Treatment of obsessive homosexual pedophilic fantasies with medroxyprogesterone acetate.
The author describes a male patient with obsessive homosexual pedophilic fantasies treated with psychotherapy and medroxyprogesterone acetate (MPA), a progestin with antiandrogen activity. Long-acting MPA was administered for a 2-month period and caused a prompt and drastic reduction in fantasies and in the anxiety and depression generated by them. MPA was observed to have psychological benefits that outlived its physiologic activity.
D000328:Adult; D005201:Fantasy; D006716:Homosexuality; D006801:Humans; D008297:Male; D008525:Medroxyprogesterone / Q000008:administration & dosage / Q000031:analogs & derivatives*; D010262:Paraphilic Disorders / Q000188:drug therapy*; D010378:Pedophilia / Q000188:drug therapy*
D008525:Medroxyprogesterone