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Enemas are used for a variety of reasons and in a number of settings - whether that's under the watchful eye of a medical professional, or your partner pre-sexual activity. Dr Mayoni Gooneratne, founder of The Clinic and a general surgeon, explains why you might want to use an enema for medical reasons. But usually, they cause a contraction of the rectum, that then causes it to empty and the patient to have a bowel movement,' says Gooneratne. It usually involves a tube and syringe containing the medicine that is then gently inserted into the anus. When the plunger is pressed, the medicine is pushed into the rectum where it can work. In medical situations, enemas are usually used for severe constipation, Gooneratne explains. They may also be used before procedures or operations that involve the doctor having to look at the rectum like a colonoscopy.