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impotence after surgery

Posted: Sat Oct 03, 2020 12:05 am
by julian--- (imported)
I have had abdominal surgery. The bloodsupply to the right lower abdomen was stopped. That caused complete impotence. My sexdrive was just as high as before or maybe even higher. that is not a desirable situation i can tell you .. Some time a doctor and a psychologist suggested that castration might be an option for me, because it would stop my sexdrive. They suggested i should try it by starting with depo provera and see how life without a sexdrive is .. I did .... I am on depo for two years now.... Now it is time to make the choice for surgical castration or not .

Any other people in here with this experience? I would love to chat about it.

Greetings

Julian

Re: impotence after surgery

Posted: Sat Oct 03, 2020 12:23 am
by HumanFly (imported)
I was on DP for a while a few years ago (if I could get hold of a reliable supply, I would have continued with it). The good thing about it in my experience is that it's not debilitating and doesn’t result in loss of strength. If you're not impotent, it won't make you impotent; it will reduce the desire and cut out spontaneous or involuntary erections (hence no morning wood). Being castrated will as you won't have your testicles nor any replacement. Androcur or something like Zoladex would be a better guide to what it's like to be castrated.

Have you been told you cannot continue the depo?

Re: impotence after surgery

Posted: Sun Oct 04, 2020 8:18 am
by julian--- (imported)
HumanFly (imported) wrote: Sat Oct 03, 2020 12:23 am I was on DP for a while a few years ago (if I could get hold of a reliable supply, I would have continued with it). The good thing about it in my experience is that it's not debilitating and doesn’t result in loss of strength. If you're not impotent, it won't make you impotent; it will reduce the desire and cut out spontaneous or involuntary erections (hence no morning wood). Being castrated will as you won't have your testicles nor any replacement. Androcur or something like Zoladex would be a better guide to what it's like to be castrated.

Have you been told you cannot continue the depo?

HI , thanks for your reaction. for me it is important to stop the drive completely. i know i can't continue the depo. is that also the case for zoladex and androcur. A doctor told me surgical would be best.

Re: impotence after surgery

Posted: Mon Oct 05, 2020 9:56 am
by TopManFL (imported)
julian--- (imported) wrote: Sun Oct 04, 2020 8:18 am HI , thanks for your reaction. for me it is important to stop the drive completely. i know i can't continue the depo. is that also the case for zoladex and androcur. A doctor told me surgical would be best.

Hey @ julian,

There is a great sticky note on chemical castration in the Chemical Castration Forum.

http://forums.eunuch.org/forumdisplay.p ... p-Hormones

You say you "can't continue on the depo". I assume that is because chemical castration medications have to be processed by the liver. After some time, that can cause liver damage.

A doctor who is looking to create ADT (Androgen Deprivation Therapy) will almost always tell the patient that physical castration is better than chemical if it is for the long term. In your case, you were using chemical castration as a test to see if the effects of castration made you feel better. Considering there are a great many men who have ED and normal levels of testosterone and a normal libido who are happy the way they are. So, a test of castration made sense in your case.

One thing to consider is that most likely your urologist will do a subcapsular orchidectomy. Since your desire is a loss of libido, this would be the preferred surgery. You can Google subcapsular orchidectomy and find out more information.

In short, a subcapsular orchidectomy only removes the inside part of the testicles. Each testicle is covered in a membrane. A subcapsular orchidectomy only removes the part that is inside the membrane (the capsule) and that is where the name comes from.

A major difference between a subcapsular orchidectomy versus a radical orchidectomy is that a subcapsular leaves the scrotum with the chords and about half of the testicle in place. Although the testicles are smaller, there is no empty scrotum.

Plus, a subcapsular orchidectomy has far fewer post-surgical complications and heals faster.

On this forum, many members are looking to have all of their testicles removed so that their body image and their physical body match. If you are only looking for the effects that castration would have on your libido, you might want to keep the remaining part of your testicles post castration - which would leave your scrotum with testicles and not leave you with an empty scrotum.

I am not a doctor and you should discuss this with your doctor. .

You can Google subcapsular orchidectomy and also the YouTube has some good videos on the difference between a radical and a subcapsular orchidectomy.

TMFL

Re: impotence after surgery

Posted: Thu Oct 08, 2020 10:05 pm
by JessicaH (imported)
Chemical castration is often harder on the body than a surgical castration. You will still have some T after castration but many chem castration drugs push the T to almost 0. You can add Tamoxafen which has many of the benefits of a sex hormone but lowers libido and stops any breast growth.

Re: impotence after surgery

Posted: Fri Oct 09, 2020 6:36 am
by julian--- (imported)
Thank you so much for your advice ... i really appreciate it .. It is not an easy path to go.. and all help is very welcome .

Re: impotence after surgery

Posted: Mon Oct 12, 2020 8:36 am
by HumanFly (imported)
Is there a limit to how long you can be on DP? It's designed as a female contraceptive and I'm pretty sure they take it for years - more than two.

Re: impotence after surgery

Posted: Mon Oct 12, 2020 2:30 pm
by JessicaH (imported)
Provera is a synthetic progestin that was made to make it long lasting compared to natural human progesterone. You would have to inject natural P (P4) about every 3 days or take it orally or rectally daily. The interesting thing though is if you look at the side effects of Provera vs. P4, they are mostly opposite of each other with Provera causing many negative effects. I honestly wouldn’t recommend anyone take Provera at all with so many other options available. E2/estrodiol is also the only estrogen I’d suggest for the same reasons.

Re: impotence after surgery

Posted: Tue Oct 13, 2020 3:30 pm
by chrisbinalman (imported)
from my experience [losing both of my balls outside my choice] having them removed isnt that huge of a choice in the long run, as unless you want kids you dont lose all that much [more so as you want to get rid of your sex drive, which could be brought back at a later date with HRT].

While its a big choice, its not going to really radically change your life afterwards