At the current time, in my opinion, the best route is to either lie and say you are transgender, or just do it all yourself, without the medical establishment. I've been keeping myself chemically castrated for two years, now the issue is getting the balls actually removed.
In my part of the states there is no chance of possibly getting recognized as needing hormones/hormone blockers/surgery as a non-typically identifying person. I do know some guys in other states though, who have been able to talk therapists and such into giving them hormones/blockers and eventual access to surgery, as non-binary/androgynously identifying individuals. So it is happening on the states, although not all that commonly.
current standards of care for MtE - any news about it?
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Rocket Number Nine (imported)
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eunuchjeff (imported)
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Re: current standards of care for MtE - any news about it?
I just had an interesting experience that leads me for the first time in a while to be positive about acceptance of "ideations" other than M/F.
I was recently referred to a urologist by my GP - not for anything to do with my urinary/reproductive system, but kidneys. I'd been wondering how I'd address the absence of testicles should he want to examine my crotch. Well one of the first things he had me do was strip below the waist. He then began the exam by looking closely at my penis - OK! But then he asked about surgeries. I showed him the visible scar - under pubic hair - from a childhood surgery to repair a serious hernia that ultimately led to the "death" of one testicle. The urologist noted that both were now missing and asked about it. We then had a brief discussion about the shortened cords that had caused testicular pain - and infections. He had no issue with castration in such a situation. It's the first time since another urologist initially recommended that I consider a bilateral orchiectomy in the late 1960s when I was a student in my early-20s. Of course, I've since followed through and had them removed (by a veterinarian friend). He explained the congenital causes and said it's not an unusual procedure for guys in my situation. We concluded that part of the initial exam by his concluding that yes, we probably can't take me off the compounded testosterone cream I'm now taking daily - a weak formulation in any event.
Anyway, one of the conclusions the urologist may be reaching is that one of the medications I'm taking may have led to reduced kidney functioning, as well as anemia - a heart medication I've been prescribed since a minor heart attack 10 years ago. We'll see where that goes. Not surprisingly, for now he's recommended more tests before he confirms his opinion that reducing my dosage of the heart medication might be a solution to problems that came to the fore following routine blood tests (reduced kidney function and anemia).
It's nevertheless encouraging just to have a matter-of-fact discussion of missing genital parts with an MD. BTW, he's Belgian-trained.
I was recently referred to a urologist by my GP - not for anything to do with my urinary/reproductive system, but kidneys. I'd been wondering how I'd address the absence of testicles should he want to examine my crotch. Well one of the first things he had me do was strip below the waist. He then began the exam by looking closely at my penis - OK! But then he asked about surgeries. I showed him the visible scar - under pubic hair - from a childhood surgery to repair a serious hernia that ultimately led to the "death" of one testicle. The urologist noted that both were now missing and asked about it. We then had a brief discussion about the shortened cords that had caused testicular pain - and infections. He had no issue with castration in such a situation. It's the first time since another urologist initially recommended that I consider a bilateral orchiectomy in the late 1960s when I was a student in my early-20s. Of course, I've since followed through and had them removed (by a veterinarian friend). He explained the congenital causes and said it's not an unusual procedure for guys in my situation. We concluded that part of the initial exam by his concluding that yes, we probably can't take me off the compounded testosterone cream I'm now taking daily - a weak formulation in any event.
Anyway, one of the conclusions the urologist may be reaching is that one of the medications I'm taking may have led to reduced kidney functioning, as well as anemia - a heart medication I've been prescribed since a minor heart attack 10 years ago. We'll see where that goes. Not surprisingly, for now he's recommended more tests before he confirms his opinion that reducing my dosage of the heart medication might be a solution to problems that came to the fore following routine blood tests (reduced kidney function and anemia).
It's nevertheless encouraging just to have a matter-of-fact discussion of missing genital parts with an MD. BTW, he's Belgian-trained.
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Losethem (imported)
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Re: current standards of care for MtE - any news about it?
If the heart medication is blood pressure related and a water-waster, that could be the problem.
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eunuchjeff (imported)
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Re: current standards of care for MtE - any news about it?
Losethem (imported) wrote: Sat Aug 06, 2016 4:45 pm If the heart medication is blood pressure related and a water-waster, that could be the problem.
Your input seems to support the initial conclusion of the urologist. While I've never suffered from high blood pressure, my cardiologist nevertheless prescribed what is also a blood pressure related drug simply to assure "heart health" following the insertion of a stent 10 years ago. My current issues may be an unintended "consequence." I guess I can see coming changes in my routine. It's understandable that the effects would now be manifest after 10 years on the same prescription. There are hopefully other treatments on the market after 10 years. We'll see where this goes, assuming that there's nothing found to alter the specialist's initial hypothesis. I had an ultrasound of the kidneys last week.
In any event, and as I said initially, it was reassuring to find the urologist was quite casual about accepting the lack of testicles. His only response was to say that we likely wouldn't be questioning my daily ingestion of testosterone (compounded cream from a local pharmacy).