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Updated: Jul 19, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
[Selective serotonine reuptake inhibitors (SSRI) in the treatment of paraphilia]
1Institut für Sexualforschung und Forensische Psychiatrie, Psychiatrie und Psychotherapie der Universität Hamburg, Hamburg. kraus@uke.uni-hamburg.de
Abstract:
For about 15 years selective serotonine reuptake inhibitors (SSRI) have been used in the treatment of paraphilias. In an open, uncontrolled, retrospective study, which was the first in the German speaking countries we investigated 16 male outpatients, who have been treated for different paraphilias with SSRI and psychotherapy. There was a marked reduction in paraphilic symptoms. Despite high rates of sexual side effects most patients reported a high overall treatment satisfaction. SSRI are an important addition in pharmacological treatment of paraphilic patients, especially with a risk of so called "hands-off" delinquency.
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