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Re: Elective Bilateral Orchiectomy

Posted: Wed Jun 01, 2022 10:08 pm
by raj1tm115 (imported)
A bit down after the meeting.Not the best outcome. Will update...sigh

Re: Elective Bilateral Orchiectomy

Posted: Thu Jun 02, 2022 3:47 am
by BillyBlogs (imported)
raj1tm115 (imported) wrote: Wed Jun 01, 2022 10:08 pm A bit down after the meeting.Not the best outcome. Will update...sigh

Chin up, old bean.

Sorry to hear it didn't go as well as you hoped.

Anyway, when you're up to it, let us know what happened.

Billy.

Re: Elective Bilateral Orchiectomy

Posted: Fri Jun 03, 2022 3:53 am
by raj1tm115 (imported)
Typing with a resolve that I am not going to back off.

This consultation was with my Psychiatrist. Being public setup there was also the Clinician(Psychologist).

- I briefed her about my consultation with the specialist Psychiatrist that he gave options of chemical castration & surgery. And that his recommendation was chemical while my fullest desire was surgery. I also stated chemical was ongoing and a yearly financial burden to me

- She understood the definitiveness of surgery but downplayed it stating that they couldn't propose something invasive and irreversible.

- I then rushed/stammered through the topic of gender dysphoria and asked about getting a WPATH letter

- I felt she was a bit taken back and admitted that she wasn't aware of something like the WPATH. That was ok for me, but then the big blow came when she said 'we are not talking gender dysphoria as you do not qualify that'.

My Psychiatrist was clearly unaware of the well documented WPATH standard. At the same when, without asking clarifying questions, when she out rightly said to my face 'you do not have gender dysphoria', what really happened was I really felt broken

My head literally dropped. Questions flashed through my mind but all that I could feel was numbness and absolute discouragement.

We then discussed some updates on my medication. She finally stressed saying 'You need to quickly decide on the chemical option. As time goes by you are getting more hurt'. I certainly feel she is considerate but lacked info on the area of sexuality, gender, etc.

Like I stated in the beginning, I am not backing...God is my strength. I want to be a Eunuch and if it doesn't happen here I am going where it happens. I have had enough of waiting. I may not be able to talk and convey things well but I am not going to settle for anything less than surgery... period. Sorry folks, I just had to spoke my heart somewhere. Going for some food now.

Blessings friends,

raj

Re: Elective Bilateral Orchiectomy

Posted: Fri Jun 03, 2022 8:28 am
by WheelyCurious
raj1tm115 (imported) wrote: Fri Jun 03, 2022 3:53 am Typing with a resolve that I am not going to back off.

This consultation was with my Psychiatrist. Being public setup there was also the Clinician(Psychologist).

- I briefed her about my consultation with the specialist Psychiatrist that he gave options of chemical castration & surgery. And that his recommendation was chemical while my fullest desire was surgery. I also stated chemical was ongoing and a yearly financial burden to me

- She understood the definitiveness of surgery but downplayed it stating that they couldn't propose something invasive and irreversible.

- I then rushed/stammered through the topic of gender dysphoria and asked about getting a WPATH letter

- I felt she was a bit taken back and admitted that she wasn't aware of something like the WPATH. That was ok for me, but then the big blow came when she said 'we are not talking gender dysphoria as you do not qualify that'.

My Psychiatrist was clearly unaware of the well documented WPATH standard. At the same when, without asking clarifying questions, when she out rightly said to my face 'you do not have gender dysphoria', what really happened was I really felt broken

My head literally dropped. Questions flashed through my mind but all that I could feel was numbness and absolute discouragement.

We then discussed some updates on my medication. She finally stressed saying 'You need to quickly decide on the chemical option. As time goes by you are getting more hurt'. I certainly feel she is considerate but lacked info on the area of sexuality, gender, etc.

Like I stated in the beginning, I am not backing...God is my strength. I want to be a Eunuch and if it doesn't happen here I am going where it happens. I have had enough of waiting. I may not be able to talk and convey things well but I am not going to settle for anything less than surgery... period. Sorry folks, I just had to spoke my heart somewhere. Going for some food now.

Blessings friends,

raj

Sounds to me like someone that is not well qualified to deal with your needs... Is this doc associated with a TG center, or just a general practitioner sort that deals w/ any kind of issues? I'd say that any doc that isn't familiar w/ WPATH is not competent to deal w/ non-binary gender issues.

I'd repeat my suggestion earlier of reaching out to a TG center, and if that isn't practical look for a more knowledgeable shrink... I'd start any search by asking the doc if they are familiar with WPATH as a minimum, and preferably familiar with the Draft (hopefully soon to be released) SOC 8....

In other discussions about the draft, it was basically said that it is not at all a secret document, and that any competent TG center should be familiar with what's in it...

WheelyCurious

Re: Elective Bilateral Orchiectomy

Posted: Fri Jun 03, 2022 11:22 pm
by BillyBlogs (imported)
Oh, Raj,

Reading your message has really deflated me. I so feel for you. You must have felt so damn awful inside then.

Most certainly all is not lost Raj.

I think your cue to get up and walk out was with the confession that your psychiatrist didn't know about what a WPATH letter is. I think your psychiatrist is in the business of handing out "mother's little helpers", and you're something out of left field to her.

I have to agree with Wheely. I think your time to approach the Monash Gender Clinic has come. You'll need to understand they have a very long wait time. Currently about 12 months. However, they may be able to refer you to a GP with gender experience. These are, at least here in Sydney, all grouped in close to the CBD. From there You can be referred to a qualified counsellor with gender experience as well, as the GP will know who to point you towards. The trick is breaking into the circle of these people. It's done at the GP level.

Another thing you can do is try this:

https://zbgc.org.au/

As they are local to you and may be able to offer you some guidance.

You now know you can move away from these counsellors as they do not have the knowledge you need to help you. Your best interest is, in my opinion, to take your business elsewhere.

Google is your friend. I know the saying is getting old and well worn, but it's still true. Any combination of words that you think could help narrow your search, just put them into the search engine and see what comes up. Include 'Melbourne' or your suburb name to find local stuff. It's the cheapest and easiest thing you can do to push yourself forward some more.

Not everybody knows everything. Even me ;) The psychiatrist you have been seeing fills a need, but it's not yours. Time to move on and try another. Finding good counsel is like buying clothes. If they don't fit you, they're no good for you.

Try to be positive now, hey? Maybe think like this: There are plenty of counsellors still out there. Now I know who to not see.

Take care of yourself Raj, you will get there.

Billy.

P.S.

'Mother's little Helpers' is a Rolling Stones song. You' find it's funny.

Re: Elective Bilateral Orchiectomy

Posted: Mon Jun 06, 2022 3:38 am
by raj1tm115 (imported)
Dear Billy and Friends,

Blame it on my poor searching style... but frantic searching seem to come to the conclusion that I may need to be on 12-months of hormone treatment before I get any consideration for surgery. Is this really the case?

Monash Gender Clinic was quite appealing but the 1 year wait turned me down (sorry, just being honest). Apart from this, I tried Equinox.org.au and Northsideclinic.net.au - but the waitlist's for new patients were currently closed for these.

I finally ended sending an appointment request to TG Health Clinic (tghealthclinic.com.au). If this is not soon enough, am planning to checkout the Prahran Market Clinic

Regards, raj

Re: Elective Bilateral Orchiectomy

Posted: Mon Jun 06, 2022 10:22 am
by baldwin92 (imported)
raj1tm115, Here in my city (USA) the psych doctors I am seeing informed and wrote letters to the affect that since I am not transitioning to female and will still identify as male the hormone 12 month treatment is not necessary even under WPATH standards. It must work here because they have had many patients that have been castrated or nullified. They told me one doesn't have to meet all the WPATH standards just most of them. I have appointment with a surgeon who specializes in gender surgeries in July so hopefully I will be able to schedule my surgery then.

Re: Elective Bilateral Orchiectomy

Posted: Mon Jun 06, 2022 6:45 pm
by WheelyCurious
raj1tm115 (imported) wrote: Mon Jun 06, 2022 3:38 am Dear Billy and Friends,

Blame it on my poor searching style... but frantic searching seem to come to the conclusion that I may need to be on 12-months of hormone treatment before I get any consideration for surgery. Is this really the case?

Monash Gender Clinic was quite appealing but the 1 year wait turned me down (sorry, just being honest). Apart from this, I tried Equinox.org.au and Northsideclinic.net.au - but the waitlist's for new patients were currently closed for these.

Regards, raj

The draft SOC 8 standards strongly suggest at least 6 months of hormone therapy as appropriate to the patient's goals before the patient undergoes irreversible surgical intervention, unless there is a specific reason not to...

This 6 month minimum is part of several of the statements and sections that seem to apply to all patients, although it doesn't appear in the actual Eunuch chapter. There is a sort-of escape clause in the Eunuch chapter, that essentially says to offer treatment when there is a 'high risk of harm' due to the patient doing DIY methods, or looking for a cutter.

So my non-professional interpretation is that while it is possible to dodge the 'test drive', you are going to have a bit of a challenge to do it.

WheelyCurious

Re: Elective Bilateral Orchiectomy

Posted: Tue Jun 07, 2022 3:51 am
by Cseriess (imported)
I understand that some people have waited long enough, and have a pressing need for something to happen, but it seems very reasonable to expect a person to be chemically castrated for 6 months. I had an appointment for surgical castration, but was advised to try chemical first and I did, supervised by a Dr at Plume. Some unexpected issues arose that made me re-plan. I would probably have overcome the issues had I just gone ahead and been surgically castrated, but this way was way easier. I personally intend to be chemically castrated for a full 12 months before I finally get surgery. I have tried several times, but never made the full 12 months yet. This is just my personal journey, not saying it has to be yours.

Re: Elective Bilateral Orchiectomy

Posted: Sun Jun 12, 2022 5:53 pm
by BillyBlogs (imported)
Hello Raj,

Sorry I haven't replied earlier. As I've said, I'm no expert or professional. I have had some issues recently that left me in a bit of a black hole for a while. It's just dentistry, but it always leaves me feeling very depressed for a few days.

Anyway, What I've been trying to allude to is this:

I think you need to seriously think about building your own scaffold of a support network for you. Unfortunately this is going to take some time and effort from you (again.) I'm sorry, but this is how I'm reading your situation.

You and I are, along with everybody else on here, on the first wave of a brave new world. We're sailing into the face of "received wisdom" and saying our bodies are our own and we'd like our bodies to be like 'this', whatever 'this' might be.

So, you will need some medical people on side. Those who have knowledge and understand are still thin on the ground compared with the ground-swell of people who want to their bodies to be, as I would say, modified to match their minds. This is the biggest problem I see in the present. The lack of supply of medicos with the knowledge.

Firstly, you will need a general practitioner to oversee and coordinate your pathway. A good knowledgeable GP will already have connections to the people you should be seeing next. I recommended contacting the Monash clinic, because even though they have a long waiting list, they will also know of other general practices where you may get support.

I have to be honest here. I believe that by chance, I had established a good support network for myself without realising how significant what I was doing would be. I am extremely fortunate to have fallen on my feet in this matter.

I do wish it could be as quick and easy as I've found things. But, the ground work needs to be done. Confucius said the march of a thousand miles starts with a single step. I think your first step should be to step back, to take a deep breath and count to ten, so as to speak. It's too easy to whip oneself into a bit of a frantic state.

Then, find your new GP. Go shopping. Ask questions. This is about your long term mental state. This is very much about you finding someone who suits you, not someone who will dictate to you.

Now, a 30 second search with the terms- doctor gender melbourne - get these results on the first page.

https://zbgc.org.au/resources/for-trans ... providers/

https://www.doctorsofsouthmelbourne.com ... sitioning/

https://www.austin.org.au/gender-clinic/

https://equinox.org.au/

https://www.transhub.org.au/find-a-doctor

https://northsideclinic.net.au/health-s ... ry-health/

As I've said before. Ignore the transitioning word. It's there as a legacy from the fact that people who need to change from one gender to another got here first and claimed all the words. We too are transitioning, but to another place entirely.

Make this your first goal. Finding the GP of best fit. You absolutely need to start here. Slow it down, step back from the frantic, and build what you need for yourself.

What follows is only my opinion, so take it as you will.

The difference between surgical and chemical castration, from a practical point of view, is tiny. When your testosterone supply is cut off, it's cut off, regardless of whether your balls are or not. I was fully expecting a 'trial' of three to six months duration myself, and was resigned to having to wait.

As others have said, this is so you and your healthcare providers can gauge how well you respond to a lack of testosterone. If you read through this site, you'll find that the lack of this hormone can have many significant effects beyond those you feel you want. One is a pit of depression that is horrific. Having someone to hold your hand and prescribe the right treatments to help you through that difficult time is worth the effort in itself, if you ask me.

I do understand how you feel. That constant yearning and churning inside. How what started as a little seed of an idea has grown into what is verging on obsession. Be kind to yourself Raj, the world is barely up to speed with you. You're riding on the edge of human consciousness now.

Sadly, the other thing I'm trying to say as gently as I can, is that I think the psychiatrists you've been seeing are out of their depth from what you've been saying, and so your time has been largely wasted. You really need to start from the beginning. Get that GP, and the rest will follow.

Do keep the overseas option just that, as support for you during and after your surgery will be very important indeed.

Billy.