The term klismaphilia was coined in by Dr. Joanne Denko, an early investigator in this field, to describe the activities of some of her patients, [3] whom she referred to as klismaphiliacs. Klismaphiles can gain satisfaction of enemas through fantasies, by actually receiving or giving one, or through the process of eliminating steps to being administered one e. An enema fetish may include the sexual attraction to the equipment, processes, environments, situations, or scenarios, [7] and some may be sexually aroused by the preparations, such as by the feel and smeil of a latex rubber or plastic syringe, by the smell of soapsuds enema solution, or by preparing the recipient. An enema can be an auxiliary to, or a substitute for, genital sexual activity. Also, sexual sensation results from distention of the rectum as it is filled and dilated which, in women, puts pressure on the back of the vagina, and in men stimulates the prostate and seminal vesicles. That some women use enemas while masturbating was documented by Alfred Kinsey in "Sexual Behavior in the Human Female.

The sun is slowly igniting the horizon. A band of gold appears as the theme from Thus Sprach Zarathustra begins to play under the picture. As the sun rises a group of neanderthals huddle together fearfully watching this magical giant disc rising up like a god. As the music swells a beam of pure golden light radiates across the landscape.

However, few studies have explored enema use practices. Through online surveys, we examined personal, behavioral, and environmental factors associated with enema use. Development and promotion of a non-damaging, non-water based enema specifically for use in anal sex is recommended. In addition, the seemingly contradictory recommendations that water-based lubricant is recommended for anal sex but water-based enemas are dangerous need to be reconciled into a single consistent message.