The efficacy, safety and ethics of the use of testosterone-suppressing agents in the management of sex offending

Abstract

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.

Pharmacological treatment of patients with paraphilic disorders and risk of sexual offending: An international perspective

“…Moreover, and especially in relation to ADT, there are a variety of negative side effects including weight gain, gynaecomastia, reduced testicle volume, hot flushes, reduced bone mineral density, and hepatotoxicity. These and other concerns, relating to issues such as consent, have provoked ethical questions concerning their use (Basdekis-Jozsa et al 2013;Cherrier et al 2010;Gooren 2011;Harrison 2008;Khan & Mashru 2016).…”