Hey ladies,
So I've been thinking about getting a partial bottom surgery done before getting the full bottom. But I was wondering how many of you gals that have completed the full bottom surgery, of you, how many are still on spiro?
I was thinking , and did a little research, seems like it's a 50/50 with having to stay on spiro after the testicles are gone.
Just trying to find the right info? Thanks ladies
Loves [emoji182]❤️[emoji182]
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You don't need Spiro if you don't have testicles because you aren't producing T any more.
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That's what I thought, too.
Spiro's not that good for you anyway. So that's a good enough reason to get them removed. [emoji6] Just remember to leave the scrotum if you are going to get a vagioplasty since they use the skin.
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No need for Spiro once they are gone! I hated that stuff, made me pee every 5 minutes, I don't miss it at all. Or the other things either! ;D
Quote from: RavenMoon on May 22, 2017, 03:23:27 PM
You don't need Spiro if you don't have testicles because you aren't producing T any more.
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See that's what I thought too. But I go this as a reply from my Dr earlier today.
"Continuing anti-androgen therapy is typical after having had your bottom/gonadectomy surgery. Part of this is because a good portion of your body's androgens come from your adrenal glands, not just your testicles."
But I thought the bulk of the T came from the testicles. I've been thinking a lot about getting a partial bottom, just so I could get off the spiro. My libido has dropped some and I'd like to see if it'll come back.
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Well females have adrenal glands too. That's where adrenaline comes from. Females also have some T in their body.
Most of the people I've seen that had an orchiectomy stop taking Spiro.
But I'm not a doctor and I'm not even on HRT yet.
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The Thai SRS surgeon, Dr Suporn says in his post-op care manual
"In most cases, post-operatively there is no need to continue anti-androgens post-operatively. However, in some cases (about 5-10%) patients find that unwanted male characteristics can return immediately post-operative."
He goes on to explain why, and how to taking anti-androgens at a decreasing level over the next 12 months, where you can stop.
I had an orchiectomy ages ago, and my body hair did decrease a lot, but I still had more than I would have liked. My doctor put me on spironolactone and it gradually deceased to peach fuzz or almost nothing depending on location. Having been on it for years, I recently stopped taking it figuring that as I didn't have testicles I had no need for it. Unfortunately I noticed an increase in body hair once again and found I had to shave my legs more frequently and that I had a few dark hairs on my arms and tummy I had not had before. I am back on the spiro and now have no plans to ever cease taking it, barring medical issues. Some people are sensitive to even small amounts of androgens, and unfortunately I appear to be one of them. Even in cis women they've found that spironolactone can effectively reduce hirsutism even when their androgen levels are normal, so clearly it does something in your body that is helpful.
Since we are once again quoting our surgeons for credibility, I will start of with credentials. I had my srs at PAI. The founder Dr Preecha is the father of modern srs techniques and the teacher of Dr Suporn, Dr Chettawut, Dr Kamol and almost all the other top surgeons in Thailand. He has done thousands of surgeries and when you combine his 2 top surgeons Dr Sutin and Dr Burin they are by far the most experienced group in the world. He says to stop taking spiro after srs. If anything we have a much lower T count, post srs, than cis females, logically why would we want to lower it even more.
Typical protocol is NO anti-androgen post-op as we produce very little T. I'm actually taking some T post-op because my levels are so low.
Quote from: KayXo on May 23, 2017, 02:55:23 PM
Typical protocol is NO anti-androgen post-op as we produce very little T. I'm actually taking some T post-op because my levels are so low.
There's a really good YouTube video on that, by Jessica Tiffany
"Tiffany's Vlog #55 Started on Testosterone.. Wait, What?"
Yea, I came across it before starting T.