dr arnkoff new website

[Losethem (imported)]

I appreciate the commentary from the peanut gallery. You should focus on the words -would be great to know of- in there, how the word "need" doesn't pop up once, and then go shove the attitude where the sun don't shine. As far as the wanker bit goes, do you want timestamped proof of my Androcur collection and shrunken dick and balls or something?

Your post about location near a relative is simply a different variation of posts that amount to stating that if the help isn't in your hometown, you're never going to do it, because oh the horror, you couldn't possibly travel or stay nearby in a place where there exists a person who is willing to offer the assistance you "seek".

Spare me the continued absurdity of that. If you want this, you'll figure out how to make it work, regardless of location. Otherwise drop the false angst that comes along with a doctor or cutter not being a good enough option, simply because they don't rent a room in your house from you.

And frankly, at this point you should be happy that I've not taken up the multiple offers of being a moderator/administrator on this site that have been extended to me various times over the past 20 years, because instead of taking your advice to, "...

shove the attitude where the sun don't shine...

", I'd instead be shoving your EA membership to that location located physically on your person. Permanently.

--LT

[krone1000 (imported)]

If you're after orchiectomy to treat scrotal pain, then inguinal is definitely the best approach, though the studies demonstrating this difference are statistically weak. (Well, definitely the best if the statistics hold in larger sample sizes, which can't yet be proven. The difference in those small sample sizes is something like a 25% cure rate vs. 75% though.)

your reason dictates the "best" approach. If you're looking for a cosmetic body-mod, and want scrotal reduction, there's no reason not to go with a scrotal approach. It'll save you having another scar, and having a plastic surgeon do the procedure, that'll minimize the appearance of scars overall (and the scrotal-reduction scar can appear minimal enough to pass as a natural raphe). If you want to tank your testosterone, injections are simple and cheap.

What specifically are you chasing after in this?

Thank you. That answers my questions at this point and will look into plastic surgeons in my area that have done such a procedure and give them a call when I'm ready. For now there's nothing else I can do but wait.

[Rocket Number Nine (imported)]

Your post about location near a relative is simply a different variation of posts that amount to stating that if the help isn't in your hometown, you're never going to do it, because oh the horror, you couldn't possibly travel or stay nearby in a place where there exists a person who is willing to offer the assistance you "seek".

Spare me the continued absurdity of that. If you want this, you'll figure out how to make it work, regardless of location. Otherwise drop the false angst that comes along with a doctor or cutter not being a good enough option, simply because they don't rent a room in your house from you.

And frankly, at this point you should be happy that I've not taken up the multiple offers of being a moderator/administrator on this site that have been extended to me various times over the past 20 years, because instead of taking your advice to, "...

9194740]
shove the attitude where the sun don't shine...

", I'd instead be shoving your EA membership to th
[/quote]
at location located physically on your person. Permanently.

--LT

You should spare me the absurdity of your insane strawman.

A little exercise in understanding for you:

You're putting words in my mouth because you want them to be there because you get a boner for shit like that. I see it all over your posting. My armchair psychologist opinion: you're so obsessed with finding "wankers™" because you're projecting your own past desires and reasonings for this on everyone you can.

Now do you see how it feels when someone puts words in your mouth? I at least am decent enough not to say the above in seriousness, and not to make

massive assumptions about you based off of little information.

"Your post about location near a relative is simply a different variation of posts that amount to stating th

at if the help isn't in your hometown, you're never going to do it"

Wrong. Here's your strawman rearing its ugly head by the way. Getting them cut out is likely a ways out no matter how I cut it, so in the mean time, if I find a more convenient route, wouldn't that be nice? Shit gets done regardless. It's me looking for potential convenience, and if none is to be found, going for the next best route, whether that be Arnkoff, CaCl2 injection, or something else. I'm in no rush, my fallacious friend.

Unlike many people here (although also like some people here) all I care about is not having test flowing through me for aesthetic reasons and to feel comfortable in my own skin, so ultimately surgery to remove my balls is purely for my health, so I don't have to keep taking anti-androgens forever. This means that I have ample time to pick and choose how I want to go about removing them. It has to get done regardless, but I am in no rush. There's no need to just wear blinders and go for the most popular guy, when I have time to see if there is anyone else. If you truly care about the people here, and those to come in the future, you'd be supporting the search for backups and alternatives to Arnkoff in case he stops for whatever reason, instead of going, essentially: "If you actually want it *scoff* you'll get it done, no deviation from the norm or finding anything or anyone better for you or you're a wanker™"

Do you really think that I would have been taking anti-androgens this long if I didn't plan on eventual removal? If I didn't want to actually make them go away or quit working for good? It's going to happen, only a matter of time. But when time

is on your side, it's foolish not to put it to your adv

antage.

" If you want this, you'll figure out how to make it work"

Well obviously. But there is more than one way to skin a cat, and different people like to skin cats differently. I already know many ways to make it work. There is no point going for banding and cutting when you can inject, no point injecting when you can get safe surgical removal, no point getting safe normal removal that costs more when you can find someone that charges less yet is just as reputable a surgeon, so on and so forth. Maybe I'll get on some health insurance in the future that covers it for transgender people and go that way for it, who knows. The world is my oyster in regards to my balls and their eventual removal or permanent deactivation. I have time and patience and I can pick and choose. I've seen how compulsive and rash many people here are about it (absolutely no offense meant by the way, I'm understanding and the vast majority of you have been very nice wholesome and helpful people), and you need to understand not everyone is like that. If the luxury of time and patience is on your side you would be stupid not to seek all options and pick the best for you when the time comes.

I have no reason to rush into it. I have no reason to go right now and pay Arnkoff to remove my nuts. I have no reason not to wait and find all available options I can before I either am forced to do it for whatever reason, or until I've hit somewhere around the 5 year mark on anti-androgens. Under no circumstance will I allow normal production of testosterone to start up again, no matter what it would take. All I care about is not having testosterone flowing through me. That's taken care of right now, thanks to CPA. If I could have someone wave a magic wand and make my balls stop producing testosterone forever, I'd never get them removed. I feel part of your misunderstanding lies in the fact that I'm wanting them removed for very different reasons. With my reasons, with my timetable, there is no reason to rush into it, and every reason to find every possible option available.

There is no angst, fake or real, aside from that which I might be detecting from you.

Really though you must have one big house if the next room is thousands of miles away. I'm jealous :^) but me shopping around doesn't mean I'm unwilling to travel to Antarctica if that's what I had to do eventually.

I have time.

I'm shopping around.

Deal with it.

By the way I'd have said the exact same things to you even if you were a moderator; if you think I give a flying fuck about membership in a forum where moderators would act like rude condescending playground bullies and take no criticism without their butthurt levels reaching critical mass and ragebanning people, you are sorely mistaken.

Thankfully all the moderators I've seen here have been quite nice and polite, needing no criticisms, maybe it's good you've turned it down. They certainly seem to be more patient than you, without a single ounce of condescending tone.

The actual moderators can ban me if they want, for my previous post and/or this one. It would be no skin off my back.

I have a little proposal for you though, if I haven't triggered you too hard, Losethem:

Ignore my posts, and I'll ignore yours.

[Paolo]

I have a suggestion for you and everyone else, in fact: Take it into PM or email.

if you think I give a flying fuck about membership in a forum where moderators would act like rude condescending playground bullies and take no criticism without their butthurt levels reaching critical mass and ragebanning people

That's pretty much every other forum I've ever encountered online.

[Losethem (imported)]

If you wish for me to stop jumping on you, you need to do a couple of things. First, articulate better why you're here, and in this last posting you've made progress. Had you said the things above to start off, you would get off on a better footing with folks that have been here decades vs your two months. New members are always welcome.

The second, stop offering advice to people when you are clearly over your head in doing so. It's been obvious to me several times over the past two months that you've offered inaccurate information to people. It's was incredibly clear you did not know what you were talking about. You should educate yourself further, then offer advice. It's one thing to want to participate, it's quite another to participate while offering inaccurate advice to others. That's plain dangerous, not to you, but to those you are offering that opinion to.

And before you tell me once again to go shove things where the sun don't shine, I'd caution you to keep in mind I hold a state issued professional license that covers the care people who are getting these mods, need. Essentially, I had to study anatomy & physiology, medication reactions, and numerous other things in order to sit for the boards (test) that was required to obtain that license. That said, I'm backing off for now, but should you offer inaccurate advice again, I will speak up.

--LT

[Rocket Number Nine (imported)]

I would prefer this taken into PM like the man suggested, however a quick little reply for you:

1. I have no need to justify my reasons for doing this, and if you haven't gleaned why I have gone down this path from my postings, perhaps they should have stuck a mop in your hand instead of teaching you how to read.

2. As a former member of the debate team when I went to university, I must say I can't give an argument any credence unless it is supported by evidence and contains points that aren't baseless. Stating your baseless opinion is not the same as making a point. So I'll help you out here: cite examples so I can address them with counterpoints. This is the nature of argument, without this, you have nothing.

3. I'd disagree that I've given any incorrect or dangerous advice, but, cite me some examples of what you think is incorrect (in PM - let's not shit up the thread any more), and I will address them. Furthermore I could argue that by not pointing them out and addressing them specifically in the moment, despite "seeing" them, you were complicit in any "errors" or "incorrectness" that may or may not have taken place.

4. I know you said "before you tell me once again" but I think you know where I think you should keep that license safe and secure. Nice ad hominem logical fallacy by the way. You seem to like logical fallacies. I've seen them in your posts before, by the way. Read up on them and don't resort to them and your arguments will instantly improve. Fail to do that and you open the door for your points to be easily dismissed.

Sorry to all for us shitting up the thread. Losethem, if you wish to continue this discussion, go ahead and PM me. And don't forget, I'm a master debater (I had to make the joke c'mon )

[ZeuterMe (imported)]

I don't want to quote any of the previous posts - while there are insights there, they're all long. I will, however, quote this:

First, articulate better why you're here,

Perhaps we should have a stickied post called "Why Choose Castration?" about the reasons people get fixed. Rocket wants an aesthetic reduction in testosterone. Others want to lose a problematic sex drive, or synchronize their libido with a spouse. I started, around 2000, as a wanker, forgot about it after a couple years, and then came looking for resources here when chronic pain reared its ugly head, and am now discussing options for pain control that, yes, include orchiectomy. The wanker phase did delay my actions, but not because I wanted to talk about it like I was getting done and never go through with it, but because I needed time to construct a logical proof that I was doing the right thing for the right reason. Recent discussions of potential tumors have clarified my situation, and bypassed my carefully laid out justification of pursuing surgery merely for pain control and not for reasons of personal gratification.

Most of these motivations require separate consideration, and flowchart-based best practices are one very good way to do this. Transgendered individuals should avoid scrotal reduction; they'll need the skin for a labioplasty. Further, they should (according to one source) avoid castration until they can obtain a labioplasty in a year or less, or the skin will atrophy to a point where the surgery is more difficult, and less likely to produce convincing results. Someone wanting primarly testosterone reduction can use pills or injections to get that effect, and may benefit from a test-drive, whereas someone who wants an aesthetic modification but intends to take testosterone replacement will find it difficult to test-drive the results - it's not like it's easy to move the testicles into the pelvis, remove the scrotal skin, and then put everything back the same way if it doesn't pan out.

Requirements dictate approaches. We should strive at all times to be compassionate as well, because it is likely that potential members are either already marginalized, or fear marginalization if their desires become widely known. Remember that trans folks are raped and murdered at a horrifying rate - while I don't necessarily subscribe to the "safe spaces" doctrine, we should at least attempt to be tolerant and welcoming if we wish to be treated the same way by establishments. If being polite here and now gets the WPATH guidelines and DSM-5 to include elective castration based only on informed consent to be done, then literally, our civility here could make it as easy for us as taking a dog to the vet. Let us not forget that at least one of these documents is being revised right now, and that we should be on our best behavior lest we alienate any allies we have in that group.

Let us also not forget that if we come up with a useful approach, it could be reworked into a standard of care, in a later revision.

I know what I prefer to work on. Care to join me in Eunuch Central and contribute your insights?

(PS: This is one of the few times where rewriting a post after the browser eats the old one resulted in improvement. I think this is only the third time in my life, actually!)

[Futurist (imported)]

I believe that Dr. A usually does a midline incision and takes out both sides from there, that's how mine was done. I have seen pics from one member who had Dr. A do his orchiectomy, and there were two horizontal incisions, one on each side. I suspect, after seeing some discussions here, that might have been done in order to cut more of the cords since he will not do an abdominal route, but that possibility has mentioned as an option to some people according to what I've seen posted.

In retrospect, I think given the option knowing what I know now, I'd go for the two horizontal cuts higher up if it did indeed allow more of the cords to be removed during the procedure.

Out of curiosity--is it possible for Dr. Arnkoff to remove the entire vas deferens?

Also, does Dr. Arnkoff still perform orchiectomies for aspiring eunuchs without a(ny) therapist letter(s) right now?

[Futurist (imported)]

Also, out of curiosity--does Dr. Arnkoff inquire into one's reasons for wanting an orchiectomy? After all, I certainly extremely strongly detest "gate-keeping" in regards to this!

[Jared_in_UT (imported)]

He didn't ask me until 5 minutes before I was on the table prepping for surgery.