• Surgical castration different to chemical castration?

Posted: **Mon Jan 16, 2012 4:04 pm**

just another point of view here. I have been on spiro progesterone and estrogen for about a year now. my orchi is scheduled for feb 10th. I no longer get random errections. i can get them if i really try but it takes a LOT of focus to maintain it and if i do manage to orgasm the feeling is definitely diminished compared to before hormones. and maybe one drop comes out at most. the difference here is my errections can be quite painful. I believe the pain is caused by non use (and probably atrophy) of the erectile tissue. it does seem the more often i force myself to get them the less painful they become. although because of the effort required and the pain i experience i rarely (almost never) bother with it. im curious how much things will change after physical castration if at all.

Posted: **Tue Jan 17, 2012 3:35 am**

gandalf (imported) wrote: Mon Jan 16, 2012 12:25 pm I have been castrated for six and half years. I have difficulty maintaining an erection unless I use full doses of TRT for about 4 days. I can have orgasm without an erection and it is clear. I wish I did not have the ejaculation but I think the only way to achieve that is to have the prostate removed.

Thanks gandalf, are you on estrogen or progesterone when not on TRT? It's good to know orgasm is possible without erections, I wouldn't have a problem with losing erections if that were to happen.

Posted: **Tue Jan 17, 2012 3:47 am**

kyennamo (imported) wrote: Mon Jan 16, 2012 4:04 pm just another point of view here. I have been on spiro progesterone and estrogen for about a year now. my orchi is scheduled for feb 10th. I no longer get random errections. i can get them if i really try but it takes a LOT of focus to maintain it and if i do manage to orgasm the feeling is definitely diminished compared to before hormones. and maybe one drop comes out at most. the difference here is my errections can be quite painful. I believe the pain is caused by non use (and probably atrophy) of the erectile tissue. it does seem the more often i force myself to get them the less painful they become. although because of the effort required and the pain i experience i rarely (almost never) bother with it. im curious how much things will change after physical castration if at all.

Thanks for your perspective. I've heard from a trans woman on goserelin who has similar painful erections. I'm working on the principle that as I'm not experiencing pain after 13 years on anti-androgens including two years on goserelin, I'm unlikely to begin to experience it after an orchiectomy. Part of the reason I switched to goserelin for complete testosterone removal was to be sure I could deal with near 0 testosterone and any physical changes resulting. Now my specialist is warning me to prepare for my testosterone levels going up after orchi as my endocrine system rebalances itself.

Of course I realise there is still a risk but I think the risk and inconvenience of being on anti-androgens longterm is higher.

Posted: **Tue Jan 17, 2012 5:40 am**

neutrois (imported) wrote: Tue Jan 17, 2012 3:47 am Now my specialist is warning me to prepare for my testosterone levels going up after orchi as my endocrine system rebalances itself.

It's possible, but not likely. Average T production from the adrenal glands in natal women is only roughly 10 to 20 ng/dL. Mine was at 10 ng/dL three months after orchiectomy.

Posted: **Tue Jan 17, 2012 6:57 am**

Caith721 (imported) wrote: Tue Jan 17, 2012 5:40 am It's possible, but not likely. Average T production from the adrenal glands in natal women is only roughly 10 to 20 ng/dL. Mine was at 10 ng/dL three months after orchiectomy.

Interesting, my last blood test after a year on goserelin measured testosterone at 0.8 nmol/L. That's a different unit than you've used so I'm not sure how it compares. Any idea what my level would be measured as ng/dL?

Edited to add: The blood test report claims the expected range is '<2.8', no idea if the person doing the test logged me as male or female though.

Posted: **Tue Jan 17, 2012 12:17 pm**

Kyennamo, are you by any chance going to Dr. A on Feb 10th

Posted: **Fri Jan 20, 2012 4:12 pm**

neutrois (imported) wrote: Tue Jan 17, 2012 6:57 am Interesting, my last blood test after a year on goserelin measured testosterone at 0.8 nmol/L. That's a different unit than you've used so I'm not sure how it compares. Any idea what my level would be measured as ng/dL?

Edited to add: The blood test report claims the expected range is '<2.8', no idea if the person doing the test logged me as male or female though.

Does anyone have an answer to this question, what's 0.8 nmol/L testosterone level compared to Caith's 10 to 20 ng/dL average for natal-women?

I asked Wolfram Alpha and it claims the two units (nanomoles per litre versus nanogrammes per litre) are not compatible, presumably because it needs to know how many grammes of testosterone count as a mole?

http://www.wolframalpha.com/input/?i=0. ... to+ng%2FdL

Posted: **Sat Jan 21, 2012 10:43 am**

Ok, I partly remembered, partly found that through wikipedia, partly calculated myself:

1 mol = 6.022e23 molecules

Gross formula for testosterone: C19H28O2

Molecular mass: 288.42

So, 1 mol of testosterone == 288.42 grams.

0.8 nano mol/l

0.8 nano mol/l * 288.42 g/mol = 230.736 nano gram / L = 23.0736 ng/dL

Posted: **Sat Jan 21, 2012 11:57 am**

fhunter wrote: Sat Jan 21, 2012 10:43 am 0.8 nano mol/l * 288.42 g/mol = 230.736 nano gram / L = 23.0736 ng/dL

Thank you! This is extremely helpful

Posted: **Sat Jan 21, 2012 1:43 pm**

Perhaps we should have that kind of conversion calculator somewhere? Anyone minds to create one? There might be other useful calculators for EA visitors...

Surgical castration different to chemical castration?

Re: Surgical castration different to chemical castration?

Re: Surgical castration different to chemical castration?

Re: Surgical castration different to chemical castration?

Re: Surgical castration different to chemical castration?

Re: Surgical castration different to chemical castration?

Re: Surgical castration different to chemical castration?

Re: Surgical castration different to chemical castration?

Re: Surgical castration different to chemical castration?

Re: Surgical castration different to chemical castration?

Re: Surgical castration different to chemical castration?