Having an orchiectomy, want to know who decides which hormones i am to take...

[eve1974]

Having an orchiectomy, want to know who decides which hormones i am to take after.
I would prefer estrogen to be prescribed. I am in Canada, so we have coverage for these types of things.


For those who don't know:

Orchiectomy (also named orchidectomy, and sometimes shortened as orchi) is a surgical method of castration in which one or both testicles are removed. The removal of both testicles specifically can be referred to as a bilateral orchiectomy.

There are three main types of orchiectomy: simple, subcapsular, and inguinal. The first two types are usually done under local or epidural anesthesia, and take about 30 minutes to perform. An inguinal orchiectomy is sometimes done under general anesthesia, and takes between 30 minutes and an hour to complete.

[kelly_aus]

That would be your endo - the person who looks after your hormones now. And I'm pretty sure we know what an orchi is..

[eve1974]

sorry Kelly. forgot. many people I have talked to have no clue.
currently I don't have an endocrinologist. just my urologist. can I tell him what I want to do. is there more positives to estrogen other than boobs and such that I can point out to him?

[kelly_aus]

Well, unless you are trans, there is no specific medical benefit to estrogen in your case, so a urologist is unlikely to prescribe - what he is likely to suggest is T..

There's a process most places for trans people. You are likely going to need to look in to it..

[Jessica Merriman]

This is confusing me. Are you getting an Orchie because you are trans or some medical condition? If you are getting one because you are transitioning stop right now. Some SRS surgeons will not perform surgery if you have had an Orchie because it makes it tougher. The amount of skin they have to work with is cut down drastically. Yes, some may do it anyway, but they will have to take a graft from somewhere to do it. This increases infection potential and slows general healing. Have you seen a therapist? There is a proper way to transition and it is the WPATH standards.

[kelly_aus]

This is confusing me. Are you getting an Orchie because you are trans or some medical condition? If you are getting one because you are transitioning stop right now. Some SRS surgeons will not perform surgery if you have had an Orchie because it makes it tougher. The amount of skin they have to work with is cut down drastically. Yes, some may do it anyway, but they will have to take a graft from somewhere to do it. This increases infection potential and slows general healing. Have you seen a therapist? There is a proper way to transition and it is the WPATH standards.

Her intro thread says it's due to a botched vasectomy..

[eve1974]

This is confusing me. Are you getting an Orchie because you are trans or some medical condition? If you are getting one because you are transitioning stop right now. Some SRS surgeons will not perform surgery if you have had an Orchie because it makes it tougher. The amount of skin they have to work with is cut down drastically. Yes, some may do it anyway, but they will have to take a graft from somewhere to do it. This increases infection potential and slows general healing. Have you seen a therapist? There is a proper way to transition and it is the WPATH standards.

I am getting the orchi because they messed up my vasectomy. I do not wish to fully transition. would be happy with what is left after. I have gynocomastia and wish to enhance that. I do not feel that I am ready to fully switch over. I underdress, mainly because I need the bra for support and I work in a factory setting where i'd get beat up if I were to be full on.
would like a more feminine body type. but am still closeted.
my mind is not that of the average male. I love women, breasts, but am very affeminate. I have tried for years to be macho to fit in. I don't fit. the orchi will help to align mind and body.

[Jill F]

Your body needs either testosterone or estrogen, otherwise you will more than likely develop osteoporsis.   Having no sex hormone is bad.

[Devlyn]

Your body needs either testosterone or estrogen, otherwise you will more than likely develop osteoporsis.   Having no sex hormone is bad. M'kay?

Fixed that for ya! 

[eve1974]

I would prefer estrogen. hopefully he will prescribe. in Canada there seems to be a bit more relaxed attitude because of our healthcare system. I hope that will help me get the estrogen






No Dosages and such please

[kelly_aus]

We do not support or condone self medding here, particularly not when you live in a country with a supportive health system.. Play by the book, or you could well end up dead  - or worse.

[Jill F]

We do not support or condone self medding here, particularly not when you live in a country with a supportive health system.. Play by the book, or you could well end up dead  - or worse.

Like in bed with Sally Kern?

[kelly_aus]

Like in bed with Sally Kern?

I was more thinking stroke.. DVT leading to amputation.. You know, the fun stuff..

[Jessica Merriman]

I was more thinking stroke.. DVT leading to amputation.. You know, the fun stuff..

Yes folks, serious topics need serious replies.

Her intro thread says it's due to a botched vasectomy..

Sorry Kelly, I missed that. Still even if it was a botched vasectomy if different hormones are wanted this person will still have to follow WPATH Standards.

[Jeneva]

If the Dr prescribes T you can tell them you will refuse to take it.  At that point they may offer E instead since it is medically irresponsible to let you go without.

Some SRS surgeons will not perform surgery if you have had an Orchie

Reference please?  I've been over most of the surgeon's sites and I've yet to see one that refuses.  And most of the objection I've seen is that the money would be better spent on GCS.

[lilredneckgirl]

This is confusing me. Are you getting an Orchie because you are trans or some medical condition? If you are getting one because you are transitioning stop right now. Some SRS surgeons will not perform surgery if you have had an Orchie because it makes it tougher. The amount of skin they have to work with is cut down drastically. Yes, some may do it anyway, but they will have to take a graft from somewhere to do it. This increases infection potential and slows general healing. Have you seen a therapist? There is a proper way to transition and it is the WPATH standards.

Ditto,  Im  no  doctor,  but  I  would  urge  caution,  seek  a  counsler  before  you  start  anything,  and  get  on  board  with  someone  that  knows  the  entire  process. if  its  just  a  botched  vasectomy,  go  get  it  redone.     the  orchi  has  long  been  frowned  upon  by  the  end  game  doctors,  because  it  robs  them  of  the  nessessary  skin  to  do  a  good  job. its also  gonna zap  your  hormones,  so  forget  sex  if  you  go  that  route.     get  pro  advise,  not  chat  forum  answers.  run  from a  doctor  that  will  just  '  do  what  you  want'  without  being  involved  with  a  transition  team  of  doctors. 

[eve1974]

Ditto,  Im  no  doctor,  but  I  would  urge  caution,  seek  a  counsler  before  you  start  anything,  and  get  on  board  with  someone  that  knows  the  entire  process. if  its  just  a  botched  vasectomy,  go  get  it  redone.     the  orchi  has  long  been  frowned  upon  by  the  end  game  doctors,  because  it  robs  them  of  the  nessessary  skin  to  do  a  good  job. its also  gonna zap  your  hormones,  so  forget  sex  if  you  go  that  route.     get  pro  advise,  not  chat  forum  answers.  run  from a  doctor  that  will  just  '  do  what  you  want'  without  being  involved  with  a  transition  team  of  doctors.

I should explain more...the botched vasectomy has rendered me almost completely impotent. major E.D. I feel mentally separate from my testicles. I suffer severe pain since vasectomy, they did something very wrong, don't know what they cut, but feels like my grapes are being squeezed to make wine. My urologist checked me out and agreed an orchi should be done.
I do not like my testicles, I feel a detachment towards them. they are not part of me in my mind. the dr agreed I need to get mind and body to match.

[eve1974]

I underdress and do not feel as male. I associate more outside the standard male/female world. I just want to be comfortable with myself. I hope this surgery and any others I may have will help me.

[Jo-is-amazing]

Sounds like you are another one of the non-binary peeps, aka a member of the awesome people's club. Just tell a psych about that detachment and you won't have any problem getting on e.

Best of luck

[lilredneckgirl]

i  stand  firm  on  the  first  step  being  get  into  see  a  counsler.    jump  a  hoop  or  two  and  get  your  hormones in  order  before  you  cut  away.
  then,  before  letting  anyone  cut  you,  at  least  speak  to  a grs / srs  surgeon. 
  decisions you  make  now,  will  affect  you  for  the  rest  of  your  life.
  if  it  was  a  botched  vasectomey,  why not  have  them  go back  in  a  see  what  the  heck  is  wrong?  simple  enough  to  do,  not  like  its  open  heart  or  brain  surgery.
  I  cant  help  but to  get  the  feeling  either  you  are  pushing  them  for  the  orchi,  or  they  are just  making  poor  decisions  as  medical  doctors.   " just  cut  them  off"  is  not  a  typical  medical  solution..........