title: 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
authors: FW
authors: Houts
authors: Inna
authors: I
authors: Taller
authors: Douglas E
authors: DE
authors: Tucker
authors: Fred S
authors: FS
authors: Berlin
mesh_terms: D000328:Adult; D000726:Androgen Antagonists / Q000009:adverse effects / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D000075202:Contraindications; D004882:Erotica; D005084:Exhibitionism / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D007987:Gonadotropin-Releasing Hormone / Q000819:agonists*; D006801:Humans; D007030:Hypothalamo-Hypophyseal System / Q000187:drug effects; D007258:Informed Consent; D007989:Libido / Q000187:drug effects; D008297:Male; D008418:Masturbation / Q000188:drug therapy / Q000523:psychology; D017258:Medroxyprogesterone Acetate / Q000009:adverse effects / Q000627:therapeutic use; D009919:Orchiectomy / Q000009:adverse effects; D010262:Paraphilic Disorders / Q000523:psychology / Q000628:therapy*; D010378:Pedophilia / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D011613:Psychotherapy; D017367:Selective Serotonin Reuptake Inhibitors / Q000009:adverse effects / Q000627:therapeutic use; D012742:Sex Offenses / Q000331:legislation & jurisprudence / Q000523:psychology*; D012725:Sexual Behavior / Q000187:drug effects; D016896:Treatment Outcome
chemical_list: D000726:Androgen Antagonists; D007987:Gonadotropin-Releasing Hormone; D017258:Medroxyprogesterone Acetate; D017367:Selective Serotonin Reuptake Inhibitors