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What is chemical castration? Here’s why doctors will be uneasy about using it on sex offenders | UK News

Chemical castration has been implemented for sex offenders in various countries for many years, achieving some success, yet it remains a contentious issue.

The method aims to reduce the effects of the male sex hormone testosterone.

This treatment is expected to lead to diminished sexual fantasies and a reduced libido.

Many of the medications are also commonly prescribed for prostate cancer, as they slow down the growth of hormone-sensitive tumors. However, their effectiveness in treating sex offenders varies, as does the speed of their response.

Sky News gained exclusive access to a clinical trial in Stockholm, Sweden, which tested a drug named degarelix.

The findings revealed that within just two weeks following the initial injection, men living in the community showed a significantly lower risk of committing child sexual abuse.

Nonetheless, like many clinical trials, this one was relatively small, consisting of only 52 participants. The foundational evidence for chemical castration remains limited.

Moreover, these drugs can cause side effects, such as the development of breast tissue in men, depression, and hot flashes.

Some criminologists doubt whether the reduction in reoffending rates truly results from the treatment.

It’s possible that men receiving shorter prison sentences in exchange for undergoing testosterone-suppressing medication may simply be incentivized to avoid reoffending upon release.

This has not deterred several countries from adopting chemical castration. Germany, Denmark, and the UK have implemented it for men who volunteer for the treatment.

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In England, a trial has been underway in South West prisons since 2022 and is now being referenced by the Home Office as justification to expand the treatment program to 20 regions nationwide.

Nevertheless, these drugs have been utilized in the UK for a much longer duration.

In 2012, it was revealed that around 100 sex offenders were undergoing treatment at HMP Whatton in Nottinghamshire, either through chemical castration or medications like Prozac, which can alter thought patterns.

Justice Secretary Shabana Mahmood is reported to be contemplating making treatment mandatory for serious sex offenders.

This proposal would spark considerable controversy among the medical community in the UK, where consent is a fundamental principle of any treatment procedure.

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Is the government ‘prepared to be unpopular’ over prisons?

In the US, some states mandate chemical castration for certain men.

California was the pioneer, amending its penal code in 1996 to include it as a penalty for sexual abuse against minors. Florida, Texas, and Louisiana are among the states that followed suit.

Countries like Poland, Russia, Moldova, and Estonia have also instituted compulsory treatment for pedophiles.

However, in the UK, the lack of solid evidence regarding the risks and benefits of these drugs leads to professional concerns about mandating castration, even for individuals convicted of the most egregious sexual offenses against children.