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Paraphilia have always been a debatable and under-researched topic in psychiatric domain, with lots of cultural myths associated with its origin. The aetiology is unclear, with several theories forwarded but none having universal acceptance. Psychotherapy was the mainstay of treatment until antidepressants were found to be effective. With the milieu gradually incorporating several anti-androgens, Gonadotrophin Releasing Hormone (GnRH) and Luteinizing Hormone (LH) analogues; pharmacotherapy wasdoi:10.5281/zenodo.3981468 fatcat:aqbpbxxghjhwfexywq4klh3sza