Voyeurism

Voyeurism is achievement of sexual arousal by observing people who are naked, disrobing, or engaging in sexual activity. When observation is of unsuspecting people, this sexual behavior often leads to problems with the law and relationships.

Desire to watch others in sexual situations is common and not in itself abnormal. Voyeurism usually begins during adolescence or early adulthood.

When voyeurism is pathologic, voyeurs spend considerable time seeking out viewing opportunities. Orgasm is usually achieved by masturbating during or after the voyeuristic activity. Voyeurs do not seek sexual contact with the people being observed.

treatment usually begins with sex therapy, support groups, and SSRis. if these drugs are ineffective, antiandrogens should be considered; full informed consent and appropriate monitoring of liver function and serum testosterone levels are required.