Since the publication of the 7th edition of the Standards of Care of the World Professional Association for Transgender Health in 2011, more and more counselors, endocrinologists, and surgeons have expressed a willingness to help those outside the gender binary. While most don't speak of Male-to-Eunuch, they are increasingly open to "Genderqueer" and "Non-binary" as categories and can fit MtE into them. A few even specifically mention MtE as a group they are willing to work with.

There have been discussions on the WPATH website among surgeons who are now willing to perform an orchiectomy for MtE individuals with only a single letter from a counselor. (Malpractice fears will keep them from offering it without a letter.) There are many more counselors willing to write such a letter.

While WPATH members are concentrated in the United States, there are some scattered around the rest of the world as well. There may well be professional help available in your neighborhood.

To find out what is available, first go to the WPATH website (www.WPATH.org (http://www.WPATH.org)). There you can link to the current Standards of Care. (It's a free PDF download of over 100 pages.) You should probably at least skim through it so that you can ask the right questions and speak in the right vocabulary. Knowing what the SOC says may even persuade a reluctant counselor to write the letter you need.

There is also a drop-down link on the WPATH site titled <Find a Provider>. You can just type in a country name or you can restrict your search to a single state or city. You want a counselor who is a WPATH member and who can point you toward a cooperative surgeon.

A telephone call to a provider will discover what he or she is willing to do to help you. For example, Marci Bowers (of TV fame) will perform an orchiectomy for MtE with a single letter. The George Washington University Hospital will provide and monitor chemical castration (and is considering offering surgery) for MtE clients.

Incredible progress is happening. Thanks to all who have conducted the surveys, compiled the information and lectured to the medical communities. I am glad castration is coming out of the back rooms and cheap motels. Thank you to our Jesus who will be a savior to many who come after us needing care.

tugon (imported) wrote: Sat Nov 08, 2014 12:15 pm Incredible progress is happening. Thanks to all who have conducted the surveys, compiled the information and lectured to the medical communities. I am glad castration is coming out of the back rooms and cheap motels. Thank you to our Jesus who will be a savior to many who come after us needing care.

I t might be coming out of the back rooms in the States but certainly not hear in western Canada. I can not find a single person in the medical field in Alberta that works with people who want to transition from male to eunuch.

I can attest to the truth in this. I was finally castrated this week after 15 years of thinking about it, five years of wanting it, and three years of really needing it. Three years ago a trans friend referred me to a doctor who works with a lot of trans patients. Told her that I identified as MTE, and what I was potentially wanting to do. She was very supportive, offered to prescribe a trial run of chemical castration if I was interested, said she'd write a letter in support of surgery if needed, and would prescribe HRT for me if/when I wanted it - either T or E. At the time she did not know of any local surgeons willing to do it, so I figured I would end up seeing Dr. A in Detroit. I scheduled with him twice, and both times had to cancel due to family emergencies. Early this year I went to see my doctor for a routine visit. She asked if I was still pursuing surgery and I told her of my delays. She told me that she had another MTE patient now, and that she had found a local surgeon willing to do it. Her other patient had just been castrated locally! The surgeon required two letters, one from a therapist. My doctor referred me to the same therapist who'd helped her other patient. And she gave me a trial prescription for Spiro to experience lower T while going through therapy. It took about two months for me to decide I really liked lower T, and for therapist to agree to write the second letter. That was June. Had consult with surgeon in July. Set a date for August. The surgeon and her team were amazing, professional, nonjudgmental. It took some time, but I am really glad I went this route. The world is changing. Doors are starting to open. Thanks to our Jesus for the role he has played in helping to make that happen!

Well hopefully this summer if I can recover financially. I have contacted a doctor not to far from where a family member lives. I can be castrated on a week end and not have to travel very far for a place to recover. Been putting this off for so many years. Am really looking forward to having it done and over with.

There is one urologist in Atlanta, Dr. Janelle Foote who will do an orchiectomy for MtF with a therapist letter. I don't know if she will do MtE with a letter or not. My therapist was going to refer me to her but my urologist is going to do the surgery since he's been treating me for orchalgia and cryptorchidism. That way insurance will pay for it and he has an in house surgical theater. There is another doctor in Atlanta who does orchiectomies without a letter but his fees are outrageous and don't include hospital or anesthesiologist.

Can anyone post here or reply to me personally a recommendation for a m2E friendly therapist somewhere in the Los Angeles to San Diego? Or somebody I can talk over the phone with? Ideally this will be someone who has worked the M2E and already has surgeons identified who are M2E ready and willing to work with them. I am done with fantasies and thinking about going to a cutter, so very serious about this. Thanks!

I have sent a private message to EAfictionwriter about a possible counselor in Southern California. I look forward to any feedback from either him or the counselor about how well it goes. The counselor is one who has previously approached me for more information about Male-to-Eunuch and is clearly interested in the subject.

JesusA (imported) wrote: Wed Aug 17, 2016 6:32 pm I have sent a private message to EAfictionwriter about a possible counselor in Southern California. I look forward to any feedback from either him or the counselor about how well it goes. The counselor is one who has previously approached me for more information about Male-to-Eunuch and is clearly interested in the subject.

After some research I have decided to go with Graham L Peveller Ph.D./MA/CQSW for online counseling and a letter for orchiectomy. He's going to work with me to find orchiectomy surgeon in CA who will work with my insurance, most likely Dr. Crane. Looking forward to kicking off the process, and hopefully being a Eunuch in the new year!

eafictionwriter (imported) wrote: Tue Sep 06, 2016 6:25 am After some research I have decided to go with Graham L Peveller Ph.D./MA/CQSW for online counseling and a letter for orchiectomy. He's going to work with me to find orchiectomy surgeon in CA who will work with my insurance, most likely Dr. Crane. Looking forward to kicking off the process, and hopefully being a Eunuch in the new year!

I'd also look at other surgeons. I found Dr. Crane's office nearly impossible to work with, and a friend who is having his nullo surgery soon also found that to be the case. Dr. Crane's office said they would be back in touch with him in 4-6 weeks to schedule his nullo surgery, and that was three months ago. He's still not heard from them, and he's going elsewhere to have the surgery in under 2 weeks from now. Point being, you have to be on Dr. Crane's office staff asses constantly, and the patients/clients/customers shouldn't have to do that.

I also had "bait and switch" done to me twice being told both times that Dr. Crane would do the surgery, then after I scheduled with Dr. Crane, getting told at the last minute one of his practice partners would be doing the surgery instead. Then his office changes appointments without consulting the patients first. Which when I had a complication after my nullification (urethral stricture) was a problem because I had moved to the east coast between my nullo surgery and the repair. I scheduled everything with Dr. Crane, then the doctor swap happened, then on top of it the office changed the surgery date, location, etc. without consulting me. They also mailed forms to my old address after I had notified them at least twice that my address had changed (HIPPA violation - bad). All these changes were problematic because I had made all my plans (flights, hotel, etc.) based on what they told me were firm times and dates. I had to cancel that and I lost money needlessly because his staff forced scheduled changes instead of communicating ahead. I had the repair surgery done elsewhere.

The doctor my friend is going to for his nullo? None of these problems. The staff has been well communicative, etc. They actually call him with any changes, etc. before they make them. That's the way it should be.

All this said, Dr. Crane's practice will do a good job, but be prepared for a lot of work, follow-up, etc. to ensure you're cared for. Though I know of one other person who went to them for nullification and she's doing fine now. No problems, but I think there was a lot of leg work by her with the office staff as well.

There are two other surgeons in the Bay Area that are helping men like us now. The one my friend is going to soon (I won't recommend until I hear how his surgery went), and I believe Marci Bowers is there too and has expressed she is possibly open to helping MtE's.