Castor (imported) wrote: Mon May 23, 2022 8:14 pm The reason for this is actually quite simple. There are men with decidedly strong sex drives. In my case, I would like to get rid of it, but not at the price of damage to my health, such as osteoporosis. As far as I know (I am not an expert), it is difficult to predict how far testosterone in the blood will drop after castration, because the adrenal cortex produces quite a bit of testosterone independently of the testes. I would like to be able to control my testosterone levels after my castration so that I don't need gel, or just very little, depending on the level of natural "self-production". I think many men with abnormal libido feel the same way.

I think the threat of osteoporosis tends to be a bit overexaggerated by the need to sell drugs. Good diet and regular exercise is really your first level of protection against it and other problems. I think this is especially true if you get castrated after 50 because of the length of time that you have left to live is much less than if you got cut in your 20's. In my opinion mental clarity and energy levels are more important things to worry about. Depression is also something to consider even if you never suffered with much of it before it can rear its ugly head.

I agree with you that the issue of osteoporosis is overrated. Since I am absolutely not sure what the best way is here, simply I trust the advice of my urologist. But, as I said, I also try to reduce my T-level to as low a level as possible.

snippedandcalm (imported) wrote: Mon May 23, 2022 9:40 pm I think the threat of osteoporosis tends to be a bit overexaggerated by the need to sell drugs. Good diet and regular exercise is really your first level of protection against it and other problems. I think this is especially true if you get castrated after 50 because of the length of time that you have left to live is much less than if you got cut in your 20's. In my opinion mental clarity and energy levels are more important things to worry about. Depression is also something to consider even if you never suffered with much of it before it can rear its ugly head.

In general it may be the situation, but is it worth the risk? It seems that once you've lost bone density, it is difficult or impossible to get it back, the best you can hope for is to slow it down... In my case I simply CAN'T do regular exercise below my injury level, as I can't move those parts... Outside of being in a standing frame that props me up, I can't even load bear, and I have lost density already, despite diet and medications. Worst case (and this is definitely known to happen) is that you start getting fractures from the stresses imposed by normal activities like doing transfers.

In the general population, osteoporosis is a problem commonly seen in the elderly, with the result that falls often lead to fractures - particularly hip fractures.... Hip fractures generally result in long stays in nursing homes, and in most cases the person NEVER returns home.... I don't want to take that chance!

So I didn't need the doctor to tell me that we needed to do something to preserve my bone health, it's more like I'm glad that she agreed with me...

WheelyCurious

Castor (imported) wrote: Mon May 23, 2022 8:14 pm The reason for this is actually quite simple. There are men with decidedly strong sex drives. In my case, I would like to get rid of it, but not at the price of damage to my health, such as osteoporosis. As far as I know (I am not an expert), it is difficult to predict how far testosterone in the blood will drop after castration, because the adrenal cortex produces quite a bit of testosterone independently of the testes. I would like to be able to control my testosterone levels after my castration so that I don't need gel, or just very little, depending on the level of natural "self-production". I think many men with abnormal libido feel the same way.

I've seen this sort of idea before, and while I can sort of get the logic, it just doesn't compute for me, perhaps because I've never had such a strong drive that it was a problem for me... As I said others may feel differently, and that is fine by me. I am just more on the point that if T is enough of a problem to want to get rid of it, I don't want to put it back artificially, which is why I'm thinking more in terms of E or a SERM....

WheelyCurious