As of Oct 4th I'm officially a Eunuch

[sakebigoe (imported)]

Thats the goal of the TRT clinic I'm going to. I was slightly irresponsible and didn't get my levels checked before I got castrated which was probably a mistake. From what I can tell 300 to 1,000 is considered "normal range" for men in my age group. Considering this is a TRT clinic they lean in favor of getting towards the higher end of that range for their patients, they actually wanted to start me on 200mg of T cypionate a week but I requested 140mg to start since I wanted to be somewhat conservative with it. I Ultima went with a TRT clinic to start since I don't have a primary care doc at the moment and I've been shopping around for one in my insurance network who's likely to be open minded about the whole eunuch thing I have going on now. TRT clinics on the other hand don't give a shit for lack of a better expression, they booked my appointment the next day after I called them and probably would have happily written me a prescription for TRT even if I still had my testicles and didn't need it. It costs more than through my insurance but I enjoy the fact that I didn't have to jump through any hoops at all to get treatment, I showed up got my blood drawn, explained that my shockingly low T levels (20 ng/dl) were because I didn't have any testicles anymore, then got my first shot in office, paid my bill and recieved a box a few days later with a home TRT injection kit.

[WheelyFixed]

I'd be inclined to agree w/ Castor, it sounds like a high level, and as you say the clinic is probably pushing you towards the high end... From what I've heard, that is the 'business model' of those clinics. Opinions vary but I've heard more than a few argue that those clinics basically exist as a way to give docs a way to pull in cash patients by claiming to treat 'inadequacies' by prescribing doses that are arguably not medically indicated.... IOW, a bit on the 'shady' side...

What are your desired end goals for being on T? Are you trying to keep libido and sexual function, or are you more just interested in maintaining bone health, etc.?

I'd suggest that for questions about hormone levels, you'd be better off with an endocrinologist than a generalist PCP.... It might also make sense to reach out to any trans-gender clinics / centers / support groups in your area to see if they can point you at doctors in your network. I've actually been pleasantly surprised at how little of an issue it's been with the medical people I've dealt with, but I'm also (for better or worse) in an extremely liberal state. In a more conservative area I'd expect the docs that are in the TG circle would be the most open to eunuch patients AND have more relevant expertise on things like hormones...

WheelyFixed

[Castor (imported)]

Well, from my point of view, I can only say that it would be favourable if you knew your old values. There will be a blood test before castration, won't there? Your body will react in some way to the artificial testosterone that you receive via TRT because it is used to a certain amount of natural testosterone that the testicles previously produced. Surely you are aiming for a specific goal with the castration or was it just about the physical change? Higher or lower testosterone levels after castration cause changes. You can only guess which ones if you don't know the old values. For example, if you aim for lower values, your libido will be reduced, if you aim for the same values, everything will stay (almost) the same, only your testicles will no longer be present and you will be infertile. If your values increase as a result of TRT, you will, according to everything I know, notice a significantly increased sexual drive.

[sakebigoe (imported)]

I'm not denying that it's probably a bit on the high end, that said I kinda want to play around a bit with my testosterone levels. I have a love for tinkering and modifying things to better suit my needs and this is the first time I've really had an opportunity to dabble in bio-hacking so to me this is kinda fun. This is the main reason I'm willing to humor the TRT clinic I'm going to other than for the fact that their business model makes it extremely simple and hassle free for me to get my hands on the TRT. I'll follow their recommendations to get to the levels they want me at and see how I feel, if I don't like it I'll just drop my levels down again. Yes TRT clinics can be a bit on the Shady side but I will admit, for my purposes it's kinda ideal since it's giving me an opportunity to dial in my T levels how I want them with very little hassle. I had to jump through quite a few hoops to become the eunuch I wanted to be, though thanks to the efforts of eunuchs before me, many of whom use this site far fewer than I would have had to decades ago, but still it's nice to have something be so easy.

My goals for T are mostly to maintain bone and muscle mass, while avoiding things like hot flashes, lethargy, depression and weight gain. I've always been fairly physically active and had a fairly lean physique and I'd like to keep it that way. Maintaining my libido and sexual function is a plus but it's something I accepted that I might lose when I got castrated, luckily that doesn't seem to be the case yet, I went a few weeks without T and I completely lost my libido and became impotent towards the end but a day or so after my first injection I was completely back to normal.

I've found a LGBTQ+ friendly medical group in my city that looks really promising, but I'm kinda keeping my options open and seeing what out there would be the best fit for me because I don't currently have any real rush to find a PCP. I have access to TRT and am otherwise completely healthy. I would/will absolutely seek out an endo if I started having issues with my hormones but right now that's not the case.

[Castor (imported)]

That all sounds very good. If you want to play around with your testosterone levels, castration was certainly the right decision. I just wanted to say that very high testosterone levels can have consequences such as increased body hair, stronger beard growth, higher sex drive, possibly more hair loss on the head and, last but not least, the enormous influence on the prostate. I would recommend from my own experience that you consult a hormone specialist (endocrinologist) on the last point in particular. The prostate converts part of the testosterone into the biologically active DHT. But these are just my thoughts on the subject.

[sakebigoe (imported)]

playing around with my testosterone levels wasn't my goal in getting castrated, it's just a perk I guess. I'm going to have to be on TRT for the rest of my life now so I might as well have some fun with it and experiment a bit. I'm aware of all those side effects, I figure since I'm still relatively young prostate issues won't be too much of a thing just yet and I'm okay with all the rest. I still have a full head of hair and while I would like to keep that I won't care too terribly much if I start losing it. I'll just shave my head, I used to shave it anyway when I was younger.

[Castor (imported)]

Sorry, I didn't mean to imply that playing around with testosterone levels was the only reason for your castration. I was just surprised at the very high testosterone target you mentioned. If you are aware of the implications, then all is well. It was just a friendly hint, nothing more.

[sakebigoe (imported)]

You have absolutely nothing to apologize for, the way I was talking on the subject it would have been safe to assume that tuning testosterone levels could have been at least one of my goals in getting castrated. I was just clarifying that while it wasn't one of my goals, and frankly was one of the last things on my mind leading up to my becoming a eunuch since I wasn't sure how I would even respond to TRT, or how easy it would be to tinker with my levels. Now that I'm a eunuch, and now that I can see how simple and hassle free TRT is, I'm just looking forward to playing around with it is all. At no point did you offend me, and I appreciate the heads up about the possible side effects. While I'm aware of them there's no way you could have known that and it never hurts to warn someone about potential pitfalls.

[photoglenn (imported)]

Congratulations.

Happy for you.

Mine were removed 7 years ago though scrotum incision by urologist after an ultrasound scan showed that they were infarcted.

It took awhile to get use to nothing being in my scrotum, but very much like it now.

The only reason I do miss my balls is that I use to enjoy playing with them in an abusive way.

But overall better with them gone