After talking with him about my obsessiveness with sexual thoughts "including castration" dislike of having a very masculine body, my distaste for testicles after maturing and the need to support them, my current condition of 2 hydroceles causing pain when sitting requiring surgery, and my love for wearing lingerie from age 8 and he thinks Spironolactone may be something to try while we get things worked out with a counselor.
I am hoping some here can help me choose the right path considering there are many to choose from. I have listed a few paths I have thought about and welcome everyone's opinion who has experience and would like to help. I have read a lot on the net but really value actual experience the best and think the EA is the best place to get advice.
1. Bilateral Orchi and start T injections. Adjust T as needed to feel best, Current T is low 300 ngdl, TRT would be affordable if injected and androgel if covered by insurance. Would cure hydroceles, pain and discomfort, visual appearance less masculine, no support needed and some lingerie would be more appealing. Unknown for sexual thoughts and body appearance "hair, skin, fat, breast?
2. Spironolactone and ?. Reduce excess thoughts and sex drive, shrink testicles, loose body hair/less masculine, possible shrink testicles, change emotions - or+? Breast -or+? If I am dysphoric may change my outlook. More androgen than male? - loose strength and ambition
3. SSRI, Paxil or ? Reduce excess thoughts and sex drive and possible the desires to become a eunuch would subside. Still need surgery for hydroceles and would have the physical discomfort of testicles plus a expected 6 month recovery with swelling of what I do not like today "big balls"
Love to know more about T injections as this seems very plausible for me. Especially if I can control my T low enough to eliminate excessive sexual thoughts and not loose strength. I am not sure what you loose first when reducing T, strength or sex drive?
Would I emotionally feel better less masculine with more feminine features that would overcome strength or depression issues?
This is not very easy to decide and I hope to get some great conversation going here at EA. Thanks in advance!