Rimming Std

Rimming Std

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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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Oral sex involves using the mouth to stimulate the genitals or genital area of a sex partner. Types of oral sex include the penis (fellatio), vagina (cunnilingus), and anus (anilingus).
Oral sex is commonly practiced by sexually active adults. More than 85% of sexually active adults aged 18-44 years reported having oral sex at least once with a partner of the opposite sex. A separate survey conducted during 2011 to 2015 found that 41% of teenagers aged 15-19 years reported having oral sex with a partner of the opposite sex.
Yes. Many STDs and other infections are spread through oral sex. Anyone exposed to an infected partner can get an STD in the mouth, throat, genitals, or rectum. The risk of getting an STD or spreading an STD to others through oral sex depends on several things, including the particular STD, type of sex, and number of sex acts performed.
* Statements with an asterisk (*) need more research.
* Statements with an asterisk (*) need more research.
Even with treatment, oral (lip, mouth and throat) infections:
Even with treatment, genital area, buttock, anal, and/or rectal infections:
* Statements with by an asterisk (*) need more research.
Even with treatment, warts in the throat:
Even with treatment, genital and anal warts:
Mouth and throat infections by several types of HPV that do not cause warts may develop into head or neck cancer.
Abnormal changes in cells of vagina or anus:
Even with treatment, HIV infection:
Certain factors may increase a person’s chances of getting HIV or other STDs during oral sex if exposed to an infected partner. Factors like:
However, there are no scientific studies that show whether these factors increase the risk of getting HIV or STDs from oral sex.
You can lower your chances of giving or getting STDs during oral sex. Use a condom, dental dam or other barrier methods every time you have oral sex.
The only way to avoid STDs is to not have vaginal, anal, or oral sex.
If you are having sex, you can lower your chances of getting an STD by:
It’s important to remember that many people with an STD may be unaware of their infection. STDs often have no symptoms and are unrecognized.
If you are having sex, ask your healthcare provider to test you regularly for STDs and HIV. Talk openly with your provider about activities that might put you at risk for an STD, including oral sex. You also should talk to your partner(s) about STDs. Free and low-cost options for testing are available in your area. external icon
For more information on all the STDs discussed in this fact sheet visit: https://www.cdc.gov/std/healthcomm/fact_sheets.htm
STD information and referrals to STD Clinics
CDC-INFO
1-800-CDC-INFO (800-232-4636)
TTY: 1-888-232-6348
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American Sexual Health Association (ASHA)
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