So far, there have been three surveys of the Eunuch Archive community, resulting in over two dozen publications in academic journals. These articles have raised awareness both of the existence of contemporary eunuchs and of the need for proper medical care. Abstracts of each of the publications have been posted on the Non-Fiction Articles Board as soon as they are published together with an offer to send PDF copies to any EA member who wants one. I will post a full listing there and renew the offer to send them to anyone who requests them.

The articles have helped to improve both the DSM-5 of the American Psychiatric Association and the ICD-11 published by the World Health Organization for use worldwide. Both now recognize genders outside the male/female binary. The ICD also recognized Body Integrity Dysphoria. The articles are also important background for the up-coming 8th edition of the Standards of Care of the World Professional Association for Transgender Health that will be published next year. The Standards of Care will include an entire chapter on eunuchs and recommend both hormonal and surgical care. Your responses to previous surveys have made this possible.

Each previous survey has asked as a final question if there is anything else we should have asked. Your responses have helped to define the research. As we plan this Fourth Survey, we would like to ask if there is anything that you think we need to include. We may not use all suggestions so as not to make the survey too long, but we will consider all suggestions.

Please post any ideas as responses to this thread. Thank you.

The only thing that springs to mind, both from aspects of my case and from some other posts I've seen, would be connected to the support of personal preference in terms of medical options.

There is a nuanced space where people choose to favour orchidectomy, prostatectomy, penectomy etc. for prophylactic reasons or ahead of mesh for torsions etc. ahead of options that some other people would prefer.

A doctor's orders and gender affirmation are these two big gravity wells, but for the sake of understanding and supporting autonomy it would be useful to explore liberty and the pursuit of happiness where there aren't such big handles for a preference. Dysphoria is another kind of emerging gravity well... but I fear that a requirement to evidence distress could become a sort of gatekeeping.

Anyway, as I said, this issue is about nuance. Hopefully increased liberty and standards of care would be a precedent to help everybody get what they want.

The Doctors associated with my Penectomy, both my PCP and my Gender change Surgeon, said that it was not good to go without sex hormones and that I needed to pick one or the other; Testosterone or Estradiol. I'd had enough of the Testosterone after my Orchiectomy but had to get it from InHouse as I could not find an Endocrinologist who would even talk to me, not only are they busy, but none seemed to be LGBTQ friendly. Turned out later that my PCP guy was open to those folks and when I told him about the Penectomy, he gave me the Estradiol after ordered an ultrasound of my legs checking for clots. I did not tell him about my Orchiectomy and there was about five years between the procedures.

So the suggestion would be; isn't there someway that need, or desire for supplemental sex hormones could be made available for those who do not wish to change genders?