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A helium-filled mylar balloon that was a decoration at a gathering of klismaphiles.

Klismaphilia (or klysmaphilia), from the Greek words κλύσμα ("enema", from κατακλυσμός, "deluge, flood") and φιλία ("(fraternal) love"), is a paraphilia involving enjoyment of, and sexual arousal from, 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] whom she referred to as klismaphiliacs.[4] The term klismaphile[5] is also in use for describing a person with klismaphilia, and is considered synonymous with klismaphiliac.[6]


An aluminum nozzle
An inflatable nozzle in a harness

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 pretense of being constipated).[4] Klismaphilia is practiced by men and women, although men are more likely to be klismaphiles, as with most paraphilias.[3][4] Klismaphiles might gain pleasure from a large, water distended belly or the feeling of internal pressure. 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.[8] >Often, klismaphiles 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] Usually, klismaphiles carry out normal lives and successfully engage in this behavior secretly.

An enema can be an auxiliary to, or a substitute for, genital sexual activity.[4] Men and women with the paraphilia enjoy sexual enema play, both heterosexually and homosexually, experiencing sexual arousal from enemas which they find gratifying or sensual.[3][4] Enemas can induce sexual arousal because the bulbospongiosus muscle which starts in front of the anus contributes, in women, to clitoral erection and the contractions of orgasm, and in males, to erection, the contractions of orgasm, and ejaculation. 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.[3] Furthermore, contractions of muscles throughout the abdomen caused by expulsion of an enema can stimulate, in women, the uterus and vagina, and in men, the prostate, seminal vesicle, and internal penis.[9]

That some women use enemas while masturbating was documented by Alfred Kinsey in "Sexual Behavior in the Human Female." He stated, "There still other masturbatory techniques which were regularly or occasionally employed by some 11 percent of the females in the sample ... enemas, and other anal insertions, ... were employed.[10]

Sadomasochistic activities may incorporate enemas[11][12] for erotic humiliation[13] or for physical discomfort.[14] BDSM punishment scenes can involve administering an enema in a manner that is humiliating and painful[15] and for producing pain and cramps an extra-large volumes or highly irritating substances can be injected.[3] Among the attractions to enema play in BDSM are erotic humiliation, dominance and submission, discpline, psychodrama, power exchange, and so on. An erotic enema allows acting out vulnerability in a primal form.[16]


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.[17] Proactive treatment for klismaphilics is not generally recommended, due to the lack of any significant 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.[18]


  1. ^ Paraphilias Archived 2008-02-24 at the Portuguese Web Archive 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. doi:10.1176/appi.psychotherapy.1973.27.2.232. PMID 4704017.
  3. ^ a b c d e f Agnew, J. (October 1982). "Klismaphilia--a physiological perspective". American Journal of Psychotherapy. United States: Association for the Advancement of Psychotherapy. 36 (4): 554–66. doi:10.1176/appi.psychotherapy.1982.36.4.554. ISSN 0002-9564. PMID 7158678.
  4. ^ a b c d e f g h Denko, JD. (April 1976). "Amplification of the erotic enema deviance". Am J Psychother. 30 (2): 236–55. doi:10.1176/appi.psychotherapy.1976.30.2.236. PMID 937588.
  5. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:489,516
  6. ^ "klismaphile". Wiktionary. Retrieved 2018-10-04.
  7. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:517
  8. ^ Agnew, Klismaphilia:75
  9. ^ Agnew, Klismaphilia:77
  10. ^ Kinsey, Alfred Charles (1953), Sexual Behavior in the Human Female, Bloomington, Indiana, U.S.A.: Indiana University Press, ISBN 978-0-253-33411-4
  11. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:513,516
  12. ^ Agnew, Klismaphilia:74,77,78,79
  13. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:515,516,520
  14. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:513,517
  15. ^ Agnew, Klismaphilia:75
  16. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:515-516
  17. ^ Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000.
  18. ^ Hemandas, A.; Muller, G.; Ahmed, I. (2005-06-01). "Rectal Impaction With Epoxy Resin: A Case Report". Journal of Gastrointestinal Surgery. 9 (5): 747–749. doi:10.1016/j.gassur.2004.12.010. PMID 15862274.