Nirvana's 1993 album "In Utero" nearly featured a song called "Moist Vagina," but frontman Kurt Cobain and the band ultimately left it off what became their final studio release. The track's exclusion reflects the delicate balance Cobain struck on the record between deliberately provocative material with a message, such as "Rape Me," and content he judged to be gratuitously crude, illustrating the tension between his artistic instincts and his stated distaste for lyrics he saw as sexist.

The song's original title was even more explicit, "Moist Vagina And Then She Blew Him Like He's Never Been Blown, Brains Stuck All Over The Wall," and its lyrics were graphic despite reportedly being about smoking cannabis. Cobain felt "Rape Me" already met his quota for controversy on the album, and he was wary of echoing the kind of lyrics he had criticised in bands like Led Zeppelin. Despite label pressure from DGC executives for more commercial, "Smells Like Teen Spirit"-style tracks, and producer Scott Litt's involvement to soften some rough edges (to the dismay of original producer Steve Albini), "In Utero" topped the charts in both the UK and US in 1993 and is widely regarded as one of Nirvana's finest works.