My story and why I want them gone.... kinda

[Foreverforfun (imported)]

So to start I'm 23 years old. I got my doctor to test my testosterone levels just out of curiosity because it could help explain my weight gain, depression, moodiness, lack of energy and lack of libido. Two tests a couple months apart showed me at about 250 ngl/mg(???) out of 850 which is still in the "normal" range but very low for my age based on what I've read. So he started me on T shots every other week, and it's helped a bit but not as much as I'd have hoped. I should also mention that I've had castration fantasies and penectomy fantasies (lesser so than castration) but I've always felt them to be another one of my many fantasies that I'll never act on. Also my testicles are only about half the size they were before I injured my lower back a couple years ago (not sure if it's related) and they are often sore. It's kind of a dull achy pain, sometimes hurts my sleep but mostly its just frustrating. The pain is in both but rarely at the same time. At this point I'm getting to where I just don't want them anymore if they're this much of a hassle. I'm gay and have no desire to reproduce (I'm one of those people who would be fine with adopting rather than having my own, if I ever decided to be a dad), so if they hurt, produce hardly any T and I don't need them to reproduce I just want them gone. My biggest fear though is that if I can get them removed by a local doctor for a real medical reason, I wont be able to get my scrotum removed also and if I have them removed there's NO way I'll be able to handle having my scrotum hanging there (I haven't liked that flappy low-hanging monstrosity for a long time).

All comments are helpful but I'd like some REAL advice please. I'm not sure what to do right now, I just want this to be over with.

Thanks y'all