There have been limited research studies concerning the use of libido inhibitors for the treatment of patients with a paraphilia. Observational studies suggest that agents that lower testosterone are an effective treatment for paraphilia.Aim
We report a case of hormonal treatment of paraphilia that was associated with side effects.Method
A 35-year-old man with a paraphilia was treated with long-acting gonadorelin.Results
The desired result was reduced preoccupation with sexuality, but there were various side effects including a serious amount of bone loss.Conclusion
We believe that more attention should be given to the adverse effects of long-term treatment with triptorelin. In our view the drug regime needs to be revised.