M. Zaviacic, SEXUAL ASPHYXIOPHILIA (KOCZWARISM) IN WOMEN AND THE BIOLOGICAL PHENOMENON OF FEMALE EJACULATION, Medical hypotheses, 42(5), 1994, pp. 318-322
Life threatening eroticizing behavior, asphyxiophilia (sexual asphyxia
) is practiced in women, as in men, in order to heighten sexual excite
ment and to achieve orgasm, which is in some women accompanied by expu
lsions of fluid (ejaculation) from the urethra. The relatively easily
achieved orgasm induced by the mechanism of asphyxia is hypothesized t
o be the common reason for repetitive deviant asphyxiophilic behavior.
Moreover, in women of the ejaculatory type (female ejaculators), the
desire to induce ejaculatory orgasm by asphyxia may also come into pla
y as this kind of orgasm is usually assessed as sensation of greater d
elight than orgasm without ejaculation.