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Klismaphilia (or klysmaphilia), from the Greek words κλύσμα ("enema", from κατακλυσμός, "deluge, flood") and φιλία ("love"), is a paraphilia involving enjoyment of, and sexual arousal from, enemas.[1][2]


The term klismaphilia was coined in 1973 by Joanne Denko, an early investigator in this field, in her article "Klismaphilia: Enema as a Sexual Preference: Report of Two Cases," to describe the activities of some of her patients,[3] whom she referred to as klismaphiliacs.[4] Klismaphile[5] has come into use as a synonym for klismaphiliac.[6]


An aluminum nozzle
An Inflatable Enema Nozzle
As inserted into the rectum
Inflated wider than a human rectum so it cannot be expelled (diameter here of 89 millimetres (3.5 in))

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 smell 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] 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] 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]

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."[9]

Sadomasochistic activities may incorporate enemas[10][11] for erotic humiliation[12] or for physical discomfort.[13] BDSM punishment scenes can involve administering an enema in a manner that is humiliating and painful[8] 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, discipline, psychodrama, power exchange, and so on. An erotic enema allows acting out vulnerability in a primal form.[14]


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.[15] 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.[16][17]


  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 Agnew, J. (October 1982). "Klismaphilia--a physiological perspective". American Journal of Psychotherapy. 36 (4). United States: Association for the Advancement of Psychotherapy: 554–66. doi:10.1176/appi.psychotherapy.1982.36.4.554. ISSN 0002-9564. PMID 7158678.
  4. ^ a b c d e f 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. 6 August 2017. Retrieved 2018-10-04.
  7. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:517
  8. ^ a b Agnew, Klismaphilia (2000):75
  9. ^ Kinsey, Alfred Charles (1953), Sexual Behavior in the Human Female, Bloomington, Indiana, U.S.A.: Indiana University Press, ISBN 978-0-253-33411-4
  10. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:513,516
  11. ^ Agnew, Klismaphilia (2000):74,77,78,79
  12. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:515,516,520
  13. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:513,517
  14. ^ Brame et al., Different loving – The World of Sexual Dominance and Submission:515-516
  15. ^ Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000.
  16. ^ 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. S2CID 564073.
  17. ^ Thomas Peterson; Landen Rentmeester; Bryan S. Judge; Stephen D. Cohle & Jeffrey S. Jones (11 November 2014). "Case Report – Self-Administered Ethanol Enema Causing Accidental Death". Case Reports in Emergency Medicine. 2014. Hindawi Publishing Corporation: 191237. doi:10.1155/2014/191237. PMC 4243473. PMID 25436159.