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[抗雄激素治疗的适应证、禁忌证及法律问题]

[Indications, contraindications and legal problems in antiandrogen treatment].

作者信息

Vietze G

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1976 Nov;28(11):684-9.

PMID:1035425
Abstract

The author in his present paper gives an outline of the indications, contraindications, and legal problems of Androcur treatment. Androcur (cyproterone acetate) is an antiandrogen that is capable of competitively inhibiting androgens in the organism. Accordingly, the effects obtained by drug therapy, of which the purpose is to reduce the sexual desire or libido, are similar to those produced by operative castration. The use of such drugs makes it possible to control abnormal sex drives and desires and prevent sexual offenders from becoming recidivous. Since treatment with Androcur is an intervention in the deeply personal sphere and there is not yet availability any reliable data on the full reversibility of the phenomena involved (for example, alterations to the testicles) especially in the case of long-time treatment, such therapy should be carried out on the principle of absolute voluntariness and after suitable suggestions have been furnished as to the proper treatment of the respective subject.

摘要

作者在本文中概述了安宫黄体酮治疗的适应症、禁忌症及法律问题。安宫黄体酮(醋酸环丙孕酮)是一种抗雄激素药物,能够在机体内竞争性抑制雄激素。因此,旨在降低性欲的药物治疗效果与手术去势产生的效果相似。使用此类药物能够控制异常的性冲动和欲望,并防止性犯罪者再次犯罪。由于使用安宫黄体酮进行治疗是对个人隐私领域的干预,而且目前尚无关于所涉现象(如睾丸变化)完全可逆性的可靠数据,尤其是在长期治疗的情况下,因此这种治疗应基于绝对自愿原则进行,并在为相关患者提供适当治疗建议之后开展。

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