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While rimming is popularly associated with homosexual males, analingus is practiced by heterosexual and lesbian couples too. In both sexes, the human anus contains pleasurable nerve endings similar to those in the penis.
Unprotected analingus involves risks of contracting sexually transmitted diseases, as well as intestinal parasites and poisoning by contact with feces. However, the risks are mitigated by simple thorough washing with soap and water, and virtually eliminated when the use of a dental dam is applied. When combined with standard courses of hepatitis vaccinations, rimming is usually regarded as a low-risk sexual activity, for example with regard to the risk of transmission of HIV.
Famously, the Starr Report made mention of "oral-anal contact" between President Bill Clinton and intern Monica Lewinsky. However, no mention was made in the report of who was on the giving and who was on the receiving end of the act.
Reference to analingus was also made in the sitcom Sex and the City, where the character Carrie uses the euphemism "tuckus lingus".