• Help and guidance.

Posted: **Sun Dec 25, 2022 1:58 pm**

Hi,

Im a UK based, heterosexual, male, who was born in the sixties.

I have a strong interest in getting an orchiectomy.

A principal reason for this is that I think my testicles present a significant risk to me in my later life.

I want to maintain my sexual function after and so I would probably need testosterone replacement therapy.

Because of the risks they pose; I want as much of the spermatic cords removed a possible and so a low inguinal orchiectomy would be my preference.

I know there is absolutely no chance achieving this through the NHS in the UK and so I don't want to waste time there.

I want to achieve my goal though a bona fide private medical route, preferably in the UK or possibly Northern Europe and my preference would be for a female surgeon to carry out my procedure.

I recognise that all this could be difficult to achieve, but I would appreciate any guidance or comments any one could give me.

I'm very interested to understand the hoops I might need to jump through to meet the requirements to get it done and where I could get it.

Theres quite a bit more I could add and I probably will at a later date in a different forum.

Posted: **Mon Dec 26, 2022 8:12 pm**

Welcome to the forums... I hope you learn a lot and get the help you desire....

I do think some of your goals are possibly inadvisable not readily possible... Inguinal surgery is MUCH more invasive and will have a much harder and longer recovery than going through the scrotum. As such unless there is definite reason to need to do it inguinally, you will have a hard time getting a doctor to do it that way. I'd suspect the risks from inguinal surgery might even be higher than any issues from cord remnants.

Reportedly, sexual function may or may not still be possible, even with T replacement - it seems to vary a lot between individuals. (Hormone replacement is more for bone health and other physical issues than it is anything sexual)

I'd also be far more concerned about the competence of the surgeon than what's under the scrubs...

In terms of hoops, pretty much any reputable clinic is going to be using some form of the WPATH 'Standards of Care'. Fortunately the newest version, SOC 8, was recently released, and includes a chapter on patient's doing M->E transitions. I'd advise downloading a copy and being familiar with it. In short it involves getting letters from doctors to the effect that you have a full understanding of the risks and consequences, and meet their standards for wanting the surgery. Typically they also require a period of chemical castration as a 'test drive' for you to see what you are getting into and be sure you REALLY want the irreversible surgery.

I have NO experience with the UK health system, but I've gotten the impression that at least some of this can be done in country, but I'm not sure just how much, and what the route is for doing it.

Hopefully this helps,

WheelyCurious

Posted: **Mon Dec 26, 2022 8:20 pm**

If you have a preference regarding the gender of the surgeon doing this for you, I'd have to question the sincerity of you actually wanting assistance to achieve this.

Posted: **Thu Dec 29, 2022 9:17 am**

WheelyCurious wrote: Mon Dec 26, 2022 8:12 pm Welcome to the forums... I hope you learn a lot and get the help you desire....

I do think some of your goals are possibly inadvisable not readily possible... Inguinal surgery is MUCH more invasive and will have a much harder and longer recovery than going through the scrotum. As such unless there is definite reason to need to do it inguinally, you will have a hard time getting a doctor to do it that way. I'd suspect the risks from inguinal surgery might even be higher than any issues from cord remnants.

Reportedly, sexual function may or may not still be possible, even with T replacement - it seems to vary a lot between individuals. (Hormone replacement is more for bone health and other physical issues than it is anything sexual)

I'd also be far more concerned about the competence of the surgeon than what's under the scrubs...

In terms of hoops, pretty much any reputable clinic is going to be using some form of the WPATH 'Standards of Care'. Fortunately the newest version, SOC 8, was recently released, and includes a chapter on patient's doing M->E transitions. I'd advise downloading a copy and being familiar with it. In short it involves getting letters from doctors to the effect that you have a full understanding of the risks and consequences, and meet their standards for wanting the surgery. Typically they also require a period of chemical castration as a 'test drive' for you to see what you are getting into and be sure you REALLY want the irreversible surgery.

I have NO experience with the UK health system, but I've gotten the impression that at least some of this can be done in country, but I'm not sure just how much, and what the route is for doing it.

Hopefully this helps,

WheelyCurious

Hello WheelyCurious,

Thank you so much for your response, you are obviously very well informed and I particularly like the way you addressed each point I listed.

As I said, I am inexperienced, but I have been carrying these thoughts, fears and goals for a year or two and its only been because they have been steadily growing in intensity that Ive had the courage to try find out more and put those thoughts in order.

I could discuss each of your responses to my original post in detail, but it is your pointer to WPATH, SOC8 document that I have found so very very enlightening! It is an exceedingly thought-provoking document and has made me question myself, my rationale and goals.

You truly did help

Nookah

Posted: **Thu Dec 29, 2022 9:24 am**

Losethem (imported) wrote: Mon Dec 26, 2022 8:20 pm If you have a preference regarding the gender of the surgeon doing this for you, I'd have to question the sincerity of you actually wanting assistance to achieve this.

Hi Losethem,

Thanks for your comment, it made me question myself and read a lot more on this forum.

I don't think I'm alone with this preference, but it is not a requirement and not a kink, just a preference. Indeed, it would be clinical skill and competence that would be the driver.

Nookah

Posted: **Tue Jan 03, 2023 8:23 am**

Just an advice.

Try androgen blocker, hereby you’ll know if reality fit with your imagination of being castrated. The advice is 6 months trial on the blocker for the full effect to set in.

There are a number of threads from people who have recorded their experiences being on this medicine, which you should read about, to educate yourself.

But basically taking the chemical route first, let you try it before you buy it.

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