but I really don want to complicate my SRS surgery. What kinds of issues could having an orchiectomy before SRS, and are there ways to minimize the possible complications?
This is my most Frequently Asked Question these days, so I hope to answer it once and for all. I counsel against orchiectomy, as it drains money which could go towards SRS, unless this is your final destination (as it is for some individuals who, for health or personal reasons, never plan on SRS). There are no great risks to orchiectomy (such as shrinkage or scarring) as proposed by some surgeons. However, I find little advantage in doing this step as there are perfectly adequate testosterone blockers available in pill form (spironolactone or Proscar). We’ve found spironolactone online for 0.50 cents / 100mG dose. At a typical pre-op dosage of 200mG/day, that is $30 per month. Even at a bargain basement $1000 for an outpatient orchiectomy (not recommended), the breakeven point is 3 YEARS. So unless you have some serious health issues that preclude taking testosterone blockers or are planning to have surgery 4-5 years down the road, an orchiectomy is going to cost you more money than si
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