Androgen deprivation treatment of sexual behavior.

Abstract

Gonadotropin-releasing hormone agonists are underutilized in patients seeking diminution of problematic sexual drives. This chapter reviews the literature on surgical castration of sex offenders, anti-androgen use and the rationale for providing androgen deprivation therapy, rather than selective serotonin reuptake inhibitors or more conservative interventions, for patients with paraphilias and excessive sexual drive. Discussions of informed consent, side effects, contraindications and case examples are provided.

• Authors: Frederick W Houts, Inna Taller, Douglas E Tucker, Fred S Berlin
• Journal: Advances in psychosomatic medicine (Adv Psychosom Med) Vol. 31 Pg. 149-163 ( 2011) ISSN: 0065-3268 [Print] Switzerland
• PMID: 22005210 (Publication Type: Case Reports, Journal Article, Review)
• Copyright: Copyright © 2011 S. Karger AG, Basel.

Chemical References

• Androgen Antagonists
• Serotonin Uptake Inhibitors
• Gonadotropin-Releasing Hormone
• Medroxyprogesterone Acetate

Topics

• Adult
• Androgen Antagonists (adverse effects, therapeutic use)
• Combined Modality Therapy
• Contraindications
• Erotica
• Exhibitionism (diagnosis, psychology, therapy)
• Gonadotropin-Releasing Hormone (agonists)
• Humans
• Hypothalamo-Hypophyseal System (drug effects)
• Informed Consent
• Libido (drug effects)
• Male
• Masturbation (drug therapy, psychology)
• Medroxyprogesterone Acetate (adverse effects, therapeutic use)
• Orchiectomy (adverse effects)
• Paraphilic Disorders (psychology, therapy)
• Pedophilia (diagnosis, psychology, therapy)
• Psychotherapy
• Selective Serotonin Reuptake Inhibitors (adverse effects, therapeutic use)
• Sex Offenses (legislation & jurisprudence, psychology)
• Sexual Behavior (drug effects)
• Treatment Outcome