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In the midst of the 2000s, use of the term increased, and the drawing style became rather conventionalized and started spreading throughout the otaku culture. In the same context, ahegao was used in some postings at 2Channel and its sister community for adult content, BBSPink, as well as in pornographic videos at adult e-commerce platforms in the early 2000s.
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Pornographic magazines used the word to describe the facial expressions of female live-action porn actresses during orgasm.