Autoerotic asphyxia is the use of partial strangulation as part of masturbatory fantasies. Erotic asphyxia is where one partner partially strangles the other during sexual activity. The “kick” seems to be that the anoxia (decrease in blood, and thus oxygen supply, to the brain) is supposed to enhance the experience. This is also very dangerous and can lead to death or permanent brain injury. Most people believe that strangulation leads to loss of consciousness and death by preventing the victim from breathing. Not so. Strangulation compresses and obstructs the carotid arteries. These are the arteries on either side of the neck that carry blood from the heart to the brain. This is why strangulation can lead to loss of consciousness in a few seconds and death in less than a minute while you can hold your breath for 2 or 3 minutes if necessary. In the later, the oxygen content of the blood gradually declines while with occlusion of the carotid arteries the blood supply to the brain is abruptly interrupted. This makes erotic asphyxia, auto or otherwise, a very dangerous game. The victim often underestimates his capacity to stay conscious and once consciousness is lost, he can no longer save himself by releasing the rope, etc. Or his partner miscalculates when to release the pressure.
Death follows...
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