What I mean is that from my POV (raised in the 60s) enema erotica has become very ... shall we say far fetched? Not trying to judge what others find a turn on, but it seems as though the clinical-type enema/med fetish is being overwhelmed with more hard-core bondage, milk, cream, etc...
Wonder to what degree this is due to aficionados being exposed to med-fet via pornography rather than actual experience.
Too, there are a limited number of clinical scenarios that can be played out. Personally I don't believe that the perfect, most erotic clinically-themed med fet film has been made. Most are either too outre (patient whipped by belts while orally servicing everyone in the room) or simply repeat the same, slightly off-kilter routine--e.g., Stonefox's prone rectal temps for adult patients; Dr Tushy's totally nude, no draping exams, also prone, etc.
I wonder whether it's not coincidence that enemas remain, apparently, respectable in Russia, home of Rough Man videos, which, in my opinion, are quite good, balanced between erotic & clinical. Are these videos made for people who eroticized enemas & med fet first hand?