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Historically, the practice of autoerotic asphyxiation has been documented since the early 1600's. It was first used as a treatment for erectile dysfunction and impotency.[2] The idea for this most likely came from subjects who were executed by hanging. Observers at public hangings noted male victims developed an erection, sometimes remaining after death (death erection), and occasionally ejaculated when being hanged. Notably, however, ejaculation occurs in hanging victims after death because of disseminated muscle relaxation; this is a different mechanism from that sought by AEA practitioners.
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