castration without transition

[GordonGG (imported)]

I can identify with being plaugued all my life. Feeling angered, hostel, frustrated, and constantly thinking about sex. I am interested in how effective chemical castration is compared to orchiectomy. I have a blood clotting disorder so chemical may not be a good choice for me. Do you know if having one testicle would reduce testosterone or will the remaining one output more to compensate.

Chemical in my opinion is close to chemical castration, but not as effective. I was on 100 mg/Spiro two times a day, and my T was at 114, after my orchi it dropped to 18. Perhaps if I was on more Spiro it would have been lower, but the side effects of Spiro I didn't like at all. My last blood test the T is now at 10

No, having just one testicle will not reduce your T. The one left will make up for it.

[readtnow (imported)]

Chemical in my opinion is close to chemical castration, but not as effective. I was on 100 mg/Spiro two times a day, and my T was at 114, after my orchi it dropped to 18. Perhaps if I was on more Spiro it would have been lower, but the side effects of Spiro I didn't like at all. My last blood test the T is now at 10

No, having just one testicle will not reduce your T. The one left will make up for it.

Are you taking testosterone treatments now? What are you doing for bone density loss?

[notsomanly (imported)]

I'm another older member who found my way to the bliss of low T. I didn't like the side effects of Androcur so I've done CaCl2 injections to permanently lower T. It's not in the castrate range as yet (test is forthcoming) but taking estradiol and progesterone has likely lowered T a lot. Like GordonGG I vastly prefer estradiol (and progesterone) to enhance my mental state and hopefully preserve bone structure. Prolonged exposure to the female hormones should continue to promote atrophy of my penis and testicles. I've been surprisingly happy with developing breasts even though I have no desire to transition to female. I will be fine with a more feminine appearance if that continues to happen. I still feel male, but as an improved and happier model.

[readtnow (imported)]

I am also an older male. I've been on Estradiol for almost 8 months and Dutasteride for another couple of years, so I don't have much T. In Ontario, where I live, castration and other GRS is available after a year on hormones and 2 assessments, so that's something I'm seriously considering.

Is hormone therapy really nessesary after castration? Don't get why they made you jump through hoops before your allowed to modify your body.

[catoboros (imported)]

Is hormone therapy really nessesary after castration? Don't get why they made you jump through hoops before your allowed to modify your body.

Physicians have a duty of care. Nonbinary people (amongst which I include eunuchs) do not fit the guidelines developed for binary transgender people, but acceptance is now widespread amongst the medical profession. At least we do not have the old Harry Benjamin live-as-the-opposite-sex-for-two-years hurdle, which was unobtainable for nonbinary people. There are several examples, including well-known desister James Shupe, first legal nonbinary in the US, who transitioned before being diagnosed with bipolar, borderline, and PTSD. Having assessments and psychotherapy has been good for me; most of my problems are not gender-related. Mental health support is recommended but not required by WPATH SoC v7.

Without hormone therapy after castration, you will be at risk of osteoporosis, depression, weight gain and associated conditions including unhealthy lipids and diabetes. The link between hypogonadism and diabetes is not clear as to its cause, because some types of diabetes including type one can have late onset and are thought to be autoimmune, and testosterone is an immune suppressant (women have 4x the risk of Graves' disease, for example). Risks can be reduced by diet, weight-bearing exercise, lifestyle, and so on. Monitoring is key. Consider a dexa bone mineralisation test. I plan to try no T to see if I like it; I am committed to close medical monitoring.

[catoboros (imported)]

Do you know if having one testicle would reduce testosterone or will the remaining one output more to compensate.

The pituitary will increase LH to boost the output of the remaining testicle to compensate. After testicular cancer and removal of one testicle, I had normal T with one remaining testicle, but developed subclinical hypogonadism after a recurrence and 12 weeks of chemo.

[catoboros (imported)]

If this site got flashy, started going for a modern/hip look and worked to attract the twitter/facebook/reddit crowd

I hate to break it to you, but facebook is for ancient people, many twitter/reddit people are middle-aged like me, and all the hip young people are on TikTok. The thing that terrifies me about the big social media companies is that they actively censor LGBT content to meet the requirements of their advertisers and the Chinese Communist Party. Old school websites like EA are a haven.

[GordonGG (imported)]

Are you taking testosterone treatments now? What are you doing for bone density loss?

Nope, taking estradiol. I didn't like the testosterone. I've never been a "manly" man anyhow.

[mattman59 (imported)]

Welcome readtnow! You have most certainly come to the right place. Well if you enjoy having a low T level in your later years then it sounds like you are definitely a candidate for an orchiectomy. I was 44 almost 45 when I was castrated by Dr. Murray Kimmel in Philadelphia back in 2004. It was the best thing I have ever done in my life. Nothing else comes anywhere close. I greatly enjoy having a lower sex drive, less body hair, the eunuch calmness, etc. I suggest you talk to your doctor and he can refer you to the right specialist and get the ball rolling. Since you are older and are feeling the lower sex drive due to aging, chemical castration might not even be necessary. You could go straight to the physical castration. But still it would be best not to rush things too fast and follow the advice of the doctors as long as they are open-minded. Unfortunately many of them are not so maybe get a 2nd or even a 3rd opinion. Be determined and committed to what you want and you will get the desired results and come off victorious. It is a very good thing that EA has an older crowd. It is very solid and stable. No need for any 'flashiness' or 'fanciness' that too many young people would bring in here. It is fine just the way it is and once again welcome. If you have any more questions then feel free to ask. We will be more than happy to answer them for you.

[AnneK_TG (imported)]

Is hormone therapy really nessesary after castration? Don't get why they made you jump through hoops before your allowed to modify your body.

You need either E or T for bone strength. Compared to some other places, that's quite easy. However, that is for transgender. I have no idea about those who just want to get castrated, without hormones, etc.