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  • Topic: Orchidectomies

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    • September 16, 2008 7:19 PM BST
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      Hello.
      I am considering having an orchidectomy before starting HRT for transition from MTF. I have located a doctor who can do it. Will I benefit from going ahead with this procedure? I'd rather just be rid of my gonads than to have to fight them with medications which could be harmful moreso than just estrogen alone can be? Am I jumping the gun here or am I thinking smartly. I understand there is no need for a letter of recommendation for such a procedure from a therapist. However the doctor who would be performing this procedure is in Philadelphia PA. I live in CT I could get there by taking a bus from here to there. However I am not sure if I would have to stick around post operatively for healing process and any suture removal or if my local doctor could remove them for me? Can anyone give me some insight on this matter I'd appreciate it?

      Sincerely

      Wynonna Rose
    • September 16, 2008 9:31 PM BST
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      Yeah I think you are jumping the gun bigtime. You've talked about your relationship with your girlfriend, that will be pretty much out the window. You still apparently have yet to talk to a therapist to see if any of this is the right direction for you. And last but not least of all you obviously haven't done any research on orchie's as far as SRS in the future is concerned. SRS surgeons need all the tissue they can get to reconstruct things down there. Orchie's complicate things because the scrotum sack eventually shrinks leaving the doc with little to work with. By the way, there is a right and wrong way of doing an orchie if SRS is to be considered down the road. Have you checked into that yet or discussed any of this with the doc?
      Hugs,
      Marsha
    • September 16, 2008 10:07 PM BST
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      Most people do not have enough tissue to work with anyways. I'd bet even you didn't have enough to work with yourself? If all of what you keep telling me is so true about SRS then no one with a penis smaller than 12 inches would be having SRS if there is so much tissue needed. Besides most vaginas are no deeper than 4 inches anyway. They only stretch to fit the male genitals. I know enough to know that not every TS MTF has all the tissue needed to create a Neo Vagina. If they do they must have been hung like a horse to begin with. I will be contacting this doctor and asking questions. I will tell you this much though there is no need for a therapist to have yourself castrated. Seems like many of you are filled with misinformation . Besides even if I do not go through with an orchidectomy I could still face having to have a skin graft. Many of you also say the wrong things to dissuade another TS from even transitioning. It reminds me of my days in the Navy going through bootcamp with others scaring newbies into thinking someone is going to stick them in their testes with a square shaped needle. So if many of you are here to help your sisters who are like you why are you talking in ways to make them change their minds about it? You don't seem any better than those who think that aversion therapy should be done to keep the TS from transitioning. So are you for us or against us? Do you feel that we need to just stop Transsexuality for those who really want it for those who think that someone else doesn't fit the mold of what others like them think they are? I get the feeling you think that I don't deserve to transition or that you think that because you can afford transition that you don't feel I should transition because I can't afford to. However I tell you this I can't afford not to either as my life is worth more than living as a man in misery than to live my life as a woman in happiness. If I stay in the misery and male mode I will end up dead . I think that you feel my death is better for me than my transition? Are you a licensed therapist with experience in treating transgendered people or are you just speaking from your own personal experience and trying to insinuate that I am no more qualified to transition than an intersexed infant whose parents decide to raise as a boy when in reality they have a girl ? I am upset that you would even bring my relationship issues into this reply to my thread. I think that my relationship has nothing to do with my potential transition or my direction in which I would go to help myself to transition. Worst case scenario is I come out castrated and still forced to be male right? I don't plan on having anymore children nor do I want any . One child is enough in my life.
    • September 16, 2008 11:01 PM BST
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      LOL, I have never questioned whether or not you are TS. However based on you own words, you have never seen a gender therapist and whether or not you want your orchie it would be a wise thing to do. The scrotum skin is used for the construction of the labia hon. I never said SRS can't be done with an orchie, just that many SRS surgeons prefer you not to have had one.

      All I am trying to do is offer you support and my opinion on what you asked. If you have all the answers why then did you ask for opinions in the first place? Are you just upset everyone isn't cheering you on? You may have found a doc who will perform an Orchie without a therapist approval, many won't.

      Hugs,
      Marsha
    • September 17, 2008 1:18 AM BST
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      WynonnaRose--

      Hold up a sec, hon--Don't make me go all Dr. Laura on you!

      1. We all want the best for you, and that means doing things right. What those who've gone on with SRS (or at least, have examined the issues) are trying to tell you is that some SRS docs won't work with a botched job down there. You don't want that, really.

      2. I'm a Navy Vet--been there, done that, survived Great Lakes RTC and SSC, as well as ship duty. I went through all the scare tactics that sick minds can produce. Those of us who are where we are tell people to THINK for good reason, dear. We've gone where you're looking and frankly, it shouldn't be entered into lightly or hastily, because it is forever once done.

      3. Aversion therapy is another sick joke. Don't go there with me, missy--or I'll make you stay after class and clean the erasers.

      4. It is true you might have to still take a graft during SRS. But at least give your doc a fighting chance.

      5. Guess what, hon? I can't afford the transition surgery either. Not that I want it that bad; I prefer to remain Non-Op for now because I can pass. Someday, I might finish the job. But if I can live pretty much as a woman now, why spend money I don't have for a Neo-Vagina that I don't need to be the woman I am?

      6. Are you still in a relationship with that woman who wants you to be who you're not? I've already told you my thoughts, as have a number of people here. If you're going to transition, find someone who'll help you--not hinder you.

      7. Finally--chill out. Nobody, but NOBODY here is telling you to NOT transition. What we ARE telling you is that there is an order to do it in, and that it's gonna be tougher sledding to find an easy way around it than to follow it.

      I'm NOT a trained gender therapist--but I AM a trained counselor, with enough classes in human gender/sexuality to give some advice when asked. And since you posted this, you asked for advice. I--and everyone else--are trying to give advice to you...if you'll take it.

      Dr. Mina Sakura
    • September 16, 2008 11:48 PM BST
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      Wynonna no-one is telling you not to transition. Probably what the likes of Marsha and myself would want for you is to do it right.
      If you are thinking of an orchi you really do need to look into it more, in particular you need specific instructions from your chosen SRS surgeon on how it should best be done.
      Please don’t be offended by this, but what you’ve said about SRS and the need for donor material is completely incorrect. You need to research that a bit more, and choose a surgeon BEFORE you go ahead and have an orchi. You probably won’t need a skin graft if you choose your surgeon wisely, and follow his instructions. Different surgeons use different methods these days.
      As an example, I went to Dr Suporn. He does not do penile inversion. With his consistently brilliantly results he does not require his patients to be “hung like a horse”. Patients of his needing skin grafts outside the “donor area” are EXTREMELY rare, almost non-existent. He can achieve vaginal depth of 5 – 7 inches on patients with a micro-penis. He does however require sufficient scrotal tissue and will refuse to perform surgery on anyone who has had an orchi done the wrong way, as may several other surgeons. Seven inches or more depth is quite usual for his patients. If you think that’s far more than is necessary, it’s not. M2F vaginas do not quite behave like a natal female’s, they do not stretch quite the same when sexually aroused, there is no cervix at the end which has some “give” when pushed. A vaginal depth of anything less than 5 inches I would consider to be wholly unsatisfactory. Don’t settle for anything less. None of this may be of any importance to you, but please do not underestimate the need for a good SRS result. When you have a vagina, you will feel a whole lot differently about it than you appear to think at the moment.
      There is no need to rush into doing things blindly and ending up with a mutilated body or changing your mind further down the line and living as a man without balls, which by the way in my opinion is NOT the worst case scenario.
      At the end of the day I don’t think you will particularly benefit from having an orchi. I found anti-androgens to be totally unnecessary anyway. Estrogen alone will lower your testo levels, in my case it was virtually down to nil. We are a similar age. Save your money and put it towards the best possible SRS surgeon you can find.
      If you do things right, transitioning can turn your life round into something truly wonderful. But you have to do it right.
      Good luck.
      xx
      ____________________________________
      "One is not born, but rather becomes, a woman."
    • September 17, 2008 6:13 AM BST
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      Wynonna,

      You are getting some good advice here from people I respect for their knowledge of such things. Some of our best. We are not the enemy. We are your sisters and brothers and friends and we speak to you with the same concern for your well-being.

      I have over 400 hrs of clinical contact with patients at one of the worlds LEADING burn centers. I'm a nurse and a biologist and a student of Brain sex and gender. Human tissue does not behave the way you seem to think it does. It can be stretched and manipulated. Now they are growing entire organs from a patient's own tissue for self-transplant. They are growing artificial vaginas and penises on animals. Not being open to the possibilities may deny you something that will be very important to you later on.

      A gender therapist does not only help you find out if you are TS or not and prove it to a surgeon. They can help you prepare to deal with the reality of post-transition living. I haven't met one of us yet that doesn't have issues from our life before. My ggf is totally accepting of me but it doesn't mean that there are not issues we need to address.

      You have the opportunity here to get information and opinions that would take years to find on your own. You don't have to live by what others tell you, but It's probably a good idea to consider that they may be right. Don't let people push you into another box or jump in yourself. Take a little time before taking an irreversible step. Isn't your life worth the effort?

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