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==== Pleasure ==== {{Main|Klismaphilia}} Enjoyment of enemas is known as [[klismaphilia]], which medically is classified as a [[paraphilia]].<ref>[http://arquivo.pt/wayback/20080224093721/http://www.psychologytoday.com/conditions/paraphilias.html Paraphilias] from [http://www.psychologytoday.com Psychology Today]</ref><ref>{{cite journal|last=Denko|first=JD.|date=April 1973|title=Klismaphilia: enema as a sexual preference. Report of two cases|journal=Am J Psychother|volume=27|pages=232β50 | issue=2|pmid=4704017|doi=10.1176/appi.psychotherapy.1973.27.2.232}}</ref> A person with klismaphilia is a ''klismaphile''. Both women and men may enjoy sexual enema play, heterosexually and homosexually, experiencing [[sexual arousal]] from enemas which they find gratifying or sensual<ref name="Agnew, 1982">Agnew, 1982</ref><ref name="Denko"/> and which can be an auxiliary to, or even a substitute for, genital [[Human sexual activity|sexual activity]].<ref name="Agnew, 1982"/><ref name="Denko">{{cite journal|last=Denko|first=JD.|date=April 1976|title=Amplification of the erotic enema deviance|journal=Am J Psychother|volume=30|pages=236β55 | issue=2|pmid=937588|doi=10.1176/appi.psychotherapy.1976.30.2.236}}</ref> Klismaphiles may perceive pleasure from a large, water-distended belly, or the feeling of internal pressure. An enema fetish may include sexual attraction to the involved equipment, processes, environments, situations, or scenarios.<ref>Brame et al., ''Different loving β The World of Sexual Dominance and Submission'':517</ref> 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.g., under the pretence of being constipated).<ref name="Denko"/> That some women use enemas while masturbating was documented by [[Alfred Kinsey]] in ''Sexual Behavior in the Human Female'': "There were still other masturbatory techniques which were regularly or occasionally employed by some 11 percent of the females in the sample... Douches, streams of running water, vibrators, urethral insertions, enemas, other anal insertions, sado-masochistic activity, and still other methods were occasionally employed, but none of them in any appreciable number of cases."<ref>{{Citation | last1 = Kinsey | first1 = Alfred Charles | title = Sexual Behavior in the Human Female | publisher = Indiana University Press | place = Bloomington, Indiana, U.S.A. | year = 1953 | isbn = 978-0-253-33411-4 }}</ref>
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