Fecal-oral route

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The fecal–oral route describes the transmission of disease-causing pathogens from the fecal particles of one person to the mouth of another person.

Background

In a sexual context, fecal matter may enter the mouth deliberately during scat play or inadvertently during or after a number of sexual acts involving the anus, including:

  • Direct mouth-to-anus contact during anilingus, such as rimming or felching,
  • Indirect contact during deliberate ass to mouth play, where an object (such as a penis, finger, or toy) is transferred to the mouth directly after contact with the anus,
  • Poor or absent hygiene after contacting the anus or feces, including contact that occurs prior to sex.

Risks

  • List of diseases
  • Differential risk for ingesting one's own feces versus another person's
  • Increased risk if the mouth has open sores, bleeding gums, or microscratches

Risk mitigation

  • Proper hygiene
  • Enemas
  • Condoms
  • Dental dams
  • Discussing STIs with your partner