The term klismaphilia was coined in by Dr. Joanne Denko, an early investigator in this field, to describe the activities of some of her patients,  whom she referred to as klismaphiliacs. 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. 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. An enema can be an auxiliary to, or a substitute for, genital sexual activity.
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