Introduction. 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. Hoogeveen J, and Van der Veer E. Side effects of pharmacotherapy on bone with long-acting gonadorelin agonist triptorelin for paraphilia. J Sex Med 2008;5:626–630.