肛門の出口周辺は、神経終末が密集し非常に敏感であるため、性別を問わず性感帯となりうる。

男女とも直腸壁を腹側に圧迫することで、個人差はあれど男性の場合は前立腺や精嚢が、女性の場合は隣り合った膣後壁、子宮の裏側付近、ポルチオ周辺などが刺激され快感を生むことがある。受け手の男性が射精した場合は「トコロテン射精」と呼ぶ。

フェラチオとイラマチオの違いは、フェラチオでは男性器を口に含める側が主導して行為を進めるのに対し、イラマチオでは男性が主導して相手の口内に男性器を咥えさせる点である。また、フェラチオでは喉奥まで入れることはない。

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