title: The efficacy, safety and ethics of the use of testosterone-suppressing agents in the management of sex offending.
abstract: The use of endocrine medications to reduce sexual offending recidivism is established and may involve clinicians from diverse specialities. The present review aims to outline relevant background information and note a Medical Ethics framework upon which to facilitate decision-making.
  
  
  
  There have been several systematic reviews in recent years. A number of problems with research in the area of the medical treatment of sex offenders have been highlighted. There remains scope for improvement in the research to answer a number of relevant clinical issues. Nonetheless, some very useful indicators of relevance to clinical practice have emerged.
  
  
  
  The use of medication to manage the risk of sex offending in males is appropriate under the right circumstances. These include, for example, hypersexuality with sexual deviance and psychological-treatment interfering sexual preoccupation.
authors.affiliation: aChadwick Lodge, Milton Keynes bThe Wells Road Center, Nottingham, UK.
authors.forename: Omer
authors.initials: O
authors.lastname: Khan
authors.forename: Asha
authors.initials: A
authors.lastname: Mashru
mesh_terms: D000726:Androgen Antagonists / Q000627:therapeutic use*; D004992:Ethics, Medical; D006801:Humans; D008297:Male; D012742:Sex Offenses / Q000517:prevention & control*; D013739:Testosterone
chemical_list: D000726:Androgen Antagonists; D013739:Testosterone