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This is likely due to the higher sex drive in males. However, adjustments between genders may also be explained by bio-psycho-social factors. Future research should examine the incidence and correlates of odd sexual fantasies and the dating between paraphilia and pornography. In a study of sexuality in the overall inhabitants, Kinsey et al. (1948) found that 12% of females stated responding erotically to sadomasochistic stories. They also found that 12% of females suggested having an erotic response to being bitten. For individuals with paraphilic disease, the WFSBP recommends antiandrogen therapy. In severe cases, patients may require a combination of artificial steroidal analogues and GnRH analogs. Psychiatrists should exercise caution in assessing the risk of sexual violence in paraphilic problems, as it is beyond the scope in their observe. However, clinicians should confer with a forensically trained sexual sickness expert in these cases. The high occurrence of paraphilic interests makes it challenging to diagnose and categorize this conduct.

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