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Title: Klismaphilia  
Author: World Heritage Encyclopedia
Language: English
Subject: Paraphilia, Dacryphilia, Analloerotic, Homeovestism, Dendrophilia (paraphilia)
Publisher: World Heritage Encyclopedia


An anal douche
An aluminium enema nozzle. Specialty enema nozzles are common for non-medical usage, available on the Internet and in sex shops in a variety of sizes, styles, and materials.

Klismaphilia (sometimes spelled Klysmaphilia) is receiving sexual arousal from introducing liquids into the rectum and colon via the anus. It is a paraphilia that often involves the use of enemas.[1][2] The term klismaphilia was coined in 1973 by Dr. Joanne Denko, an early investigator in this field, to describe the activities of some of her patients.[3][4]

Klismaphiliacs can gain satisfaction through enema fantasies, by actually receiving one, or through the process of eliminating steps to receiving one.[4] Klismaphilia is practiced by men and women, although, as with most paraphilias, men are more likely to be klismaphiliacs.[3][4] They may also gain pleasure from a large, water distended belly or the feeling of internal pressure. Often, klismaphiliacs report discovering these desires after a chance administration of an enema sometime in their childhood, but some do report discovering these feelings later on.[3] Klismaphilia is practiced both heterosexually and homosexually.[3][4] The paraphilia may be used as a substitute or as an auxiliary by its practitioners for genital sexual activity.[4] Usually, klismaphiliacs carry out normal lives and successfully engage in this behavior secretly. Klismaphiliacs may also try to get others to administer enemas under the pretense of being constipated.[4] If this is the case they will probably try to conceal the pleasure they receive from these administrations.

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) classifies klismaphilia under the diagnosis of "Paraphilias, Not Otherwise Specified." The diagnostic code is 302.9.[5] There is usually no question of treating klismaphilics since there is almost never any desire to be "cured".[4] Health treatment for klismaphilia thus is typically only focused on ensuring the techniques employed and chemicals used are not harmful to the practitioner.[4] Caution should always be maintained on the part of the practitioners experimenting with new techniques and concoctions; in certain cases cramps produced by the chemicals used have led to hospitalizations,[4] in other circumstances the effects can even be life-threatening.[6]


  1. ^ Paraphilias from Psychology Today
  2. ^ Denko, JD. (April 1973). "Klismaphilia: enema as a sexual preference. Report of two cases.". Am J Psychother. 27 (2): 232–50.  
  3. ^ a b c d Agnew, J. (October 1982). "Klismaphilia--a physiological perspective.". American journal of psychotherapy (United States: Association for the Advancement of Psychotherapy) 36 (4): 554–66.  
  4. ^ a b c d e f g h i Denko, JD. (April 1976). "Amplification of the erotic enema deviance.". Am J Psychother. 30 (2): 236–55.  
  5. ^ Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000.
  6. ^ "Rectal Impaction With Epoxy Resin: A Case Report". 2005-06-01. Retrieved 2013-03-14. 
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