Case reports in psychiatry · 2026
Use of Testosterone-Lowering Medication in Patients With Intellectual Disabilities and Problematic Sexual Behaviour: A Case Series.
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Bentsen Jacob Rong, Kjær Torbjørn Lien, Balleby Magnus Roland, Nielsen Jimmi
Аннотация
BACKGROUND: Testosterone-lowering medication (TLM) is used in severe cases of paraphilic disorders and problematic sexual behaviour, but its use in patients with intellectual disability is not well characterised.
METHOD: A nationwide survey identified five male patients with intellectual disability who had received TLM in specialised outpatient clinics.
RESULTS: Four patients showed reduced problematic sexual behaviour during treatment; three relapsed after discontinuation. Adverse effects included osteoporosis, hypertension, depression and suppressed sexual development. Monitoring and access varied regionally.
CONCLUSIONS: TLM may be effective in selected patients with intellectual disability but requires careful monitoring and ethical oversight.
METHOD: A nationwide survey identified five male patients with intellectual disability who had received TLM in specialised outpatient clinics.
RESULTS: Four patients showed reduced problematic sexual behaviour during treatment; three relapsed after discontinuation. Adverse effects included osteoporosis, hypertension, depression and suppressed sexual development. Monitoring and access varied regionally.
CONCLUSIONS: TLM may be effective in selected patients with intellectual disability but requires careful monitoring and ethical oversight.