Christina (imported) wrote: Mon Oct 21, 2002 1:11 am
Hello Kelly,
This is great news! I too seem to be following the same path that you have taken. Right now, I am considering castration as my next step towards my final goal of GRS. A couple of things concern me though, and maybe you could answer them for me. One concern is that I have heard some GRS surgeons frown upon castration prior to GRS.
That is correct. The scrotal tissue is often used for a graft for vaginal lining as well as the outer labia. Excessive scarring on the scrotal skin interferes with these, if the castration is done through the scrotum. Another, rarer option that is used for testicular cancer, is the inguinal approach--the incisions are made in the belly, and the testes and cords are pulled up through the canal and removed through the belly. This leaves the scrotum un-scarred. Kimmel and Barham do not use that technique, however.
I was castrated by Spector, who made his cut directly in the middle of my scrotum. This was acceptable to my GRS surgeon, Dr. Suporn, because he cuts the scrotum in the middle also. However, he does warn us about poorly done orchiectomies on his surgery page:
http://srs-thailand.com/Surgery.html
Type A SRS = primary case of SRS.
Type B SRS = secondary case with prior unilateral or bilateral orchiectomy elsewhere before SRS. An examination of photographs is required before scheduling of SRS. If there has been major damage (excessive scar tissue) to the scrotal sac or it has been removed - no SRS.
Another is that I do not fore
Christina (imported) wrote: Mon Oct 21, 2002 1:11 am
see my GRS happening in the next year or two because of finances. Would I be foolish to spend the money on castration now, or just bide my time, save my money and wait for GRS? I have managed to save enough to visit Dr. Kimmel in Philly now. Up to this point, my progress on hormones seem to be slow,
Slow?! Your photo shows you to look unmistakably like a natal woman. I wish that I looked as good.
...
Christina (imported) wrote: Mon Oct 21, 2002 1:11 am
and I know that getting castration would help in this area, but my doctor is still adjusting the hormones to get the right balance for me. Your insight and opinion would be most helpful to me at this time.
I feel that castration is a personal decision, and do not attempt to influence peoples' decisions on this. However, I will discuss the procedure, the pros and cons, and my own experiences.
Besides the increased feminization, advantages include:
1) It greatly reduces the amount of testosterone that the body produces without the need to take anti-androgens.
2) It can help the TS woman psychologically--the hated testes are gone, there is a sense of progress in the transgender surgeries done to the body, panties fit a whole lot better, and the crotch no longer has as much tell-tale bulge that prevents one from wearing certain clothes
3) Some people may be able to change documentation from being "male" to "female." Since some jurisdictions determine sex by "males have testes, females don't," an orchiectomy may allow them to be legally recognized as a female.
Some risks include:
1) The genitals may shrink after some time, causing the eventual SRS to be less satisfactory or would require a skin graft or other procedure.
2) It is irreversible, in case the person changed their mind.
3) The loss of libido and male ability is bothersome to certain people.
4) You will no longer be able to have children.
Some sites that describe the pros and cons of orchiectomy include Annie Richards' beautifully laid out and illustrated "Birth of Venus" site:
http://www.annierichards.net/orchidectomy.htm
in which, she quotes a study of satisfaction on 14 people who had the orchiectomy, with the results being a 100% satisfaction rate.
And:
http://www.road-less-traveled.com/orchi.html
which mirrors the comments of Ms. Richards, and includes a first-hand account of the surgery done by Dr. Barham, a popular orchiectomy doctor for M2F women
My experience is below, but do bear in mind that this was my first transgender surgery, so the tone may be different from my later writings (and, unfortunately, the photo of the woman on this page is not me--except in my wildest dreams):
http://www.tguk.net/ts/orchi.htm
Christina (imported) wrote: Mon Oct 21, 2002 1:11 am
Congratulations again! It's good to hear you have no regrets. One day I too may be able to say the same!
Huggs,
I wish you the best and brightest future.
Much love,
Kelly
