The Transgender Orchiectomy Procedure

The orchiectomy procedure for the transwoman is designed to eliminate the body’s natural production of testosterone to achieve feminization without having complete genital confirmation surgery.  Additionally, it allows for the discontinuation of risky anti-androgens such as spironolactone.

Many transwomen either do not desire or are not in a position to have full genital confirmation surgery.  The orchiectomy is a relatively common and safe procedure that can be performed on an outpatient basis.  The orchiectomy combined with continued use of estrogen typically results in better and faster secondary feminization.

During the orchiectomy procedure, two incisions are made in the groin area.  The testicles are then removed through the incisions and sutures are put in place.  The scrotum may be left for patients desiring genital confirmation surgery in the near future.  This is because the skin can be effectively used to create a vagina.  In some patients however, the extra skin is removed. It is important to note that it is not necessary to leave the skin and this will be discussed with you by your surgeon.

Recovery time is fairly quickly and you can return to work within 1-2 weeks.  Pain and discomfort is minimal but will be experienced around the groin area and will be controlled through medication.  You will want to wear loose fitting pants such as sweatpants during the recovery time.
Because this is an irreversible procedure, surgeons will require two letters from a licensed therapist and endocrinologist.

At the International Center for Transgender Care, our surgeons have over twenty years of experience treating transgender patients.  Contact us to schedule a consultation at (972) 543-2477. We look forward to assisting you in achieving the very best results for your transgender orchiectomy surgery.

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