So... after 15-20 years or so debating what to do, (as in, the right thing to do for me) I finally reached a decision to get an orchidectomy and getting on low E mid last year. However I wanted to wait until I had returned to New Zealand from Japan before I approached a GP about it. I’m planning on registering with a new GP and doing that next week (or however long it takes for the registration to be completed and an appointment booked)my question is, as someone who is 100% serious about doing this, what is the best way of approaching a regular joe bloggs GP and explaining the situation?

thatotherguy22 (imported) wrote: Fri Feb 19, 2021 6:51 pm So... after 15-20 years or so debating what to do, (as in, the right thing to do for me) I finally reached a decision to get an orchidectomy and getting on low E mid last year. However I wanted to wait until I had returned to New Zealand from Japan before I approached a GP about it. I’m planning on registering with a new GP and doing that next week (or however long it takes for the registration to be completed and an appointment booked)my question is, as someone who is 100% serious about doing this, what is the best way of approaching a regular joe bloggs GP and explaining the situation?

I am sorry I don't have definitive information for you. However, in some cities here, in the US, there are trans clinics and advocacy groups. I'm not suggesting that you need be trans to contact them, they are typically great resources to get lists of doctors who are sympathetic to the needs you describe. Sometimes these clinics will also have in-house services for providing hormone prescriptions and/or monitoring hormone levels.

Best wishes to you!

Your best bet would be to have some medically necessary reason to provide to the dr that would satisfy the new dr and the national health insurance authorities to justify why you need this surgery.

I don’t comment much on this site largely because I have little substantial that I can contribute. I have in the course of decades spoken to several MD and consular s about getting cut. The first time was the biggest disaster. Where I clearly understood the medical issues and had, in the mid 1980’s, looked into the psychology quite a bit, I had not at all anticipated the visceral reaction of my practitioner. (this was a GP.) Life keeps the idea on the back burner for some time. Next was a very skilled Consular who pointed out to me what they would consider a good decision on my part. I stepped away as I processed the idea and the methods available. I developed my 4 part strategy and by the time that was accomplished the internet had arrived. This moment and the stupidity of what was being said on the internet by fake or malicious individuals set the conversation back. About now I found this archive where I have under various names been around learning since the early days. In the early 200’s my second attempt was way more positive. First, I had a plan of what I wanted to accomplish and how I could do it. Second, I could articulate my ideas and desires in a rational fashion in a language both MD and Consular s could understand and that showed I had seriously studied the issues involved. And after great progress, I had to change jobs and move. I kept up on these pages and refined my plans and ideas. I also spoke with professionals here that have greater knowledge than I on the subject and some folks that have gone through it. This helped me grasp even more what to expect in the process and the results. In this time society has changed. I approached my current GP with not an idea this would help me, but a plan forward on how I would accomplish this, a medical provider that would accomplish the surgery safely with the proper letters and a Consular with incredible credentials that were willing to work through the questions with me and provide a letter if I satisfied their requirements. I was about to start suppressors for a six-month trial when my sister and mother both died. I lost my job and had to gain a new one (move yet again) and just when we were about to get started covid hit. My consular and I agreed that lock-down was not a realistic trial and we are waiting for a more reasonable moment to continue moving forward.

1. have a plan.

2. be informed

3. have a complete list of possible provides ready

4. have the support of intimate partners.

5. be ready to accept criticism and unemotional respond to it.

thatotherguy22 (imported) wrote: Fri Feb 19, 2021 6:51 pm So... after 15-20 years or so debating what to do, (as in, the right thing to do for me) I finally reached a decision to get an orchidectomy and getting on low E mid last year. However I wanted to wait until I had returned to New Zealand from Japan before I approached a GP about it. I’m planning on registering with a new GP and doing that next week (or however long it takes for the registration to be completed and an appointment booked)my question is, as someone who is 100% serious about doing this, what is the best way of approaching a regular joe bloggs GP and explaining the situation?

So... after 15-20 years or so debating what to do, (as in, the right thing to do for me) I finally reached a decision to get an orchidectomy and getting on low E mid last year. However I wanted to wait until I had returned to New Zealand from Japan before I approached a GP about it. I’m planning on registering with a new GP and doing that next week (or however long it takes for the registration to be completed and an appointment booked)my question is, as someone who is 100% serious about doing this, what is the best way of approaching a regular joe bloggs GP and explaining the situation?

Hey @Joblisk,

First, welcome home. Good to see you on here and also to make your first post.

As you have read above, this is not an easy topic to discuss with a GP. In medical school, doctors are taught that if they hear the sound of hoofs coming towards them, that they should think of "horses" and "zebras". By that I mean, most GPs would instantly wonder about your mental state.

Being informed is your best option. However, most initial GP appointments take about 30 to 45 minutes and the doctor has an agenda to check you out for everything from hair lice to toenail fungus. Tossing this into the mix will very much upset his flow.

Having said that, so what. It's your body, your health, and a topic you want to discuss.

Here is what I would recommend.

1. Be very respectful of all the things your GP needs to do in your first appointment. He is checking for lumps, bumps, pain, and anything odd. He doesn't want to miss anything.

2. Bring a list with you of your questions and concern. Put it in writing. I use an 8.5 by 11" piece of paper and a sharpie to make sure my questions can be seen. Put the list on the exam table next to you. Most likely they will want you in a gown and on the exam table.

3. When the doctor comes in, tell him that after he is done with his exam, you have some questions. Make sure he sees the paper.

4. Write each question as one line. You can verbally add more. Don't printouts from the Internet to backup your questions.

Here is an example of what your questions might look like. I recommend keeping them to five or less.

Is it time for a colonoscopy?

Refill my prescriptions

Lower Back Pain

Transgender counseling for Male to Eunuch - How do I start?

Notice, you are asking for his help and not telling him you want to be castrated. Most likely, the first step would be therapy. The doctor will think of horses when he sees that not zebras.

Not every doctor is informed about MTE and asking about where you should "start" gives the doctor an "out" to refer to to therapy or a specialist (perhaps a urologist). I bet the GP will not be shocked and will help you.

Having the written list is so important because it helps ensure you won't lose your nerve.