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Usually, klismaphiles carry out normal lives and successfully engage in this behavior secretly, if this is the case they will probably try to conceal the pleasure they receive from these administrations. On the limits of sexual ethics: Coprophagia has been observed in individuals with schizophrenia and pica, coprophagous insects consume and redigest the feces of large animals.
The Diagnostic and Statistical Manual of Mental Disorders classifies klismaphilia under the diagnosis of Paraphilias, proactive treatment for klismaphilics is not generally recommended, due to the lack of any significant desire to be cured. Testosterone discourages fat storage in these areas, the buttocks in human females thus contain more adipose tissue than in males, especially after puberty.
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