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Case Report A year-old married retired engineer was brought by his wife to the outpatient clinic with chief complaints of wanting her to unnecessarily administer an enema to him daily for no reason and at odd hours like the afternoon and sometimes in the middle of the night. William Fitzgerald, a. Silicon Valley Relationship and Sexuality Center, Dear Alicia, Most people don't know that there is a large underground network of people who find enemas erotic, and who yearn for a sexual partner who shares their interest. Another factor in our index case was the fact that he was aware of his problem when brought to us and did not mind seeking help for the same which normally may not be the case in paraphilic behavior. Emphasis is placed on i the control, dominance and power of the enema and those who administer the enema, and ii the needs and desires of women to be given erotic enemas of all types, on a regular basis. We started going to the gym together and after a while and she told me that she takes an enema occasionally to help clean out her system. The wife was also taught how to administer the same so that she could do the same at home if needed. Discussion There have been anecdotal reports on klismaphilia since the s. He is a bona fide sex therapist. This case report aims to make clinicians aware of this rare yet possible paraphilic behavior and the fact that sexual deviances could arise for the first time in late life. She knows that she will be watched carefully by individuals who understand and appreciate the overwhelming sexual stimulation from the enema treatments that she is undergoing and enduring. Some people may find that they enjoy the sensation of intestinal fullness and abdominal distension, or may find the challenge of retaining fluid for a set period of time to be arousing. Alicia, year-old woman I am a 17 year-old high school student in California and I love to go to the gym and I'm really into keeping fit. So is it weird? The patient on interview replicated all that the wife had mentioned. Klismaphilia--a physiological perspective.
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