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Archived Comments for: Bilateral testicular self-castration due to cannabis abuse: a case report

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  1. Etiology or coincidence

    Brett Snodgrass, Pathology Resident

    30 July 2014

    How would this case be interpreted if the incidence of self-castration was lower in cannabis users than in nonusers? Your case certainly represents a possible association between cannabis and self-mutilation. However, many medications alter neurotransmission in the brain and some of them are administered to stop self-destructive behavior. Marijuana use and/or abuse may be a sign of the patient's self-destructive behavior and not the cause.

    Reporting the self-castration as "due to cannabis abuse", is one of many possible explanations for the self-mutilation.

    Competing interests

    None.

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