Community Conversation => Transitioning => Orchiectomy and Penectomy => Topic started by: Gina Taylor on June 10, 2014, 05:32:07 PM Return to Full Version

Title: Penectomy
Post by: Gina Taylor on June 10, 2014, 05:32:07 PM
I was discussing this option with my therapist today and at least I won't have to go on any length of HRT for this. One thing that we had discussed is that I could either get it done as a medical necessity or get it done through OHIP, because my present medical insurance provider will not cover the cost.  :(
Title: Re: Penectomy
Post by: Ms Grace on June 10, 2014, 05:57:18 PM
If you do that I believe you will pretty much remove the chance of having full SRS at any later point as penile tissue is required to create the clitoris and inner vaginal passage.
Title: Re: Penectomy
Post by: Jessica Merriman on June 10, 2014, 06:02:08 PM
I am still not sure what you are aiming for here Gina? Are you wanting to be female or what? Are you not wanting or wanting to stop HRT? This is puzzling for me.  :-\
Title: Re: Penectomy
Post by: Jill F on June 10, 2014, 06:07:26 PM
As much as I'd like to lose that annoyance, I know damned well that I'll need it for future "reappropriation" if I do SRS.

The nuts, well, not so much...
Title: Re: Penectomy
Post by: Gina Taylor on June 11, 2014, 12:03:05 PM
Quote from: Jessica Merriman on June 10, 2014, 06:02:08 PM
I am still not sure what you are aiming for here Gina? Are you wanting to be female or what? Are you not wanting or wanting to stop HRT? This is puzzling for me.  :-\

Jessica, I have always wanted to be a female, but there are certain things that are not attainable. I've never been on HRT and I figure that by having a penectomy I won't have to start HRT, nor is it a requirement. I'd just like to get rid of that male appendage and feel more like a woman.  :)

Quote from: Ms Grace on June 10, 2014, 05:57:18 PM
If you do that I believe you will pretty much remove the chance of having full SRS at any later point as penile tissue is required to create the clitoris and inner vaginal passage. 

Thanks for the concern Grace, but I do know that by having the penectomy will reduce my chances on having a full SRS, but those are the consequences, and I can live with that.
Title: Re: Penectomy
Post by: mrs izzy on June 11, 2014, 01:01:13 PM
If you live in the states I would not rush anything like that.

There has been so many changes and a lot more to come from the discriminatory exclusions of GCS. Just changed is Medicare, Medicaid,VA and all others will have to fallow.

Its a great time for changes.

Isabell
Title: Re: Penectomy
Post by: Beth Andrea on June 11, 2014, 02:14:20 PM
There is a non-vaginal option, if you just want the visible parts of the genitals...less cost, less invasive, quicker healing time.
Title: Re: Penectomy
Post by: Jill F on June 11, 2014, 02:56:42 PM
Quote from: Beth Andrea on June 11, 2014, 02:14:20 PM
There is a non-vaginal option, if you just want the visible parts of the genitals...less cost, less invasive, quicker healing time.

You still need to reappropriate the penis for that if you want any sensation there.
Title: Re: Penectomy
Post by: Beth Andrea on June 11, 2014, 03:47:41 PM
Yes, just giving options that also include removing the testes and scrotum at the same time...unless one wants an absence of all genitalia.
Title: Re: Penectomy
Post by: Gina Taylor on June 11, 2014, 04:27:15 PM
Quote from: Beth Andrea on June 11, 2014, 03:47:41 PM
Yes, just giving options that also include removing the testes and scrotum at the same time...unless one wants an absence of all genitalia.

I want everything gone!

Quote from: Jill F on June 11, 2014, 02:56:42 PM
You still need to reappropriate the penis for that if you want any sensation there.

I have absolutely no purpose for that, and that is why I want it gone.

Quote from: mind is quiet now on June 11, 2014, 01:01:13 PM
If you live in the states I would not rush anything like that.

There has been so many changes and a lot more to come from the discriminatory exclusions of GCS. Just changed is Medicare, Medicaid,VA and all others will have to fallow.

Its a great time for changes.

Isabell

I do live in the states, but unfortunately Medicaid and Medicare do not do this type of operation that is covered by my medical insurance, so since I am also from Canada, I am seeing if I can get my OHIP re-instated since they do attend to operate more in this field. Unless you know something that I don't.
Title: Re: Penectomy
Post by: mrs izzy on June 11, 2014, 04:36:39 PM
So I am guessing you do not or never want a vagina, either functional or non functional?

Sad part is so much of the penis is needed to make female genitalia.

As I was trying to say is very soon no insurance company in the states will be able to exclude Grs/srs/gcs if a doctor says it is medically necessary.

Hang in,  I think ohip is a good idea but I bet it would take you longer to get through there hoops before it could be covered in the states.

Isabell

Title: Re: Penectomy
Post by: Gina Taylor on June 11, 2014, 05:16:28 PM
Quote from: mind is quiet now on June 11, 2014, 04:36:39 PM
So I am guessing you do not or never want a vagina, either functional or non functional?

A vagina is actually one of my least worries

Sad part is so much of the penis is needed to make female genitalia.

I've done my research and I do realize that there is a lot of flesh that is needed for the construction, but I'm willing on giving that up just to get rid of it.

As I was trying to say is very soon no insurance company in the states will be able to exclude Grs/srs/gcs if a doctor says it is medically necessary.

I was actually reading that Medicare and Medicade are both government run for mostly paid employees. I'm on disability, so I'm already drawing from the government and believe me  the last thing they'd wanna do is have to shell out money on my behalf for SRS for me.

Hang in,  I think ohip is a good idea but I bet it would take you longer to get through there hoops before it could be covered in the states.

I just sent them an inquiry, but you're probably right, because it's been a long time and unless I can prove it to be a medical necessity it's gonna be tough.

Isabell
Title: Re: Penectomy
Post by: Beth Andrea on June 11, 2014, 05:19:04 PM
Quote from: Gina Taylor on June 11, 2014, 04:27:15 PM
I want everything gone!

OK. When I first started looking into transition, I remember reading about eunuchs...iirc, they are people who want nothing down there except a pee hole. Completely smooth otherwise. It's been a couple years, so please forgive if eunuch isn't the preferred term (it seems, in my murky memory, that it isn't).

I mention this because there may be different criteria to be eligible for surgery than an MtF would face.

Good wishes to you, best of luck!
Title: Re: Penectomy
Post by: mrs izzy on June 11, 2014, 06:09:12 PM
Right now Medicare will pay for Gcs (just passed few weeks ago) Medicaid and VA will have to fallow suit with all insurance companies bringing up the rear.

Just saying. I know so well about the dysphoria.

Everyone is a adult and do what they wish.

Isabell
Title: Re: Penectomy
Post by: Jessica Merriman on June 11, 2014, 06:49:24 PM
I may be out of line here, but I think you are rushing into something you may regret in the future. I would take some time to really consider not having functional genitalia of any kind. Not judging mind you, just worried.  :-\
Title: Re: Penectomy
Post by: Gina Taylor on June 12, 2014, 09:15:26 AM
Quote from: Jessica Merriman on June 11, 2014, 06:49:24 PM
I may be out of line here, but I think you are rushing into something you may regret in the future. I would take some time to really consider not having functional genitalia of any kind. Not judging mind you, just worried.  :-\

Thanks for your concern Jessica. But I have given this  a lot of thought and this is what I've decided that I want to do.

Quote from: mind is quiet now on June 11, 2014, 06:09:12 PM
Right now Medicare will pay for Gcs (just passed few weeks ago) Medicaid and VA will have to fallow suit with all insurance companies bringing up the rear.

Just saying. I know so well about the dysphoria.

Everyone is a adult and do what they wish.

Isabell

That's really good news Isabell, and something that I'll definitely will check into with my medical provider. Thanks for the information.  :)


Quote from: Beth Andrea on June 11, 2014, 05:19:04 PM
OK. When I first started looking into transition, I remember reading about eunuchs...iirc, they are people who want nothing down there except a pee hole. Completely smooth otherwise. It's been a couple years, so please forgive if eunuch isn't the preferred term (it seems, in my murky memory, that it isn't).

I mention this because there may be different criteria to be eligible for surgery than an MtF would face.

Good wishes to you, best of luck!

I'll be an Eunuch for the modern times!  :laugh: In actual fact there are  a lot of people that have had the same operation done for whatever reasons. So I won't be alone . . . :o
Title: Re: Penectomy
Post by: JessikaBlackMage on June 12, 2014, 02:43:32 PM
I think you are thinking of an Orchiectomy , because just removing your penile tissue will not stop you from making male hormones.
Title: Re: Penectomy
Post by: Gina Taylor on June 13, 2014, 10:46:54 AM
Quote from: JessikaBlackMage on June 12, 2014, 02:43:32 PM
I think you are thinking of an Orchiectomy , because just removing your penile tissue will not stop you from making male hormones.

Thanks for your concern, but I do have a very good idea what a penectomy is. A penectomy is penis removal through surgery, generally for medical or personal reasons. The only reason I mentioned about hormones is that I will not have to take them if I were actually considering having SRS done, but I could just get my letters of consent and schedule my surgery and have it done. I'm actually considering Dr. Reed, since I live so close to Miami.  
Title: Re: Penectomy
Post by: Emily1996 on June 13, 2014, 10:51:20 AM
Why can't you just wait? You could get a loan, or something D: What I want to do is to maybe starta youtube channel and ask for funding I know a lot of trans people that did that, and it helped alot to pay their surgeries!
Title: Re: Penectomy
Post by: Gina Taylor on June 13, 2014, 11:28:36 AM
Quote from: Emily29 on June 13, 2014, 10:51:20 AM
Why can't you just wait? You could get a loan, or something D: What I want to do is to maybe starta youtube channel and ask for funding I know a lot of trans people that did that, and it helped alot to pay their surgeries!

Great idea Emily! Already a step a head of you  though. I'm already working on a webpage to help me with funding. But thanks anyways. Sorry if I seem very anxious, but I'm just getting everything in order right now. If I'm really lucky, maybe my new girlfriend's step-father may put up the entire money for me.  :)
Title: Re: Penectomy
Post by: teeg on June 13, 2014, 12:06:30 PM
I'm sorry if this seems insensitive or offends anyone, but a Penectomy to help someone's gender dysphoria is one of the dumbest things I've ever heard of. It's a procedure used for cancer patients, not transgendered patients. While sex organs do define sex and that may cause dysphoria for some if they don't match with their gender, they're ORGANS just like any other and they serve a purpose, and to say you want yours gone just because you don't like it is reckless and illogical behavior. How would you urinate? How would you have sex or pleasure yourself? SRS would be impossible after such a procedure. If you want to give all that up I'd say there are some underlying issues that either you or your therapist haven't addressed.

To me your posts scream confusion, delusion, and impatience. I think it's immoral that so many mental health professionals and physicians allow this 'if it feels good do it' attitude. Transition is a very tough road to travel. All of us (at least the responsible ones) had to visit with therapists, wait for HRT approval, wait for hormones to start working, save up the money for various procedures, wait for approval for those procedures, and of course wait to be the gender on the outside we've always been on the inside. If so many can do this the responsible way why can't you?

I'm always deeply disappointed and concerned about these kinds of threads...
Title: Re: Penectomy
Post by: Emily1996 on June 13, 2014, 03:15:58 PM
So are you going to do the SRS if she is funding you? I mean if someone would give me the money for it I would choose SRS instead of this Penectomy, because it seems like an amputation rather than something to cure gender dysphoria... Please think about this twice, this post actually makes me sad, I wish I could give you the money for the SRS but I'm poor yee (I can't even start HRT for me so yeah)
Title: Re: Penectomy
Post by: JessikaBlackMage on June 13, 2014, 05:07:31 PM
what does your therapist say about this..? to me it just seems like you are rushing things.
Title: Re: Penectomy
Post by: Gina Taylor on June 14, 2014, 10:08:37 AM
Quote from: teeg on June 13, 2014, 12:06:30 PM
I'm sorry if this seems insensitive or offends anyone, but a Penectomy to help someone's gender dysphoria is one of the dumbest things I've ever heard of. It's a procedure used for cancer patients, not transgendered patients. While sex organs do define sex and that may cause dysphoria for some if they don't match with their gender, they're ORGANS just like any other and they serve a purpose, and to say you want yours gone just because you don't like it is reckless and illogical behavior. How would you urinate? How would you have sex or pleasure yourself? SRS would be impossible after such a procedure. If you want to give all that up I'd say there are some underlying issues that either you or your therapist haven't addressed.

To me your posts scream confusion, delusion, and impatience. I think it's immoral that so many mental health professionals and physicians allow this 'if it feels good do it' attitude. Transition is a very tough road to travel. All of us (at least the responsible ones) had to visit with therapists, wait for HRT approval, wait for hormones to start working, save up the money for various procedures, wait for approval for those procedures, and of course wait to be the gender on the outside we've always been on the inside. If so many can do this the responsible way why can't you?

I'm always deeply disappointed and concerned about these kinds of threads...

Thank you Teeg for your heart felt concern. I do realize the situation here, and I'm not rushing into anything technically, but I'm just doing what is best for me in the most efficient way possible. There is a hole that is provided that extends from your bladder for urinating and there is other ways that I can seek sexual pleasure.  :)

Quote from: Emily29 on June 13, 2014, 03:15:58 PM
So are you going to do the SRS if she is funding you? I mean if someone would give me the money for it I would choose SRS instead of this Penectomy, because it seems like an amputation rather than something to cure gender dysphoria... Please think about this twice, this post actually makes me sad, I wish I could give you the money for the SRS but I'm poor yee (I can't even start HRT for me so yeah)

It's a nice thought Emily, but no. I know it would be a really nice gesture if I were to take the entire SRS and get it all done, but unfortunately I haven't been on HRT as of yet, so that would have to wait. Now I'm not trying to sound impatient, but I just got a clean bill of health with my kidney and liver and I don't want to go messing them up with HRT.  But on the other side, I've found what I have below to be more of a nuisance than a pleasure and I'd rather see them gone.  

Quote from: JessikaBlackMage on June 13, 2014, 05:07:31 PM
what does your therapist say about this..? to me it just seems like you are rushing things.

To be perfectly honest, I just brought it to his attention, but I do plan on speaking with him in more detail during our next session.
Title: Re: Penectomy
Post by: Gina Taylor on June 17, 2014, 09:53:57 AM
Two days ago I got a reply from OHIP, and they told me that because I've been absent from the province for such an extended period of time I would need to re-apply for my health coverage in Ontario as though for the first time. However, I'd have to visit Service Ontario office in person and present three valid original documents confirming proof of:

1. Citizenship/immigration/eligible status
2. Ontario residency (name and address)
3. Identity (name and signature)

And then there is a three month waiting period for new and returning Ontario residents until OHIP coverage begins.

Unfortunately I wasn't planning on a trip there, so it looks like I won't be getting my OHIP re-instated.  :(



Title: Re: Penectomy
Post by: michelle on June 17, 2014, 10:02:29 AM
Those of us on Medicare will probably have to wait until October or November to see if our insurance will cover surgery.  Right not my Florida Welcare Insurance has written into the policy that it will not cover sexual reassignment surgery.   I have not received any addendum yet from the insurance company that changes this.    I will have to see what happens in October/November when its open season again to see what happens and how Welcare follows the new Medicare policies.
Title: Re: Penectomy
Post by: Gina Taylor on June 17, 2014, 10:19:16 AM
Quote from: michelle on June 17, 2014, 10:02:29 AM
Those of us on Medicare will probably have to wait until October or November to see if our insurance will cover surgery.  Right not my Florida Welcare Insurance has written into the policy that it will not cover sexual reassignment surgery.   I have not received any addendum yet from the insurance company that changes this.    I will have to see what happens in October/November when its open season again to see what happens and how Welcare follows the new Medicare policies.

That sounds encouraging! :)
Title: Re: Penectomy
Post by: Auroramarianna on July 24, 2014, 03:35:02 PM
are you actually still considering this?

You are playing with FIRE, and you may get burnt. Just because I don't like my big hands doesn't mean I will cut them off, you have got to work with what you got. That's why there is corrective surgery, we can always use our features as foundation, but removing something altogether will do no good, because certain cells simply do not regenerate.

I really don't mean to hurt your feelings, but you seriously need to think a LOT before you decide going through this. SRS is already an invasive procedure that, while not removing anything altogether and retaining sensation, will reconstruct your genitals completely and irreversibly. So if SRS is something we all need to very think very well through before we decide what we're gonna do, penectomy will remove all chance of sensation, it can mess up your urinal system and there's no going back, just like SRS, but even more radical.

I sincerely hope you come to figure out what you want, and that it's something you won't regret.

best wishes~
Title: Re: Penectomy
Post by: Emily1996 on July 24, 2014, 06:26:07 PM
You know if healings is a problem you can opt for a cosmetic srs for wgat I understand there is no dilatation and it's less invasive... I hope you still change your mind
Title: Re: Penectomy
Post by: kelly_aus on July 25, 2014, 07:12:33 AM
Quote from: Drazenko on July 25, 2014, 06:50:37 AM
I appreciate the concern you have for her but HRT and therapist letters were such a nightmare when I first heard I will need them. Thank God I did not have to do that. Almost everyone tells me I HAVE to take hormones. Well guess what I had an orchie and I never took them. And I never will. I hate risky stuff like hormones being forced on me. It's terrible.
One of the doctors even told me I will not experience any feminization from the orchiectomy. The changes have been amazing and very noticeable. Especially in my ass, hips. My epilated/waxed hair has almost totally stopped growing and the ones that remain are so thin. Before the orchie it would just grow back the same. There are so many other positive emotional changes as well.

And when you get out of bed one morning and break your leg/hip/ankle, you'll wish you'd listened to the advice of those that suggested hormones.. Lack of any significant amount of sex hormone brings with it a serious risk of osteopororis.. T or E, doesn't matter..
Title: Re: Penectomy
Post by: GendrKweer on July 25, 2014, 07:50:23 AM
Quote from: kelly_aus on July 25, 2014, 07:12:33 AM
And when you get out of bed one morning and break your leg/hip/ankle, you'll wish you'd listened to the advice of those that suggested hormones.. Lack of any significant amount of sex hormone brings with it a serious risk of osteopororis.. T or E, doesn't matter..

Absolutely true. The amount of bone loss per year is staggering without sex hormones of one sort or another.
Also, incidentally, the desire to remove all external genitalia is called nullification. A term for people who do this is a nullo. It is considered a fetish rather than a gender dysphoric condition since by definition, the person does not want either female or male genitals. 
Title: Re: Penectomy
Post by: Drazenko on August 05, 2014, 01:16:07 AM
Quote from: GendrKweer on July 25, 2014, 07:50:23 AM
Absolutely true. The amount of bone loss per year is staggering without sex hormones of one sort or another.
Also, incidentally, the desire to remove all external genitalia is called nullification. A term for people who do this is a nullo. It is considered a fetish rather than a gender dysphoric condition since by definition, the person does not want either female or male genitals.

Then why did so many eunuchs before HRT was around live long and happy lives? A lot of old non trans people get osteoporosis. And you're right I don't want my penis shaped to resemble a biological woman's genitals. I just want to be castrated and look like feminine.
Even though lack of penis and testicles is total demasculinization and that is equal to a vagina for me.
I definitely don't want GRS. Only a penectomy because my orchie is already done.
Title: Re: Penectomy
Post by: Jessica Merriman on August 05, 2014, 01:24:33 AM
Quote from: Drazenko on August 05, 2014, 01:16:07 AM
Then why did so many eunuchs before HRT was around live long and happy lives? A lot of old non trans people get osteoporosis. And you're right I don't want female genitals. I just want to be totally castrated and look like a a female everywhere except between the legs. I definitely don't want GRS. Only a penectomy because my orchie is already done.
Take it from a professional Paramedic on this one. No hormones in your system is leading to tragedy. You have to have one or the other in your system. Also since Nullification is a fetish no procedures are covered under any insurance companies or the Federal Government. You really need to see a COMPETENT Therapist before you go any further because your decision seems hastily thought out. An Orchie is one thing, this is a totally different thing entirely. Just quote one of these long lived eunichs where they led LONG and HAPPY lives impervious to bone loss or endocrine problems because I don't buy it at all. Medical proof I can give you right now.  :)


http://nof.org/articles/5
Testosterone and Estrogen Levels in Men. Testosterone protects bone. Very low levels of testosterone suggest that there is an underlying disorder that needs to be evaluated. Estrogen levels in men are also important. Low levels of these hormones can lead to bone loss. A number of factors can cause levels to be low, such as an eating disorder or drinking too much alcohol. A blood test can tell you if your hormone levels are normal.

Or this article
http://www.hormone.org/diseases-and-conditions/bone-health/osteoporosis-and-hormones

POINT PROVEN!
Title: Re: Penectomy
Post by: AnonyMs on August 05, 2014, 03:37:44 AM
Quote from: teeg on June 13, 2014, 12:06:30 PM
I'm sorry if this seems insensitive or offends anyone, but a Penectomy to help someone's gender dysphoria is one of the dumbest things I've ever heard of. It's a procedure used for cancer patients, not transgendered patients. While sex organs do define sex and that may cause dysphoria for some if they don't match with their gender, they're ORGANS just like any other and they serve a purpose, and to say you want yours gone just because you don't like it is reckless and illogical behavior. How would you urinate? How would you have sex or pleasure yourself? SRS would be impossible after such a procedure. If you want to give all that up I'd say there are some underlying issues that either you or your therapist haven't addressed.

To me your posts scream confusion, delusion, and impatience. I think it's immoral that so many mental health professionals and physicians allow this 'if it feels good do it' attitude. Transition is a very tough road to travel. All of us (at least the responsible ones) had to visit with therapists, wait for HRT approval, wait for hormones to start working, save up the money for various procedures, wait for approval for those procedures, and of course wait to be the gender on the outside we've always been on the inside. If so many can do this the responsible way why can't you?

I'm always deeply disappointed and concerned about these kinds of threads...
While I can't imagine getting an Penmectomy over SRS, or understand it for that matter either, I don't agree with this post. To me it feels intolerant, much like what non-transgender person might say about a transgender person getting SRS. Kind of us vs. them, there's only one right way. Being gay was a disorder at one time, then its ok but transgender is a definitely a disorder, except now transgender is ok too, but only if you do it the right way. I'm not exactly following the traditional path either, and its not much fun (not that any of this is).

I'm all for informed consent, by which I mean being informed of the consequences and being judged sane enough to actually understand it before a doctor will help with the desired treatment. I do agree with all these posts suggesting its a bad idea, but whats wrong for some is not necessarily wrong for all, and I think that's part of being informed.
Title: Re: Penectomy
Post by: Emily1996 on August 05, 2014, 03:47:11 AM
Quote from: Drazenko on July 25, 2014, 06:33:10 AM
I also want to get a penectomy.
I had an orchiectomy a year ago. Now I am getting a strong desire for a penectomy. For those of you who are suspicious of this; not all of us want to get GRS. No offense to anyone but it seems like a more painful and longer option. And more expensive. I am not willing to go through with that but I am seriously considering a penectomy.
I am so glad you guys are questioning it though because it's the right thing to do when you care about a person's well being with their decision for such a major move.

I am 100% happy with my orchiectomy decision. I am so grateful that Dr. Arnkoff did not require any hormones or a therapist letter. He gave me such a huge relief. I finally have my peace. I am not desperate to have the penectomy like I was to have an orchiectomy but I do want it. Sort of like icing on the cake.

Why don't you get cosmetic srs, there is no vaginal canal so no dilation as well... There might be sensitivity and Brassard does it (I guess it costs less too and there isn't much recovery or complication), still I think it's better if you think about it... Maybe you should start hrt too with patches or injection there arent liver complications ^_^
Title: Re: Penectomy
Post by: GendrKweer on August 05, 2014, 09:03:05 AM
Quote from: Emily29 on August 05, 2014, 03:47:11 AM
Why don't you get cosmetic srs, there is no vaginal canal so no dilation as well... There might be sensitivity and Brassard does it (I guess it costs less too and there isn't much recovery or complication), still I think it's better if you think about it... Maybe you should start hrt too with patches or injection there arent liver complications ^_^

That's the thing, to undergo nullification ie penectomy is to knowingly remove much if not all orgasmic capability. I understand full SRS is very invasive and expensive, but many Thai docs specialize in cosmetic "ladyboy" srs surgeries liike some others have said, which preserves sensation, makes it look like a vagina, but is entirely noninvasive as there is no vaginal canal created. Naturally, I have no issues with people doing anything they like with their bodies. Live and let live, yo! ;)
Title: Re: Penectomy
Post by: EchelonHunt on August 05, 2014, 10:53:00 AM
Quote from: teeg on June 13, 2014, 12:06:30 PM
I'm sorry if this seems insensitive or offends anyone, but a Penectomy to help someone's gender dysphoria is one of the dumbest things I've ever heard of. It's a procedure used for cancer patients, not transgendered patients
It is never, ever, ever dumb to remove genitals in order to alleviate gender dysphoria.

Not everybody desires to have their genitals reconstructed.

Not everyone desires to have binary genitals sitting between their legs.

We are all different, we all react differently to gender dysphoria and we all have different goals.

Removing breasts, female reproductive organs (including the vagina), penis and testicles are surgeries for cancer patients as well as transgendered patients.

Regarding penectomy, there are six possible reasons for removal or surgery involving the penis - removal due to cancer, inverting the penis into a vagina (SRS), deconstructing the penis to resemble the external appearance of a vagina, penis removal as a form of body modification (I guess this includes removing for fetish reasons, right?) and finally, those who identify as a third sex and desire to have testicles/penis removed.

To be honest, removing genitals for fetish reasons doesn't make a lick of sense to me but removing genitals to alleviate gender dysphoria makes sense to me as long as there is some form of HRT afterwards.

It saddens me that nullification is well known for being a fetish. I once sought gender nullification but due to circumstances surrounding it (being illegal to perform on FAAB was a big reason), I have opted for a much more safe route - FTM metoidioplasty without scrotoplasty but vagina being closed up is gonna be the closest I can get to achieving gender nullification in my mind. I wish for those who seek gender nullification (regardless of their gender identity) to alleviate dysphoria would be allowed to seek surgical options in the similar manner that transgender individuals are able to advance to HRT and surgery - via informed consent of course, as AnonyMs says.
Title: Re: Penectomy
Post by: mac1 on August 05, 2014, 11:15:00 AM
Quote from: Gina Taylor on June 10, 2014, 05:32:07 PM
I was discussing this option with my therapist today and at least I won't have to go on any length of HRT for this. One thing that we had discussed is that I could either get it done as a medical necessity or get it done through OHIP, because my present medical insurance provider will not cover the cost.  :(
Please tell me how you can get penectomy and castration (including scrotum removal) done as a medical necessity.
Title: Re: Penectomy
Post by: mac1 on August 05, 2014, 11:45:04 AM
Quote from: teeg on June 13, 2014, 12:06:30 PM
I'm sorry if this seems insensitive or offends anyone, but a Penectomy to help someone's gender dysphoria is one of the dumbest things I've ever heard of. It's a procedure used for cancer patients, not transgendered patients. While sex organs do define sex and that may cause dysphoria for some if they don't match with their gender, they're ORGANS just like any other and they serve a purpose, and to say you want yours gone just because you don't like it is reckless and illogical behavior. How would you urinate? How would you have sex or pleasure yourself? SRS would be impossible after such a procedure. If you want to give all that up I'd say there are some underlying issues that either you or your therapist haven't addressed.
...............................

I'm always deeply disappointed and concerned about these kinds of threads...
You don't know much about her circumstances or reasons. I can understand why that might be acceptable for her.

For me, total removal without SRS might be all that I could possibly expect given my circumstances. I have been married for a very long time to my cis-female wife who I love dearly and do not desire to loose. I do not have any practical use for those things and they are only a inconvenience for me. I, also, do not have any real use for a vagina at this point and my wife would not be understanding of that. However, I am certain that she could accept the total removal of those things if it was medically necessary.

Why do I not have any use or desire for those things? My wife is post menopausal and has not wanted penetrative sex for the past 6 years due to the pain caused by her vaginal dryness. I have only sat or squatted (never stood under any circumstances) to pee since 1977 and have no desire to do otherwise. I also do not really need a vagina (even though it might be nice) as I don't have any desire to have penetrative sex with men. As for urinating, you do not need a penis for that but just a proper reroute (like a female) to direct the urine when sitting. In addition, I have never been obsessed with those things and have always felt that I should have been female.

If I could get rid of those things it might be possible to get my wife to agree with me gradually dressing more feminine and presenting as such with her in public. I might even be able to the women's restroom, changing rooms, locker rooms and showers, etc. without question.
Title: Re: Penectomy
Post by: mac1 on August 05, 2014, 12:00:47 PM
Quote from: Emily29 on August 05, 2014, 03:47:11 AM
Why don't you get cosmetic srs, there is no vaginal canal so no dilation as well... There might be sensitivity and Brassard does it (I guess it costs less too and there isn't much recovery or complication), still I think it's better if you think about it... Maybe you should start hrt too with patches or injection there arent liver complications ^_^
I could probably be satisfied with that especially with other feminine facial and body changes. Also, the creation of labia like skin folds might add to the appearance and help with directing the urine flow.
Title: Re: Penectomy
Post by: mac1 on August 17, 2014, 10:20:51 AM
Quote from: Emily29 on August 05, 2014, 03:47:11 AM
Why don't you get cosmetic srs, there is no vaginal canal so no dilation as well... There might be sensitivity and Brassard does it (I guess it costs less too and there isn't much recovery or complication), still I think it's better if you think about it... Maybe you should start hrt too with patches or injection there arent liver complications ^_^
Quote from: Drazenko on August 17, 2014, 01:17:18 AM
That's very interesting. I might be willing to do that. Thanks for mentioning it.
You should probably really consider full SRS. Given your age and other considerations, you should have more reason for that than I have. My need for a vagina is not that great as I don't have any real need or desire to have a relationship with a male. I might use it only once or twice just to see what it feels like and that would not justify the cost or inconvenience for the additional surgery. Just the elimination of the male parts and smooth appearance (with possibly female cosmetic look) would probably be adequate for me.
Title: Re: Penectomy
Post by: janetcgtv on August 17, 2014, 04:33:15 PM
i'm one who would wish that I could get pregnant, breast feed, and have periods. However even if modern medicine was able to do this by implanting an uterus, ovaries, and fallopian  tubes in  me.
I have DVT and heart attack(blood thinners) and cannot be on hormones . I have more body hair than a werewolf. I have tried electrologist(plus it would cost thousands of dollars) it worked on my face but not the rest of my body. I can understand why people would want this operation or an orchi. Due to health or monetary reasons also societal reasons that they cannot go thru with SRS. As well feeling that they do not need SRS.  I also have an inoperable kidney stone which would have been broken up by a non-evasive surgery. But the doctors did not do it because of heart. Breast implants would look funny because of all my hair.

Or they may be compensating for what they cannot do.

Everyone has a right to do what they feel is best for themselves.
Title: Re: Penectomy
Post by: Shantel on August 17, 2014, 05:53:24 PM
For what it's worth, I had mentioned sometime back that I had an orchiectomy and later de-transitioned and went for two years without any hormonal base, I became extremely ill and my endocrine system crashed, my thyroid almost flatlined. I have long since been back on HRT and now have to take thyroid medication. You will need to be on male or female HRT once you remove your junk completely, it's not optional!
Title: Re: Penectomy
Post by: Jessica Merriman on August 17, 2014, 07:06:19 PM
Quote from: mac1 on August 17, 2014, 10:20:51 AM
Just the elimination of the male parts and smooth appearance (with possibly female cosmetic look) would probably be adequate for me.
Um you better see a Therapist to make sure instead of "would probably be adequate". That statement scares me to death especially when all of you are overlooking the necessity of HRT post procedure. It is your body of course, but please research this a little better and change your statement to "It will definitely be adequate.  :)
Title: Re: Penectomy
Post by: Gina Taylor on September 29, 2014, 09:24:39 AM
Quote from: mrs izzy on June 11, 2014, 01:01:13 PM
If you live in the states I would not rush anything like that.

There has been so many changes and a lot more to come from the discriminatory exclusions of GCS. Just changed is Medicare, Medicaid,VA and all others will have to fallow.

Its a great time for changes.

Isabell

I do live in the States and it would be nice if Medicare or Medicaid covered these operations, but unfortunately they don't, so I'm stuck with what I have unless someone has another option . . . Guess I'm stuck with tucking for the time being . . . :P
Title: Re: Penectomy
Post by: Gina Taylor on September 30, 2014, 05:36:53 PM
Quote from: Shantel on August 17, 2014, 05:53:24 PM
For what it's worth, I had mentioned sometime back that I had an orchiectomy and later de-transitioned and went for two years without any hormonal base, I became extremely ill and my endocrine system crashed, my thyroid almost flatlined. I have long since been back on HRT and now have to take thyroid medication. You will need to be on male or female HRT once you remove your junk completely, it's not optional!
Hey Shantel, that's really interesting and it really gives me a lot of food for thought. Thanks!  :)
Title: Re: Penectomy
Post by: Shantel on September 30, 2014, 07:03:02 PM
Quote from: Gina Taylor on September 30, 2014, 05:36:53 PM
Hey Shantel, that's really interesting and it really gives me a lot of food for thought. Thanks!  :)

You're welcome Gina, just don't make mistakes that are irreversible and have regrets later. Got a former FtM friend who used to post here that went back to being her old self sans breasts and female organs and she's damned unhappy that she succumbed to something that she hadn't really thought through.