Gender Preference in the Sexual Attractions, Fantasies, and Relationships of Voluntarily Castrated Men

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Gender Preference in the Sexual Attractions, Fantasies, and Relationships of Voluntarily Castrated Men

INTRODUCTION:

Some men seek castration outside a clear medical need. This study explored how their sexuality changed after castration.

AIM:

To explore changes in preferred gender(s) of sexual attraction, fantasy, and relationships in voluntarily castrated men with or without gonadal hormone therapy.

METHODS:

A questionnaire was posted at http://www.eunuch.org that yielded data on men who had been voluntarily castrated physically (n = 198) or chemically (n = 96).

MAIN OUTCOME MEASURES:

Respondents were asked to report retrospectively on their sexuality, including their sexual activity and which gender(s) they were sexually attracted to, fantasized about, or had sexual relations with 6 months to 1 year before and after castration.

RESULTS:

A substantial proportion of men remained sexually active after castration; 37% had sex at least several times per week. Most respondents did not report a change in preferred gender(s) of attraction (65%, n = 181), fantasies (62%, n = 169), or sexual relationships (66%, n = 163), although approximately 20% to 30% of respondents did report such changes and 8% to 11% became non-sexual after castration. Respondents who were attracted to and fantasized about "only men" or who had sexual relationship with "only women" before castration were the least likely to report a change subsequent to castration. Respondents who were taking neither supplemental testosterone nor estrogen were more likely to report (i) becoming attracted to no one, (ii) fantasizing about no one, and (iii) becoming sexually inactive.

CONCLUSION:

Sexual changes in voluntarily castrated men vary and can be influenced by various factors including the use of supplemental testosterone or estrogen therapy.

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By:  Handy AB1, Jackowich RA2, Wibowo E3, Johnson TW4, Wassersug RJ5.

• 1Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada.
• 2Department of Psychology, Queen's University, Kingston, ON, Canada.
• 3Vancouver Prostate Centre, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.
• 4Department of Anthropology (Emeritus), California State University-Chico, Chico, CA, USA.
• 5Department of Medical Neuroscience, Dalhousie University, Halifax, NS, Canada; Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, VIC, Australia. Electronic address: Richard.wassersug@ubc.ca. 
• Sex Med. 2016 Mar;4(1):e51-9. doi: 10.1016/j.esxm.2015.11.001.

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Androgen Deprivation Therapy (Castration Therapy) and Pedophilia: What's New

Andrology is a constantly evolving discipline, embracing social problems like pedophilia and its pharmacological treatment. With regard to chemical castration, the andrologist may perform an important role as part of a team of specialists. At present, no knowledge is available regarding hormonal, chromosomal or genetic alterations involved in pedophilia. International legislation primarily aims to defend childhood, but does not provide for compulsory treatment. 

We reviewed international literature that, at present, only comprises a few reports on research concerning androgen deprivation. Most of these refer to the use of leuprolide acetate, rather than medroxyprogesterone and cyproterone acetate, which present a larger number of side effects. Current opinions on chemical castration for pedophilia are discordant. Some surveys confirm that therapy reduces sexual thoughts and fantasies, especially in recidivism. On the other hand, some authors report that chemical castration does not modify the pedophile's personality. 

In our opinion, once existing legislation has changed, andrologists could play a significant role in the selection of patients to receive androgen deprivation therapy, due in part to their knowledge about its action and side effects.

Via: http://goo.gl/v8FwOB  Full PDF article at:  http://ow.ly/d/3OXk 

By: Silvani M1, Mondaini N, Zucchi A.

• 1Urology Department "Degli Infermi" Hospital, Biella. mondatre@hotmail.com. 

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