dr arnkoff new website

[zeebster (imported)]

Hello all.

Also, does he require a down payment, and is it cash only or does he take any credit cards?

No down payment necessary or credit cards accepted, cash or money order only.

[Cyberius11 (imported)]

No down payment necessary or credit cards accepted, cash or money order only.

Thank you.

Any ideas on testosterone, issues getting a prescription, etc?

[smoothie36 (imported)]

This was posted recently in a different thread.

By Jeff Adams

The Pros and Cons of Hormone Replacement Therapy

The American Medical Association Encyclopedia of Medicine defines Hormone Replacement Therapy as: “The use of a synthetic or natural hormone to treat a hormone deficiency…”

The hormone Testosterone is greatly reduced in the blood of a Eunuch after castration. The remaining sex hormones in the body are produced by the adrenal glands and are only about 5% of the pre-castration level in an adult. Some Eunuchs choose Hormone Replacement Therapy after their surgery. Either the male hormone testosterone or the female hormone estrogen can be used.

Testosterone – Pros: Testosterone has the benefit of increasing the bone and muscle mass in an adult, as well as providing a strong libido. The male hormone also provides greater stamina and maintains male secondary sexual characteristics.

Testosterone – Cons: Testosterone has been linked to the advancement of bone and prostate cancer. It causes male pattern baldness and is known to increase male aggressiveness. It has been suggested that testosterone is the reason males live on average 10 to 15 years shorter lives than Women and Eunuchs.

Estrogen – Pros: Estrogen has the benefit of maintaining some libido, although diminished for an adult male. It also maintains bone mass and may prevent osteoporosis. Lower levels cause no or very little feminization of the body. Higher levels can cause moderate increase in breast size and body shape.

Estrogen – Cons: This is a female hormone being taken by a relatively male body. The changes in attitude and feeling for the non-transgendered may not be acceptable. Estrogen, however, is a far milder hormone than testosterone and causes fewer negative health effects. All HRT must be monitored (testosterone or estrogen) because they may both cause some liver damage. HRT should always be monitored by a doctor.

General HRT Pros and Cons: In general there are three camps on HRT. Transsexuals need HRT in order to modify their bodies to become female. Eunuchs are split into two. The Eunuch who wishes to maintain some or all of his sexuality would most likely use Testosterone. He would be as normal as any adult male in appearance and feeling, and subject to all male ills associated with this hormone. He may also choose to use estrogen. Again, there are few negatives to estrogen. This would stop most health problems associated with no HRT.

Finally – No HRT

Pros: If you choose not to take HRT, you will develop to varying degrees (depending on age of castration) certain features. Your skin will become softer, the hair as well. You will develop the “eunuch calm”, an indescribable feeling of peace and calm.

Cons: You may gain weight (10 to 50 pounds depending upon your metabolism). You will also be at a greater risk for osteoporosis and should take regular calcium supplements for life (1,500 mg per day).

[Cyberius11 (imported)]

Thank you for posting this. Very helpful.

Now, would I just go see a physician for the HRT? Would they put you through a large battery of questions? I want to go through proper channels but don't want them to force me into visiting a psychiatrist long term or something of the sort.

This was posted recently in a different thread.

By Jeff Adams

The Pros and Cons of Hormone Replacement Therapy

[Falcon (imported)]

FYI folks, let me begin by saying I wish you all the best in your quest. I was castrated in 2007 and have been very happy with the results, and very happy in general since. I hope Dr. Arnkoff proves to be a reliable resource to the community.

One thing I notice is that a lot of folks have asked about how to get testosterone, what about complications, etc. Please understand that like that tattoo, this is not a reversible process! You will need to be prepared to talk to your own doctor about it afterwards for sure, and I recommend talking to him or her BEFORE if possible. I talked with my primary care doc about hypersexuality issues, and he was very supportive about the problem. However, he did not have any suggestions for resources. At my first visit post-castration, he was downright apologetic for not addressing the issue more aggressively. And since then, he has been quite helpful.

So remember, you're going to have to tell your doc about it sooner or later, and sooner is better!

[Cyberius11 (imported)]

That is good information. I have no aversion to speaking with a primary care doctor whatsoever. I simply don't want to get in the situation where I can't obtain a source of testosterone post procedure. I am definitely not rushing into this decision or taking it lightly. However, so far I am definitely leaning heavily towards getting it completed. I believe I will speak with Dr. Arnkoff this week. I don't want to get into the situation either where I wait too long and he stops performing the procedures.

FYI folks, let me begin by saying I wish you all the best in your quest. I was castrated in 2007 and have been very happy with the results, and very happy in general since. I hope Dr. Arnkoff proves to be a reliable resource to the community.

One thing I notice is that a lot of folks have asked about how to get testosterone, what about complications, etc. Please understand that like that tattoo, this is not a reversible process! You will need to be prepared to talk to your own doctor about it afterwards for sure, and I recommend talking to him or her BEFORE if possible. I talked with my primary care doc about hypersexuality issues, and he was very supportive about the problem. However, he did not have any suggestions for resources. At my first visit post-castration, he was downright apologetic for not addressing the issue more aggressively. And since then, he has been quite helpful.

So remember, you're going to have to tell your doc about it sooner or later, and sooner is better!

[tscarrie42 (imported)]

I have my 2k saved up and am going to call and make an appointment, however Can anyone tell me if there are hotels that have airport shuttles available? Not familiar with the area as I'm from Nebraska any help would be appreciated.

[dvdbll (imported)]

Has anyone made an appointment with Dr. A for a Saturday morning in March? I'm scheduling an appointment and going alone. Thought I might see who else will be there when I pick a weekend.

[zeebster (imported)]

I have my 2k saved up and am going to call and make an appointment, however Can anyone tell me if there are hotels that have airport shuttles available? Not familiar with the area as I'm from Nebraska any help would be appreciated.

Nope, it's supposed to be a 30 to 40 minute drive from the airport (Detroit) and none of the local hotels (those in Southfield) that I've found have an airport shuttle. Cab rides look to be about $60.00 to $70.00 each way and then you're stranded. Soo.... there are some rental car companies offering a decent two day rate if you book 'em early enough, don't know if they have to be pre-paid as well. Most of the hotels offer a better rate if booked at least two weeks in advance and paid for at that time but they are non-refundable as well.

[regreen13 (imported)]

Nope, it's supposed to be a 30 to 40 minute drive from the airport (Detroit) and none of the local hotels (those in Southfield) that I've found have an airport shuttle. Cab rides look to be about $60.00 to $70.00 each way and then you're stranded. Soo.... there are some rental car companies offering a decent two day rate if you book 'em early enough, don't know if they have to be pre-paid as well. Most of the hotels offer a better rate if booked at least two weeks in advance and paid for at that time but they are non-refundable as well.

I used the marriot Courtyard which is about 5 to 10 from his office.. Car rentals are the way go. The Dr. will give you two perscriptions...one for pain pills and one for antibiotics. There is a Walgreens about five minutes from his office. I stayed overnight and used an icebag to reduce the swelling and flew home to Calif. the next day. Only took the pain pills for 3 days. However, I took all of the antibiotics as perscriped. Totally satisfied wht the doctor and the procedure. Sorry I didn't have it done sooner.

Not on HRT>.