Hi folks,

New member, been lurking for a while. I’m contemplating castration for aesthetic, mood control, and physical comfort reasons. I’m happily male and have been on TRT for a little over a year, and would plan to stay on testosterone. I’m not very sexual but have a happy marriage and small family.

While I’ve never been enormous, my testicles have gotten a bit atrophied and softer while on TRT. I’ve got a lot of veins (no varioceles, as far as I know) and lots of epididymis, bit of a turkey neck, and I would like to be done with the sense of slack/folded scrotal skin in my underwear.

I’ve been offered and briefly took hCG as a component of TRT, which plumps up the boys and increases natural production. I felt like I had a huge set and things were uncomfortably… full and heavy, so I stopped that after a few doses and am more comfortable and emotionally/physically consistent on the regular testosterone doses.

A few questions:

1. I’m having a lot of difficulty even imagining broaching this subject with my doctor and wife. Middle-aged women have their ovaries removed at the drop of a hat, but it seems unthinkable for a well-adjusted (?) adult male to do it. Aside from injecting my testicles, are there are other medically indicated or accepted routes of that making that conversation easier? For example, I’m thinking “mild chronic pain” or something along lines of the atrophy would be a useful way to explain why I’m pursuing this. I feel like bringing this up in the wrong way with the doctor will flag me as a nut case and limit future options.

2. What can one expect with quality of ejaculation? I do masturbate and would want that to continue. I’m not fixated on having a certain type of load, but I’m curious about volume/consistency, and how pre- and post-procedure orgasms will differ.

3. Finally, what’s going on with scars? I think I would eventually want scrotum removed as well, as part of my concern is the loose skin. What’s the scar look like and the sensation/feeling of an empty scrotum?

What’s the scar like if the scrotum is removed as well and only the penis is left? Are there clinical pictures of penis only? I’m not sure I can imagine this well enough to know what I would ask for.

Thanks for your thoughts and supportive community.

They will run you through the ringer of treatments and procedures before they will remove the holy orbs. They are usually reluctant to remove even if they cause extreme pain. The only way to get most docs to take them is if they think there are tumor so cancer. If you want to go through your local doctor, you may want to consider the ever clear injections. It doesn't hurt as bad as you would think and it will leave them lumpy and mis-shapen. Wait about a month after the last injection and go to the doctor complaining of tenderness and lumps. They will likely pull them out quickly but be ready to balk at the idea of letting them do a biopsy first which are very painful. Explain that you are scared it could be cancerous and that you already take HRT so you would rather just get rid of them.

Thanks for your feedback, good perspective and probably the verified experience of everything I'm reading on this board. Any thoughts about the CaCl/alcohol mix? Not wild about doing it many times...

Having gone through the experience of finally getting them removed, I also recommend alcohol injections as the least painful and an effective method The only major disadvantage is that it will take awhile and mileage does vary. You are probably looking at a minimum of four to six months of multiple injections. CaCl is most effective but hurts like hell for the initial injections. Time factor is significantly reduced but expect significant pain and swelling, at least for the first few times. It has been mentioned that it is possible to get good results in only one or two injections, but I believe I injected at least four or more times. Probably best to let the swelling decrease and visit your primary doctor or urologist with questions of your testicles feeling unusual or heavy and lumpy.

Earlier today I went the route of reaching out to a urologist who was helpful to me on an issue a while back, but I don't see him regularly. I just dropped a very open email to him asking about his willingness to have a conversation about an elective orchiectomy. He wrote back quickly to say we could talk in person but that he would listen to my issue and see what could be done.

In light of that, I think I will open up a channel of discussion with him (and go see him in two weeks) to lay out my concerns. I want to be honest with him but make my points as rationally and clearly as possible, so he does not feel at all troubled at my mental state. \

What's the cleanest, most clear clinical and reassuring case to make?

If this completely fails, the CaCl is already being shipped, I'll inject and present to my local team after it has taken effect. Just want to explore an option that doesn't rely on the collateral damage and deception involved in faking cancer. If that's the only route, so be it but going to try this first.

Prophylactic on strong family history of testicular and prostate cancer? I feel like a sympathetic doc could get behind that. Yea/no?

The everclear is less painfull and you can do multiple low dose injections that will make them lumpy. If you are just wanting to self castrate by making them tiny and useless, the CaCl mixed with alcohol is probably your best choice (with painkillers).

I broach the subject to several urologist first using "I have no idea of what could of caused this" and later with a different urologist about serious pain and a strange sonogram. This approach sort of worked, but it would have required two separate surgeries, which I declined. After my third urologist retired the fourth happen to do a strange thing, he read my medical history and deep inside was information that I had injected alcohol. Rather than say no, he said I would have to go through nerve blocks first which I did.

The bottom line, go for really serious testicular pain. It is impossible to prove or disprove, but if you have relief with nerve blocks, generally there is justification for an orchiectomy . Lumpy testicles with minimal T is also helpful.

I went the router of the cacl injections. I had good pain pills, so the pain from the injections wasn't a problem for me at all. I set the stage by first talking to my local doc regarding poor libido and ongoing serious testicular pain resulting from a vasectomy. He put me on TRT and then I Did my first injection. I went to him complaining about painful and swollen testicles and he put me on antibiotics and referred me to a urologist. Unfortunately she was away on leave, so I didn't get to see her. I did a second injection about a week after the first and two days later presented myself swollen testicles and all to my local ER. The doc at the hospital referred me to another urologist and I was able to make an appointment with him. I also had 2 ultrasound scans done on my testicles and took both of them with me to the urologist. He put the scans up on the board and took one look and then told me that my testicles should probably be removed, but that he could possibly save part of the left one. I told him straight out that I did not want this but that I wanted them both removed totally. This visit was on January 28th last year and the surgery was scheduled and performed on March 15 last year.

Whatever you do, don't be scared to ask directly that they be removed. Be definitive that this is what you want. I told every single doc that I saw along the way that I wanted them gone. The doc in the ER was very taken aback when I told him this, but he was still a young guy. I suspect that had there been a urologist on duty the night I went to the ER, my testicles would have been removed there and then.

Good luck with whatever you decide to do, but if you plan on using cacl, then first read the thread from start to finish before you start injecting as this will help you to avoid the pitfalls that some guys experienced in the beginning. Some of the guys towards the end of the thread started getting overly technical and I would advise you to ignore all their comments.

Hi Micdavi24, how do you feel now five months post castration? I am heading this way but maybe have a wtf am I doing moment every so often for approximately one day of every month. I do not know your personal reasons but have struggled for years with testosterone in my system and for for too many years have been worried about what people will think. Can't go on like this though so I would appreacite your feedback on how you feel now?