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Erotic asphyxiation or breath control play is the intentional restriction of oxygen to the brain for the purposes of sexual arousal.
This sexual practice is variously called asphyxiophilia, autoerotic asphyxia, hypoxyphilia.
While often asphyxiophilia is incorporated into sex with a partner, others enjoy this behaviour by themselves, making it potentially more difficult to get out of dangerous situations.
In some fatality cases, the body of the asphyxiophilic individual is discovered naked or with genitalia in hand, with pornographic material or sex toys present, or with evidence of having orgasmed prior to death.
However, post-mortem ejaculation occurs in hanging victims after death because of disseminated muscle relaxation; this is a different mechanism from that sought by autoerotic asphyxiation practitioners.
Various methods are used to achieve the level of oxygen depletion needed, such as a hanging, suffocation with a plastic bag over the head, self-strangulation such as with a ligature, gas or volatile solvents, chest compression, or some combination of these.
Observers at public hangings noted that male victims developed an erection, sometimes remaining after death (a death erection), and occasionally ejaculated when being hanged.
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He further notes that no such state occurs in hypoxia brought about by sudden aircraft decompression at altitude.
These findings suggest to him that they do not arrive purely from a lack of oxygen.