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Many people with fetishes must have the object of their attraction at hand or be fantasizing about it, alone or with a partner, in order to become sexually aroused, get an erection, and have an orgasm. A person with a fetish might masturbate while they hold, smell, rub, or taste the object. Or they might ask their partner to wear it or use it during sex. There are many web sites about lots of fetish interests, says Richard Krueger, MD, an associate clinical professor of psychiatry at Columbia University.

According to a study, the most common fetishes involve body parts, such as feet, or body features, such as obesitypiercings, or tattoos. The feet are by far the most common. After body parts comes things you wear.

The same study put clothes worn on the hips and legs, such as stockings and skirts, at the top of the list. Footwear, then underwear, ranked closely behind.

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Fetishes that involve the feel of a certain material, often leather or rubber, are also common. Some people like dressing themselves and their partner in furry animal costumes. Sexual behavior experts don't agree on the causes. Some people can trace their attraction back to early childhood, before they were aware of their sexuality. A fetish can also come from seeing inappropriate sexual behavior during childhood or from sexual abuse, says Kenneth Rosenberg, MD.

He's a psychiatry professor at Weill Cornell Medical College. A sexual fetish is not a disorder by definition, but it can reach that level if it causes intense, lasting distress. They are not simply experimenting with novel means of sexual expression. They are desperate, compulsive, and sometimes so distressed by their behaviors that suicide is a consideration. When it's a disorder, it feels out of control. Someone might disappear from work or home to practice their fetish in secret.

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This fascination could also keep them from doing their job. People with these disorders might also steal to get the object of their desire. They might prefer to have time alone with their object, even when they're in a relationship with another person. Standard treatment includes medication and talk therapy with a psychiatrist or counselor.

Still, some fetishes can be harmless.

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Where Do Fetishes Come From? Are Fetishes OK? Could I have CAD? Missing Teeth?

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