Treatment of Men with Paraphilia with a Long-Acting Analogue of Gonadotropin-Releasing Hormone

Each year in the United States between 100,000 and 500,000 children are sexually molested by men. 1 , 2 Proportionally high rates have also been reported in Canada, 3 Australia, 4 the United Kingdom, 1 , 5 the Netherlands, 1 Denmark, 6 Germany, 1 , 6 and Belgium. 7 , 8 The numbers of affected children are probably higher, because many do not report the molestation. On the basis of extensive epidemiologic studies, Abel estimated that approximately 10 to 20 percent of children had been sexually molested by the age of 18 years. 9 These findings indicate that deviant sexual behavior (paraphilia) in men is a serious problem. Paraphilias are complex psychiatric disorders . . .