plix (imported) wrote: Sat Feb 02, 2008 1:01 pm Being honest with your doctor is all well and good, but if you have insurance, it may not be as simple as it looks. This is because most insurance plans decline coverage for any elective treatment (including an elective castration), as well as any consequences that arise from the elective treatment (such as the need for T replacement, and perhaps even the conditions that come from castration like osteo). Since there is a chance I may be getting insurance before too long and may need to face this same issue with a new doctor, I have been wondering about this in the context of insurance issues. I am going to start a separate thread to discuss the insurance side of this.

Believe me I understand better then most the concern of insurance costs etc. But.. If you are dishonest with the Doctor and or insurance company its can be far worse including fraud and who knows what else. One thing about elective surgery and the after effects is worth starting a new thread. I'm far from being expert but I switched insurance not long ago and as if you don't drop coverage they can't start in on your with "re-existing condition stuff" at least not here. Insurance is a bugger to understand. WORTH doing it however.

DO start that discussion Plix! Its very very important.

Every once in a while someone doesn't follow men's room etiquette and notices my empty sack. I used to explain the medical problem, but now I have much more fun telling them a "cock and ball" story about an accident at an S&M club.

smoothie36 (imported) wrote: Fri Feb 01, 2008 7:17 pm I am scheduled for surgical castration in Philly in May. That's fine, but on my next regular visit to my local urologist how do I explain the missing testicles. Is there some plausable medical explanation that would allow me to save face, and not feel imtimidated about going to my next visit. Need help here.

I think people are giving good advice. I can add that following my castration, I hesitated going to my doc for at least a couple of years. I finally did it. His first response after I told him what I'd done and how I'd lost my balls was to basically lose composure. However, he recovered within minutes, and he's still my doc.

Just rust in your doc's professionalism. Then if it doesn't work out, it doesn't.

I may be an unusual case, being in Canada and all, but...

My standard explanation is that I lost them as a result of an accident. Virtually all of them have accepted this at face value, and not enquired any further about what had happened. The strange thing I've found is that of all the doctors I've seen in the last few years, all of whom have not only prescribed but injected me with testosterone, not one has ever checked to verify that they are actually gone.

I really appreciate all the responses. I read them all, every line. In total they are helping me arrive at a comfort level regarding the future. Thanks so much and keep your opinions coming.

My doctor knows how I ended up without balls. She is very relaxed about it, in fact, she tried to get approval for a surgeon to do it on the basis of pain issues. She did and does check my genitals regularly but always first asks if I mind if she does, probably due to issues of inappropriate touching, a big complaint about medical practice these days. --FLO--

I told my GP what I wanted well before I did it. I wanted to be sure he would still be there for me, after the fact. He was very supportive and still is. Not all doctors are jerks. It's always better to be honest with them. It's not like they won't find out. I've seen lots of doctors in conjunction with my back surgery and none of them have had a problem with me being balless. If they asked me if I had cancer, I would say no. I would tell them I had pain issues. This was also a truthful answer, just not the real reason. That seemed to satisfy them. I didn't want to get into the whole gender thing with them. My GP knows all though and has from the start. Give your doctor a chance, he or she might surprise you.

Will a doctor really eventually find out that you are a voluntary eunuch if you are not honest from the start? I doubt it because most doctors still don't even know that voluntary eunuchs exist.

I have not come across a doctor yet who did not encounter me as the first voluntary eunuch they had ever heard of, and who was not very surprised when he found out.

If I tell a doctor I am missing my balls because of an injury, how likely is it that the doctor is going to say "I bet this guy is lying, and he is really a voluntary eunuch?"

Not likely. Since voluntary eunuchs are so few and so unknown, the chances of a doctor discovering you are a voluntary eunuch without you telling him are nil.

Never mind, went on too long, making another thread for it

Unlike Plix, nearly every doctor I encountered immediately post castration has seen voluntary eunuchs. The Chief of E.R. told me she sees 3 or 4 per year that need Emergency Room Services. She also said that people taking medical care into their own hands comprise one of the largest groups seen in her E.R. --FLO--