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Erotic electrostimulation abbreviated e-stim  and also known as electrosex is a sexual practice involving the application of electrical stimulation to the nerves of the body, with particular emphasis on the genitals , using a power source such as a TENS , EMS , violet wands , or made-for-play units for purposes of sexual stimulation. Electrostimulation has been associated with BDSM activities, and erotic electrostimulation is an evolution of that practice. Electrostimulation, in general, can cause tissue damage or even death if misused. The international standard on the basic safety of medical nerve and muscle stimulators advises "that stimulation should not be applied across or through the head, directly on the eyes, covering the mouth, on the front of the neck, especially the carotid sinus , or from electrodes placed on the chest and the upper back or crossing over the heart". It imposes the following limits on the output parameters of stimulators for therapeutic purposes :. Erotic electrostimulation devices should avoid DC currents entirely, in order to avoid electrolytic effects. Devices with multiple channels e. Pulse frequency, duration and amplitude should be selected to achieve the desired stimulation with the least amount of power delivered into the body, for example avoiding current during the refractory period after each action potential , where neurons do not respond to stimuli.
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