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| | Psychiatric Times |
 | | Paraphilias as defined by DSM-IV, are sexual impulse disorders characterized by intensely arousing, recurrent sexual fantasies, urges and behaviors (of at least six months' duration) that are considered deviant with respect to cultural norms and that produce clinically significant distress or impairment in social, occupational or other important areas of psychosocial functioning. |
 | | Paraphilias are predominantly male sexuality disorders with an estimated sex differences ratio of 20:1 in sexual masochism. |
 | | Since the prescription of antiandrogens for paraphilias is still considered an off-label use (i.e., not FDA-approved for that specific use), it is prudent to document informed consent in a patient's record before antiandrogen administration, and to obtain baseline fasting glucose, liver functions, vital signs, serum FSH and total testosterone. |
| www.psychiatrictimes.com /p960627.html (2522 words) |
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