Case Report

Genital self-mutilation in a non-psychotic male to get rid of excessive sexual drive: A case report

Adarsh Tripathi, Bheemsain Tekkalaki, Anurag Agarwal
South African Journal of Psychiatry | Vol 21, No 1 | a580 | DOI: | © 2015 Adarsh Tripathi, Bheemsain Tekkalaki, Anurag Agarwal | This work is licensed under CC Attribution 4.0
Submitted: 13 February 2014 | Published: 01 February 2015

About the author(s)

Adarsh Tripathi, Department of Psychiatry, King George Medical University, Lucknow, India, India
Bheemsain Tekkalaki, Department of Psychiatry, Jawaharlal Nehru Medical College, Belagavi, India, India
Anurag Agarwal, Department of Psychiatry, Integral Institute of Medical Sciences and Research, Lucknow, India, India

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Genital self-mutilation (GSM) is a rare phenomenon. In the majority of cases, GSM is secondary to psychotic illness. Among the non-psychotics, the motives behind GSM are varied. We report a rare case in which a non-psychotic, non-paraphilic patient suffering from excessive sexual drive carried out GSM to curb hypersexuality. Aetiological factors behind GSM are discussed. This case report emphasises that excessive sexual drive may lead to distress and GSM. Effective management of excessive sexual drive and active inquiry into any intentions of GSM in such patients may be helpful in preventing GSM.



Genital self-mutilation; GSM; Non-psychotic; Male; Excessive sexual drive


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