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Orchiectomy, pros cons? Looking for first hand info if possible

Started by abd789, October 23, 2015, 06:58:44 AM

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abd789

Thats what I want more than anything at the moment, hopefully I can wrap that up with HRT and be enough to last me

I have a mix of gender down there and I have some sort of a vagina already so I dont expect to need full SRS

If you have done it, Id love to hear about it

thanks!
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CharlotteXPadangz

Hey, i need clarification on the matter of getting a Orchiectomy done rather than waiting for the full operation what is SRS. if a person desperately needs it, is it a good idea for them to get it done so that the constant stress can be eliminated or is there a better way to manage that excessive stress other than seeing a psychologist?
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Laura_7

Quote from: CharlotteXPadangz on October 24, 2015, 07:23:38 PM
Hey, i need clarification on the matter of getting a Orchiectomy done rather than waiting for the full operation what is SRS. if a person desperately needs it, is it a good idea for them to get it done so that the constant stress can be eliminated or is there a better way to manage that excessive stress other than seeing a psychologist?

Well could you describe what you mean by stress without it being too triggering ?

Many people are on hrt, which often means estrogen, possibly bioidentical progesterone, and an anti androgen.
Many people report relief from those.
(do this under medical supervision)

After some time some people think about an operation to be relieved of the need for anti androgens.
With an orchi drawback might be an srs might have less material (skin drafts might be used then).
You might discuss this with your surgeon.
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CharlotteXPadangz

Quote from: Laura_7 on October 24, 2015, 07:43:07 PM
Well could you describe what you mean by stress without it being too triggering ?

Many people are on hrt, which often means estrogen, possibly bioidentical progesterone, and an anti androgen.
Many people report relief from those.
(do this under medical supervision)

After some time some people think about an operation to be relieved of the need for anti androgens.
With an orchi drawback might be an srs might have less material (skin drafts might be used then).
You might discuss this with your surgeon.

yeah, this is the problem though, been on it for a "good while" and the effects aren't with the meds, even more so that they're not helping with suppressing my hormones. I kind of know why that's happening, mainly due to medications not being absorbed properly (happened in the past and still is happening for goodness who knows reason). The second problem is a friend actually had her "bits" removed and she was willing to recommend her surgeon but its male and for a long time i couldn't really face any male gp and specialist(s) (somehow i am able to stop panicking for two specialists (rheumatologist and Urologist) but even then, it isn't for long). having mine removed would definitely stop the main problem at hand but i rather want to find out other options what could work for me rather getting the surgery done now.
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Laura_7

There is one kind of hrt with implants or injections where the levels of e are driven well into the female range of above 200-300 pg/ml and the t levels down into the female range of below 70 as well.
Its a well known effect but can safely be produced only with internal application like implants and injections.
Bioidentical progesterone might help with anti androgen effects. It might also help with breast development.
https://www.susans.org/forums/index.php/topic,192953.msg1733564.html#msg1733564
In the thread is also info about implants.

This would mean no further anti androgen.
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CharlotteXPadangz

Quote from: Laura_7 on October 24, 2015, 08:29:40 PM
There is one kind of hrt with implants or injections where the levels of e are driven well into the female range of above 200-300 pg/ml and the t levels down into the female range of below 70 as well.
Its a well known effect but can safely be produced only with internal application like implants and injections.
Bioidentical progesterone might help with anti androgen effects. It might also help with breast development.
https://www.susans.org/forums/index.php/topic,192953.msg1733564.html#msg1733564
In the thread is also info about implants.

This would mean no further anti androgen.

oh my god, thankyou so much for mentioning this to me, i might as well book another appointment with my endo and maybe even my TG GP
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Lady Smith

In brief having an orchie done was the best thing ever for me.  After surgery I would tell anyone who asked that it was an op that I would recommend to anyone, - which would always make guys squirm a bit and look uncomfortable, - but hey they asked ;)

I was having problems with severe and painful inflammation of my testicles which is the main reason why I had the surgery done, but I quickly found that the sheer relief from no longer having my mind twisted around by T was way beyond no longer being in pain.  Once the swelling settled down and I healed up I was delighted to discover it was much easier finding nice undies for myself.  Not having two nuisance dangling highly sensitive objects down there anymore made life a lot easier too and did wonders for reducing my dsyphoria.

My op was done over twenty years ago now under general anesthetic and was a bit more complicated because of having been messed around with by evil surgeons when I was 12.  I had minor problems with bleeding too and had to wear sanitary pads for a couple of weeks just to be on the safe side.
My advice is that if you know for certain that you can afford GRS and that you can have surgery done within a reasonable timeframe like a year or two then don't bother with having an orchie.  If you can't afford GRS and it looks like GRS surgery is going to be a distant hope forevermore, then go for an orchie.
I was told by other transwomen I knew here in New Zealand at the time that having an orchie was a mistake because I wouldn't have enough skin 'down there' to have GRS done later.  Looking back on it I know I made the right decision and I doubt I would ever bother with full GRS even if a fairy godmother suddenly appeared out of thin air and dropped a pile of cash in my lap.  Your experience may vary though as I'm non-binary and an asexual romantic and have no desire to be either a 'poker' or a 'pokee'.
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Laura_7

Quote from: CharlotteXPadangz on October 24, 2015, 10:10:32 PM
oh my god, thankyou so much for mentioning this to me, i might as well book another appointment with my endo and maybe even my TG GP

Some endos are not comfortable with high doses.
here are some arguments:
https://www.susans.org/forums/index.php/topic,159596.msg1361168.html#msg1361168
https://www.susans.org/forums/index.php/topic,159596.msg1361498.html#msg1361498
Many years ago no anti androgens were known or used.
People used to rely on the effect of t supression.
Remember its only considered safe with internal intake like injections and implants.

Concerning injections weekly cycles might be of advantage. With biweekly cycles there might be low levels the last few days.
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