Joe was imprisoned three times and released for attacks he made against women to steal their shoes. He has a strong sexual attraction to women's shoes and despite efforts to change the attraction remains. Joe sees his doctor for help with his concern about his paraphilic sexual attraction to women's shoes returning even after intense treatment. Describe possible drug treatments Joe's doctor might consider in treating Joe's paraphilia.
What will be an ideal response?
Paraphilia can be treated with cyproterone acetate. This "chemical castration" drug eliminates sexual desire and fantasy by reducing testosterone levels, but fantasies and arousal return as soon as the drug is removed. A second drug is medroxyprogesterone, a hormonal agent that reduces testosterone. These drugs may be useful for dangerous sexual offenders who do not respond to alternative treatments, or temporarily to suppress sexual arousal in patients who require it, but they are not always successful. The outlook for most individuals with these disorders is bleak because paraphilic disorders run a chronic course and recurrence is common.
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FIll in the blank with correct word.