 25, 2011
Welcome to the forum.
The STD risks associated with rimming (medical term analingus) have never been studied; all I can do is make reasonable judgments based on anatomy, and the frequency of various STDs carried in the anus and rectum.
As you already seem to know, the main infections risked by analingus are viral and bacterial intestinal infections, not traditional STDs. In other words, if you catch anything at all, it probably would cause a combination of nausea, vomiting, and diarrhea for a few days, nothing more. However, you certainly are not "virtually guaranteed" to acquire such an infection. Maybe a 5% chance as a guess; but that's only a guess.
Hepatitis A also is an enteric (intestinal) virus, so you are right to be concerned about hep A -- but not hep B or C. However, hep A is rare in outwardly healthy people and it is unlikely your partner was infected if she has not been sick with obvious hepatitis (jaundice, etc). So although it's a theoretical risk, it's really not a significant worry.
There probably are very low risks for gonorrhea, oral herpes due to HSV-2, and perhaps syphilis (except syphilis currently is rare in the US, except in gay/bi men). Chlamydia doesn't infect the mouth (or only very rarely), and oral HPV infections rarely cause any symptoms or problem. HIV has never been known to be transmitted by analingus and the risk undoubtedly is very low, even if your partner had HIV -- which is statistically unlikely.
If I were in your situation, if after 7-10 days I had no symptoms like oral sores, sore throat, or gastroenteritis, I would not feel a need for testing and would continue unprotected sex with my wife without fear of infecting her. But if you remain nervous about it, visit your local health department STD clinic and follow their advice about screening tests.
Regards--- HHH, MD
John C Hagan III, MD, FACS, FAAO Jun 08
John C Hagan III, MD, FACS, FAAO 12/20
John C Hagan III, MD, FACS, FAAO 04/18
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
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