I was having a pre-op check up today and, as we are want to do, my Doctor and I fell to discussing other matters. For no reason I asked him if, the surgery had not already been done, would he approve castration to which his answer was, "Certainly". It's not therapeutic but given the amount of Depo Testosterone you've used over more than a decade for Multiple Sclerosis, there's no question that your testes are dead and useless.

Which made me think...I wonder how many men who are desirous of this procedure overlook their prime physician as a valid starting point. If you have a long relationship with them, have been open about any and all medical problems, this is just another subject for exploration. I cannot say what their response might be but it's a good discussion to start having. There are a few things I am sure would stop them and one would be your age-under 50, married, probably doesn't suggest you as a candidate. Wanting this done for fetishist reasons is another quick out-and Doctors see more of this than one might imagine.

Again, if this is a serious consideration, start the talk now if only as a hypothetical. Later, when it turns more serious the ground work has been laid. Also a referral from your physician to an Urologist could be very helpful.

You are so right about this. I was amazed how fast my consultant agreed to remove my left testicle which is going ahead in a few hours time. Like you say about building a relationship with your consultant I have known mine for over five years he was the one who did my suprapubic catheter. It's worth a try.

My primary care doc does a great job with everything except anything to do with my castrated state and dysphoria. Until last week, he just avoided the topic, and left the prescriptions to the endocrinologist.

This time he wanted to know why the T had been stopped, and hearing about the dysphoria, opined that it was good to have stopped as this was clearly a toxic reaction to the T. That I had dysphoria was an indication that I need an antidepressant. Such thoughts were clearly abnormal and probably pathological. (My current life is happily anything but depressed!)

So, I wanted to know how he felt about no T and bone health, avoidance of anemia, and yes, depression. He felt there was no causal link at all. He recommended me to continue with no T. This guy is in his late 30's and IMHO has no excuse, even like kindly befuddled old age or retention of social norms from the last century.

Shrink and endo have clubbed together to help find me a replacement asap. Can't wait!

While a great PCP is one of life's great treasures, I wonder if others have met with at least unacceptance of some aspect of non-binary gender from their docs?

Back in the mid 80s I looked high and low for a MD who would actually help with achieving my goal of getting rid of the Male anatomy. A healthy young man was absolutely not a person that the MD's were willing to put under a knife to erase what was considered the basis of masculinity in those years. At least not in the more civilized societies. During that period of time I was busy with my many sailing adventures so was not able to build a relationship with what we now call a Primary Care Provider. (My how things change over the years) Back then folks saw a doctor for emergencies or serious health issues. In this era folks see doctors for just about anything under the sun. Not to in any way marginalize the roll of medical care in modern society. Then when the 90s arrived I could stand it no longer and sought help in what was often considered a less civilized society. (Mexico) a country I've grown to love for its people. After finally erasing the most offensive things on my body my life continued in the adventures of sailing around the world. Naturally over a year I found the need to self administer hormones in order to mitigate some perceived health issues. In other countries I was easily able to purchase hormones and did so. As I've shared previously I opted for "E" simply because I didn't yet have a good understanding of all the effects that would follow in years to come but under no circumstances did I desire to replace the "T" which great efforts were taken to eliminate.

Arrive some time later and a relationship happened with a man and my sailing adventures ended. The relationship was the most important event to happen in my life I perceived. Marriage ensued. And a health issue popped it's ugly head requiring hospitalization in the U.S. It was serious enough that I was unable to communicate and my husband was forced to make many decisions on my behalf. That was all fine. But now to the point of the story.

It seemed that a new generation of doctors were now coming into full force and what I found was that they were far more open to taboos of the past and far more receptive to actually helping people live the lives they wanted to live. Those same doctors have treated me for more than 20 years without judgement of any sort and attended to the needs I have had as a nullo. We all need to be honest firstly with those who we seek help. And if at first we fail to find the help we need do not give up but keep trying. The help is available as our medical community is advancing and moving away from the stoic bigotry within the medical community of years gone by. As we are honest with ourselves let us also be honest with those who we seek help and all will be good.

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Begoneboy (imported) wrote: Mon Feb 18, 2019 8:30 am . The help is available as our medical community is advancing and moving away from the stoic bigotry within the medical community of years gone by. As we are honest with ourselves let us also be honest with those who we seek help and all will be good.

I think so, but it all takes time, and along the way there are instances of "stoic bigotry" which take us by surprise when we expected enlightenment.

Life has a curious way of turning out for the best in the end.

BTW, I thought that I had a colorful life story, but BGB amazes by the day! We thank you and appreciate sharing the not easily shared.