The middle market and high-end market emerged in the USA around 1992. The market has grown for two main reasons. Firstly, the last twenty years have seen huge improvements over earlier types of sex dolls, and customers come to realize this through using the web. Secondly, the method of retail purchase has also improved, now showing customers what the actual doll, seams, hair, and even orifices look like.
In Japan, sex dolls are known as "Dutch wives" (ダッチワイフ datchi waifu), which now refers to relatively inexpensive dolls. Their name originates from the term, possibly English, for the thick rattan or bamboo bolster, used to aid sleep in humid countries by keeping one's limbs lifted above sweaty sheets. Orient Industry is considered to be the leading manufacturer of high-end silicone dolls in Japan,[13] which started using another term "love dolls" (ラブドール rabu dōru) around 1998 to distinguish their dolls from the image of inflatable dolls associated with the term "Dutch wife".[14] The term has stuck and is now used generally to refer to any high-end product. There is a business, Doru no Mori (Doll Forest) in Tokyo, that rents love dolls and rooms to male customers.[15][16] In March 2007 the Japanese daily Mainichi Shimbun newspaper reported that there are also rental businesses that bring the dolls to the customer's home, and that the specialist love-doll magazine i-doloid has a print-run of 10,000 copies per issue.[17]

A sex doll (also love doll or blow up doll) is a type of sex toy in the size and shape of a sexual partner for aid in masturbation. The sex doll may consist of an entire body with face, or just a head, pelvis or other partial body, with the accessories (vagina, anus, mouth, penis) for sexual stimulation. The parts are sometimes vibrating and may be removable or interchangeable.
Some companies manufacture cloth sex dolls using the same technology that is used to create plush toys. With widespread cultural use of the internet amongst younger generations, numerous forums exist for amateurs who create their own sex dolls from fabric or other materials. There are even mailing lists for discussing techniques and experiences with MLDs (material love dolls)[citation needed].
CybOrgasMatrix dolls used an elastic gel, which they claimed to be superior to silicone in elasticity, shape memory, and durability. Both this company and the company "First Androids" once offered pelvic thruster motor, audio capability and heated orifices, though these options are no longer available. Several modern doll manufacturers now offer the last option on their silicone dolls, with the addition of an internal heating system.
Now, TPE stands for thermoplastic elastomer, which is essentially a mixture of polyvinyl chloride and silicone. This is a type of skin that is very soft, and it mimics the feeling of human skin. TPE is way more realistic in feeling and it definitely mimics the feeling of human skin. It also is much cheaper than silicone alternatives, sometimes even hundreds of dollars cheaper. TPE also allows you to move the doll around in various ways, since it has more flexibility. TPE dolls don’t really need to be bathed, but you can, just be mindful of the water. It also is hypoallergenic as well. 
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