Ass to mouth
Encyclopedia
Ass to mouth is a colloquial term used in pornographic movies. It refers to the withdrawal of a man's penis
Penis
The penis is a biological feature of male animals including both vertebrates and invertebrates...

 from the receptive partner's anus
Anus
The anus is an opening at the opposite end of an animal's digestive tract from the mouth. Its function is to control the expulsion of feces, unwanted semi-solid matter produced during digestion, which, depending on the type of animal, may be one or more of: matter which the animal cannot digest,...

 followed by the immediate insertion of the penis into the receptive partner's or another partner's mouth
Mouth
The mouth is the first portion of the alimentary canal that receives food andsaliva. The oral mucosa is the mucous membrane epithelium lining the inside of the mouth....

.

Alternate terminology

It is also known as A2M, ATM, ATG, ass-to-mouth or arse-to-gob (British colloquial). Ass-to-mouth generally excludes cleaning the penis or other object after its removal from the anus and before its insertion into the mouth. This may enhance sexual excitement for both insertive and receptive partners, often developing from connotations of domination/humiliation. Ass-to-other-mouth or ass-to-other-girl-mouth, abbreviated as A2OM, ATOM, A2OGM or ATOGM, specifically describes the variant of the act where the penis is moved from one partner's anus to a different partner's mouth. Another variation is known as A2P, ATP, or ass-to-pussy which refers to removing the penis from the anus and inserting it into the vagina. The term has been used since at least January 1995 and clearly defined since at least August 1996.

Health risks

The health risks of ass-to-mouth include the risks of both oral sex
Oral sex
Oral sex is sexual activity involving the stimulation of the genitalia of a sex partner by the use of the mouth, tongue, teeth or throat. Cunnilingus refers to oral sex performed on females while fellatio refer to oral sex performed on males. Anilingus refers to oral stimulation of a person's anus...

 and anal-oral sex. Unprotected oral-genital contact involves the risk of contracting sexually transmitted disease
Sexually transmitted disease
Sexually transmitted disease , also known as a sexually transmitted infection or venereal disease , is an illness that has a significant probability of transmission between humans by means of human sexual behavior, including vaginal intercourse, oral sex, and anal sex...

s, such as genital herpes or chlamydia and HIV
HIV
Human immunodeficiency virus is a lentivirus that causes acquired immunodeficiency syndrome , a condition in humans in which progressive failure of the immune system allows life-threatening opportunistic infections and cancers to thrive...

. HIV can be transmitted because rough anal sex usually results in minuscule tearing of the rectal tissue, and small amounts of blood are left on the penis. When another partner sucks the penis, if they have a tiny sore, tear or cut in their mouth, they can get infected with HIV. The recipient of ass-to-mouth is also at risk of infection by Hepatitis A
Hepatitis A
Hepatitis A is an acute infectious disease of the liver caused by the hepatitis A virus , an RNA virus, usually spread the fecal-oral route; transmitted person-to-person by ingestion of contaminated food or water or through direct contact with an infectious person...

, as well as intestinal parasite
Intestinal parasite
Intestinal parasites are parasites that populate the gastro-intestinal tract in humans and other animals. They can live throughout the body, but most prefer the intestinal wall. Means of exposure include: ingestion of undercooked meat, drinking infected water, and skin absorption...

s and other organisms that can be carried in feces, but the risk exists generally only if performing the act on a penis or object that was removed from a third person's rectum. For example, the third person would have to first be infected with Hepatitis A for there to be a risk of infection for the recipient.

If the recipient of ass-to-mouth is performing fellatio on a penis or object that was removed from his/her own rectum, the health risks are generally limited to disturbances of the gastrointestinal tract, which may proceed from introducing normal intestinal flora from the rectum to the mouth and upper digestive tract. If the recipient's ano-rectal area is infected with a sexually transmitted disease like gonorrhea
Gonorrhea
Gonorrhea is a common sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. The usual symptoms in men are burning with urination and penile discharge. Women, on the other hand, are asymptomatic half the time or have vaginal discharge and pelvic pain...

, however, there is an added risk of transmitting the infection to that person's mouth and/or throat.

Some of the diseases that can be passed in the practice of ass-to-mouth involving a third person's rectum are gastroenteritis
Gastroenteritis
Gastroenteritis is marked by severe inflammation of the gastrointestinal tract involving both the stomach and small intestine resulting in acute diarrhea and vomiting. It can be transferred by contact with contaminated food and water...

 and enterocolitis
Enterocolitis
Enterocolitis is an inflammation of the colon and small intestine. However, most conditions are categorized as one or the other of the following:* Enteritis is the inflammation of the small intestine...

, which are acute infections of the stomach, small intestine and/or large intestine, by gut flora
Gut flora
Gut flora consists of microorganisms that live in the digestive tracts of animals and is the largest reservoir of human flora. In this context, gut is synonymous with intestinal, and flora with microbiota and microflora....

 organisms such as E. coli, Campylobacter
Campylobacter
Campylobacter is a genus of bacteria that are Gram-negative, spiral, and microaerophilic. Motile, with either unipolar or bipolar flagella, the organisms have a characteristic spiral/corkscrew appearance and are oxidase-positive. Campylobacter jejuni is now recognized as one of the main causes...

, Shigella
Shigella
Shigella is a genus of Gram-negative, nonspore forming, non-motile, rod-shaped bacteria closely related to Escherichia coli and Salmonella. The causative agent of human shigellosis, Shigella causes disease in primates, but not in other mammals. It is only naturally found in humans and apes. During...

, Salmonella
Salmonella
Salmonella is a genus of rod-shaped, Gram-negative, non-spore-forming, predominantly motile enterobacteria with diameters around 0.7 to 1.5 µm, lengths from 2 to 5 µm, and flagella which grade in all directions . They are chemoorganotrophs, obtaining their energy from oxidation and reduction...

, or Yersinia
Yersinia
Yersinia is a genus of bacteria in the family Enterobacteriaceae. Yersinia are Gram-negative rod shaped bacteria, a few micrometers long and fractions of a micrometer in diameter, and are facultative anaerobes. Some members of Yersinia are pathogenic in humans; in particular, Y. pestis is the...

, causing fever, vomiting, and diarrhea lasting for several days. Most other sexually transmitted bacterial diseases, like syphilis, gonorrhea, and chlamydia, can be transmitted by anal-oral contact. Viral diseases including herpes, cytomegalovirus, and human papillomavirus (the virus that causes cervical cancer and genital warts, as well as oral or laryngeal papillomas and carcinomas) can also be transmitted by this route.

It is unknown whether thoroughly washing the anal area and applying an enema
Enema
An enema is the procedure of introducing liquids into the rectum and colon via the anus. The increasing volume of the liquid causes rapid expansion of the lower intestinal tract, often resulting in very uncomfortable bloating, cramping, powerful peristalsis, a feeling of extreme urgency and...

 results in reduced risk of disease, although general cleanliness is advisable for any sexual act.
Porn-industry performers often use enemas prior to filming anal sex sequences; however, this is primarily to eliminate the possibility of any fecal matter appearing on film, rather than disease prevention.

Cultural references

In the film Clerks II
Clerks II
Clerks II is a 2006 American comedy film written and directed by Kevin Smith, sequel to his 1994 film Clerks, and his sixth and latest feature film to be set in the View Askewniverse...

the main characters have a discussion on ass to mouth early in the film, and it is alluded to throughout the film. The main character, Dante, repeatedly warns Randal, "You never go ass to mouth!"
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