ISSN:
1573-2800
Keywords:
sexual behavior
;
prostatic cancer
;
medical castration
;
orchiectomy
;
antiandrogen
;
LHRH agonist
;
sexual desire
;
intercourse
;
erectile problems
;
sex offenders
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
,
Psychology
Notes:
Abstract The results of a written questionnaire with 44 patients (pilot study) indicated that before the beginning of treatment for advanced prostatic cancer, most subjects had an active sexual life, as illustrated by a normal erotic imagery, an adequate sexual desire and a normal frequency of intercourse. More than three-quarters (80%) of subjects had at least one coitus a week. Slightly more than 50% were able to easily achieve an erection by erotic imagery or by a preferred sexual fantasy; 50% never experienced erectile problems. When compared with their previous sexual functioning, 70% of subjects noticed during the antiandrogenic treatment a major reduction in their interest for sexual intercourse which was maintained in only 18% of patients. It became impossible for 57% to induce an erection by erotic imagery. However, 19% claimed an ability to maintain an erection during sexual activity, as compared to 56% before treatment, but erections usually lacked full rigidity. Twenty-two percent of patients mentioned having nocturnal or morning erections. Despite this dramatic decrease in sexual activity in most patients, complete antiandrogen blockade left sexual activity in approximately 20% of patients. Due to the treatment's excellent tolerance, the findings suggest that such combined androgen blockade could be beneficial for the treatment of sex offenders.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01542054
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