I'm at 28 year-old heterosexual male and I've thought about becoming a eunuch consistently for 13 years. Last year I made the decision to get a vasectomy. It was an easy enough procedure to get and I was pleased with the outcome; I certainly had no regrets becoming sterile (I opted out of banking sperm). My thought was that if I really want to have my testicles removed a vasectomy should be a good first step. This year, I decided to contact transgender services through my healthcare provider and see whether I could have a voluntary orchiectomy on the grounds that I'm gender non-conforming. I went to an info session earlier last month and had my first psych evaluation today. Theres a three step process, same as those who are trans, however, the psych seemed confounded that I want to have my testicles removed but still identify as a cishet male. The psych did inform me that my case would get "flagged" and I should expect to hear back for another evaluation within two weeks.

I had quite an emotional day but I'm feeling positive since I made a pretty big step and presented my case. I have health insurance through work so I figured I would try this option before anything else and if need be try again in the future (I mentioned that during the evaluation as well). I'm hoping for the best but expecting a big fat "NO". If anyone has gone this route and could provide any advice or guidance I'd appreciate it.

The insurance companies are looking for medical necessity that fits neatly into the already approved boxes and diagnoses that have been set up by medical providers. The medical people should be familiar with what will likely get approved and what won t which is based on what the providrrs send to the insurance companies.

A male who wants to remain a male and take artificial testosterone after being castrated doesn t fit into the usual transgender model that medical providers are taught and use. That s why you re flagged as being out of the ordinary and confusing to them.

A good medical provider can make an effort to present a situation in ways that make insurance approval and payment more likely or less likely. A medical provider who wants to see your costs approved has more of a chance of getting insurance to pay than one who doesn t care or try.

Your big hurdle is wanting castration but then wanting replacement testosterone to remain male afterward. That s tough to make into a medical necessity or a change of gender from male to female.

Most men wanting that seem to end up paying for it themselves without any insurance coverage for it.

I’m certainly experiencing that kind of confusion and scrutiny. There are a lot more people falling into the gender non-conforming category so I’m hoping there’s a possibility of recognition. The psych seemed fairly supportive even though it confounded him. Has anyone had luck going through their medical insurance for male-to-eunuch issues?

I’

SeverancePackage (imported) wrote: Wed Jul 04, 2018 1:54 pm m certainly experiencing that kind of confusion and scrutiny. There are a lot more people falling into the gender non-conforming category so I

’m hoping there’

SeverancePackage (imported) wrote: Wed Jul 04, 2018 1:54 pm s a possibility of recognition. The psych seemed fairly supportive even though it confounded him. Has anyone had luck going through their medical insurance for male-to-eunuch issues?

I managed to get Medicare to cover my orchiectomy for ambiguous eunuch-related reasons, but it was very much a medical necessity. Severely affecting ability to work, etc. I had the surgery done by Dr. Sara Spettel in Oregon, and never had to pay anything up-front. Her office can usually get people in to see her within a week, although my actual surgery date at the hospital was scheduled 3 weeks out. If you could find a doctorate-level psychologist to write an initial letter as detailed as mine, you could probably get things through insurance, but such a letter may not be completely honest if you aren't tearing your intestines out in frustration. If you have stable income, you might also consider taking a trip to Dr. Arnkoff in Michigan as so many here have done. Last I heard, he charges 3500 and schedules about 2 months out.