I had an orchi, still take estrogen, but not as much as before (am lucky that way), and no more Spiro (yay!), and am _so_ glad to have had it done, because I knew my GRS would be a while away. It was nice to have a "next step" while waiting for money to come in for other stuff.
I still don't feel right "down there", but definitely a lot better than before, and over all I feel a lot more calm, whether that is psychological or physiological, regardless... it feels good knowing my body isn't having to fight so much T anymore. Not to mention my prescription costs are a lot lower.