Thanks sharing. That's been very helpful. I'm assuming you're on TRT? Did you ever try low dose TRT, how did that compare to a natural / regular dose?Nick2023 wrote: Mon Nov 17, 2025 6:01 pmI had all of those thoughts in the years leading up to my castration and looking back, I can honestly say that it was all in my head. I had a simple orchiectomy in 2023 and my two regrets are noting having my scrotum removed and not getting castrated 2 decades sooner. The problem was access back then and the hype over the unknown. It's not as much of a big deal as it seams. Everyone knows that I'm a eunuch and nobody cares. My self image actually improved after my testicles were gone because my ideal body doesn't have balls swinging in the way down there. You can go on low dose TRT, full dose, or natural with no hormones afterward. If you go natural it's no different than a woman going through menopause. And like what woman go through it can take up to a year before you reach a new tolerable normal. T withdraws can be rough to mild. If you are worried I would go on a low dose topical gel form of TRT after surgery. It's much easier to wean yourself off of T without going through the typical hormone crash post surgery if you start weaning from a low dose to begin with.Swim1650 wrote: Mon Oct 27, 2025 7:06 pmThank you for taking the time for such a detailed response. I actually live in the US but did spend a lot of time in Israel when I was younger.WheelyFixed wrote: Thu Oct 02, 2025 3:24 am Welcome to the forums, glad to see you here.
I'm actually one of the first people to go through the WPATH SOCv8 process to get an orchiectomy and scrotectomy, so I'm quite familiar with the process...
One of the first things I'd do is go to the WPATH website and download a copy of the SOCv8 https://wpath.org/publications/soc8/ It is available in other languages, not sure if Hebrew is on the list or not. I recommend reading all of it, paying particular attention to the chapters on Eunuchs and Mental Health. One of the things the process requires is convincing the doctors and shrinks that you are sincere in your desire, and fully and totally understand all of the risks and consequences involved.
In many ways I'd compare it to a job interview, where HOW you answer is almost more important than what you say, and knowing the SOC helps you know what sorts of things they are going to ask, and the sorts of things they will be looking for in the way of answers.... When you start talking and quoting the SOC It also tells them that you have "done your homework" I'd also get very good understanding of all the effects of surgery and be able to discuss them in detail....
What I'm not sure about is what the options are in Israel for any sort of trans-gender care, I'd try a search for clinics and reach out to them. I just did a quick one and most of the references were in Hebrew, but they mentioned https://eng.sheba.co.il/Gender-Reassignment-Clinic multiple times and at least one said they did all sorts of top and bottom surgery.... I'd suggest starting there unless you find a better choice. I will say that I was very pleasantly surprised at how open and accepting the clinic I went to in the US was, so don't be afraid to call them.
WheelyFixed
I understand the need for me to demonstrate I understand the procedure, how it will affect me, the risks involved, and that I’m pursuing this for the right reasons. As I read the document (about a week ago), as I recall, WPATH said a Eunuch is assigned male at birth who desires to remove or inactivate their reproductive organs. I guess the question by that definition is identifying as a Eunuch body dysmorphia or actual gender dysphoria? I still feel and desire to be otherwise masculine. Is body dysphoria enough to warrant intervention? In other contexts, I’ve seen people discuss being a Eunuch or Nullo as non-binary, which in some ways resonates less with me. On the other hand, my sincere desire to get rid of my penis is not typical of most men.
The next question I have is regarding the typical requirement to socially transition for a year and trial hormones. I’m not sure how I really socially transition to being a Eunuch. My intention if castrated would be to take testosterone to maintain my masculine physique elsewhere. WPATH mentions androgen suppression prior to castration as an option to reduce sexual function… maybe that’s worth trying but I feel like reducing T comes with a lot of undesirable issues for me like muscle loss, weight gain, depressed mood, etc. The only reason I might consider that was if maintaining lower T-levels (before and after castration) would atrophy my penis enough so that I didn’t feel the need to have a penectomy. I’m not sure that’s realistic especially without affecting my body in other un wanted ways.
I am confident to let my scrotum and testicles go. I also know I’d prefer not to have a penis, but that’s admittedly a much bigger decision to make. Is it typical that they would do the castration first and then the penectomy at a later date, or would I have to get it all done at once? (Two surgeries also means a lot more recovery.
I’m know I’m overthinking this but I’d just hate to invest a lot of time and emotional energy discussing a deep part of me only for this not to work out.
I know I just need to take that first step.
It sounds to me that chemical castration for at least 3 months would be a good idea if you can get safe access to it. Once your testosterone clears out of your body your mind clears from all of the sexual tension and from there you can better figure it out. If you find that not having hormones isn't for you but you still want your junk removed than TRT and surgery is the way to go. Take it slow if needed, you can have things removed in stages. But overall one surgery is better than two or three as long as it feels right inside.
When I first saw your comment about chemical castration I wasn't so sure that's something I'd want to try. After doing a bunch of reading into it (leuprolide mostly) and I'm feeling more open to it for the sake of better understanding what I'd be getting into
. To be clear, long term I don't think I would ever want to have zero testosterone aka be a menopausal woman due to the long term health effects and I'm not interested in estrogen. Some level of TRT seems to be what I'd be interested in, but experiencing chemical castration seems like a potentially important step. Seems like with lupron around 3 months is long enough to experience castration without developing some of the unwanted or permanent physical effects - 6 months is when things start becoming more permanent.
