bilateral orchidectomy

[Elizabeth]

I seriously considered a ‘BO’ four years ago primarily because HRT was definately out due to health reasons. It was sujested by Dr Harte at the Gender Clinic in Melbourne. ‘A bit drastic but achieves the same results as HRT without the side effects’, he said Not quite true. Hot flushes follow, permanent, very minor HRT dose necessary to counteract the flushes. Will need psychiatric report to surgeon before he/she will operate. Not done on through Medicare unless done for essential health reasons. Cost, around $2000, possible less if in day surgery. That’s probably increased quite a lot since I was in the running, and where. You won’t suddenly have a squeaky voice as depicted in classic jokes, but the head hair thickens and thins elswhere.
My research found there were only positive outcomes but you’ll need to psychiatrically prepared. It is major surgery and there is no turning back, they cannot be replaced. One other aspect I believe, the more of the scrotum removed the more expensive the procedure. On the other hand ther will be much less to ‘tuck in’ The penis tends to atrophise somewhat, no more erections etc.
Overall its the next best thing to full SRS and much cheaper. Having said all that, the best, absolute and most important advice should come from your GP and/or surgeon/psychiatrist. Take little, if any advice from the Internet, its mainly rubbish.
Tatiana, if you go ahead I wish you all the best and positive outcomes.

Liz

[Anonymous]

Hi Tatiana,I’m in the process of getting final approval from my Phsyce to have this procedure done,having spent much time discussing it with my GP.She supports me,as she has several other girls on her books,so is very knowledgeable on subject.what Liz has said is correct,there may be a need for hrt,but with what I’ve learned,that can vary from person to person,just as menopause affects women to varying degrees.Other advantages are that if you are on feminising hrt,you wont need to take the blocker,and will achieve better results,plus the fact that you aren’t putting as many drugs into your body is better for your overall health,especially liver wise,as androcur especially has been linked to liver problems if taken for a long period.(one of the reasons my doctor is supporting me with this,and why I chose to use aldectone instead).as far as scrotum removal is concerned,you would have to be wary,because if your’e looking at full srs further down the track,you would need to explain this to the surgeon to ensure they left as much as possible,as it is used in the procedure,and if you have too much removed,you would then need skin grafts to supply what wasn’t there.in regard to cost,I’m not sure,again as Tatiana said,it will all depend on which procedure,and whether you have day surgery or a stay in hospital.hope this helps

[Anonymous]

It’s better for your health than taking antiandrogens but if you are considering SRS later get advice from the surgeon first. Some surgeons use scrotal material and that can appear compromised by the scarring from an ‘orchi’.
Just check everything first.
Gwen

[Lisa_W]

There are a few things to consider before you have this procedure.
As mentioned previously – it is irreversible – so make sure that you really want it.
Also -as mentioned before – post orchi you do not need any anti-androgens – a definite plus.
But you DO need oestrogen – but only about 1/4 – 1/2 the dose prior to the operation. The reason for this is to maintain the feminine changes that you have developed so far; but also to prevent osteoporosis (thinning of the bones) hence the oestrogen needs to be life long.

If there is a chance that you may want SRS later then the way that the orchi is performed is important. If scrotal tissue is removed the vaginal depth that can be obtained is compromised. Also if the orchi surgery cuts through the scrotal tissue, scar tissue will form and that part of the scrotum will not be suitable to be used to create a neo-vagina. If you are to consider orchi ask your surgeon; “is it possible to do the surgery through the raphe”. That is the central portion of the scrotum – go & have a look in a good light & you will see it. That way there is maximization of available scrotal skin for later inversion techniques.

One final point to consider, the scrotal skin will atrophy (shrink) post orchi – so no matter what technique is used there will be less scrotal skin available. Most SRS surgeons do NOT recommend orchi prior to SRS.

However if you definitely do not want SRS please disregard the last few paragraphs.

Lisa

[Anonymous]

Hi ladies,
Im Kim and new here. Love this site, so comforting!

Ive just had my first visit to a GP, at the Prahran Market Clinic, after over 12 months of self medicating. A wonderful experience. My lovely Dr has given me a referral to the Monash medical centre and she discussed surgery options with me. I really want to have an orchi done, but no desire to have the full srs, ill keep my penis but want to get rid of that awful male sack so badly. Have wanted it to be gone for so many years.
Do any girls have experience with having it done? Locally here in melbourne or in thailand? Effect? Id like everything off! Once and for all!!!

Kim
Xox

[Anonymous]

Hi ladies
I’ve been having the same thoughts – my GP is checking with a specialist to see if it can be done in Public Hospital – would be great to get rid of the danglies!
Michelle

[Anonymous]

I agree, for me orchy may be the one and only op that I want (or can afford), especially at my age. I also need tear duct surgery and hopefully some facelift work will become part of that. For me right now, It’s more important to improve my looks and regain my self confidence than to embark on any other radical GRS surgery. If I was younger, then of course I wouldn’t hesitate to go the whole hog because I know I was once young and beautiful also, ..but at 62 years of age and no ‘Mr Right’ on the horizon I need all the help I can get appearance wise. A part of that is not only to achieve an authentic look, as well as to remove the uncomfortable hot weather sag of useless skin, but also more importantly to halt testosterone production permanently.
I too have found a new lady Doctor who is very accepting and is enthusiastic to help me achieve as much as possible. I can’t put into words how elated I have felt to finally ‘connect’ with a GP who empathises with me and actually wants to understand and assist me on my journey.

Good luck Kim and Michelle, please keep me posted xxx