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Frequently Asked Questions
Episode 8 - In this one we interview the charming, the multi-talented, the legendary... Maddie Blaustein! Comic industry veteran, noted cartoon voice actress, tabloid Photoshop artist, and comedienne. In this episode we talk about comic books, cartoons, stand-up, transitioning, and a lot more!
We talk about the Bilateral Orchiectomy surgery in
Episode 21: losing friendships and orchi consultation adventure
and
Episode 30: Post Orchi and Transgenderosity
Bilateral Orchiectomy (also know as “an Orchi”)
- this is an out-patient surgical procedure for the removal of the testicals.
***we are not doctors, nor is this site intended to diagnose any diease or condition. Anything contained on this site should be seen as the opinions of the author and used for education only. See a licensed physician if you intend to have any medical procedure preformed. Do not in any way attempt this procedure or any related procedure on your own, or without medical supervision.***
Benefits for Trans Women:
- Removes the main production center of Testosterone in the body
- Anti-Androgens can be significantly reduced or stopped entirely after the procedure. This reduces stress on the liver, and eliminates the side effects of long term Anti-Androgen use.
- Because of the lack of testosterone, a break in hormones will not cause back tracking, or de-transitioning.
- Can halt and/or reverse recent hair loss.
- Possible lessening of dysphoria, and increased body image.
- Increased ease in tucking and hiding genitalia under tight clothing.
- Possible reduction of testosterone dependant body hair
- Possible increase of feminizing effects from HRT
- Cost of surgery is between $1,300 –$ 2,000 USD in most states. (updated 2008) this is a significantly easier amount to save than the $10,000 – $30,000 for SRS.
Negatives for Trans Women
- Permanent Sterility
- Possible loss of libido
- Possible hot flashes or other hormonal side effects.
- If SRS is not completed shortly after, the scrotal tissue may shrink and atrophy, resulting in a possible need for a skin graft during SRS.
- Scar tissue may complicate SRS if the incision is done improperly.
- After having an Orchi one will require hormone treatments to maintain levels.
- Surgery always has its risks, including blood clots, infections, or other unforeseen complications.
- The $1,300 could have been used instead to save for SRS.
Overall view:
There are many risks and benefits to consider when getting surgery. Things you should discuss with your doctor before having this procedure include: What risks are involved for you personally? Does the doctor know the proper way to perform an Orchi that will not interfere with SRS? How long do you think it will take to get SRS, or will you have SRS at all? Do you want to have your own children in the future? Should you bank sperm for that possibility?
Of course this is a serious medical procedure, and although it has a quick recovery time, you should always weigh the risk and benefits before deciding how to proceed.
The procedure takes between 45 min to 1 hour 30 min, depending on the circumstances. Typically it is done under local anesthetic, although some surgeons will prefer general sedation. There is typically little or no pain during the procedure, but in some cases there can be sensitive areas that need additional anesthetic to numb.
After applying the anesthetic the doctor will perform and incision. There are different techniques, including: a mid-line scrotal incision, a bikini line incision, or a side scrotal incision.
The testicals are pushed through the incision, where the doctor clamps, and removes the testicals, then cauterizes the attached cordage. The cordage re-positioned, and the incision is sewn closed.
The area is cleaned and packing is applied.
The patient is then moved to a recovery area, where they are observed and asked to drink liquids. This recovery period could be between 30 min to 1 hour, depending on what type of anesthetic was used, and how quickly the patient’s body recovers.
You will most likely be able to walk after the recovery time, although there will be soreness around the area of the surgery. Swelling is typical, and can last for several days. Driving and walking can be a problem for a few days after the surgery. Ice can be applied to reduce swelling. It is typical to feel tired or weak after surgery. Make sure there is someone with you, as you will not be allowed to leave the hospital without an adult to supervise your condition. Typically a doctor or nurse will give after care instructions, and advice of any warning signs of infection, or complications.
If dissolvable stitches are used, there may be restrictions from showers and baths for the first few days.
A word on Self Castration
DON'T DO IT!
Surgical procedures should only be performed by a licensed surgeon. Attempting to perform this procedure on yourself can lead to serious injury and/or DEATH. Cutters (unlicensed people who perform castrations) are equally as dangerous and unregulated. There have been many deaths due to cutters, and from attempted self castrations. Never use a cutter, or try to perform ANY procedure on yourself. Always check that your surgeons are licensed and competent to perform the procedure safely and effectively.
we talk about Jayna's FFS surgery, including and interview with Doctor Spiegel. We talk about the trials and tribulations of going through a major surgery, and give a step by step account of our journey. In addition we respond to a few listener voice-mails, and rant about the cold weather in Boston.
Episode 32 Transgender Thought Crimes
we talk about transgender as a thought crime inspired by an article on Kuwait's new laws targeting transgender people. Read the article here We also have a heated discussion about the haves and the have-nots when it comes to surgery. Vicki Davis' website can be reached here: http://vickiedavis.blogspot.com/ We also discuss the limits of empathy and make mention of the monkeysphere Also we talk about the missing episodes 12, 18, and 20. BTW; I just restored episode 12 in original mint condition without the discussed editing.
Episode 16 FFS, Seeking Permission, and Trans-Burnout
We talk about a few things in this episode including Jayna's FFS plans and what is this FFS anyhow? We also talk about the transgender ruling by the Methodist church and the concept of seeking permission. Judgmental trans-folk and the general trans-burnout from attending too many groups. We also talk about the upcoming transgender day of remembrance and HRC trying to get its greedy mitts on it!
We traveled to see Doctor Spiegel in Boston.
