This UniSex Enema Douche is probably the most comfortable and easy to use douche on the market. You simply place the thin smooth nozzle into warm water and gently squeeze the bulb; the warm water is sucked into the bulb chamber. Gently insert the nozzle into the vagina or anus and when comfortably in place gently squeeze the bulb (do not exert too much pressure) the warm water then flows into the anus or vagina to give maximum cleanliness and or stimulation. It is not recommended to use hot water as this may cause discomfort or injury. The Uni-Sex Anal Enema Douche is easy to clean and the bulb is made from luxury material.