Dr. Felix Spector of Philadelphia PA will do your procedure.
He has authorized me to publish his name. His website is
www.concentric.net/~Doctorf/ His e-mail is doctorf@concentric.net
PLEASE NOTE THAT MY REMARKS ABOUT THE
POSSIBLE POSITIVE AND NEGATIVE EFFECTS OF THE PROCEDURE DO NOT
REFLECT DR. SPECTOR'S VIEWS OR REMARKS IN ANY WAY.
I highly recommend the good doctor both as a skilled surgeon and
and a brilliant, kind, and humorous man.
I advise anyone who wishes to learn about sex-hormones (both male and female) in general and their almost innumerable effects on human physiology and psychology to read THE ALCHEMY OF LOVE AND LUST I came across this book recently, and it is the most lucid and complete text on hormones I'veencountered.
PREFACE TO
"Possible Long-Term Health Risks of Hypogonadism (Testosterone Deficiency)
If you are considering undergoing physical castration (bilateral orchiectomy, the medical name for the removal of both testicles)
and it is not medically necessary for you to do so, you should be aware of certain long-term risks.
Please note, before reading the possible long-term health risks, that I am not a medical professional, and that as a young, elective eunuch I feel very satisfied and happy with my status. Both physically and psychologically I feel more alive than when I was physically "intact". In the same vein, the few elective eunuchs who have discussed their physical and psychological condition with me (ranging from a few weeks or months after the surgery to over a year afterward), with virtual unanimity, have expressed only positive feelings about their lives after castration.
All of the first-hand reports from the few elective eunuchs with whom I've had discussions and most of the second-hand reports indicate that these men remained free from depression after testosterone levels in their bodies reached castrate levels. One elective eunuch told me that sometime after his libido disappeared that his overall outlook on life became "kind of boring," (but not sad or clinically depressed.) Nonetheless, he indicated that he was glad he had been castrated; after his life become "kind of boring" he went on testosterone replacement therapy (TRT).
POSSIBLE LONG-TERM HEALTH RISKS OF HYPOGONADISM (TESTOSTERONE DEFICIENCY)
In this discussion, I divide the long-term health risks into three types: health problems that *all or most* males with hypogonadism (whether or not they sought castration) confront, health problems that *some* eunuchs (whether or not they sought castration) may face, and health problems that tend to affect men who are forced by medical necessity to undergo castration and tend not to affect elective eunuchs. (Please note that my remarks are based on my personal reading and other ongoing research. There may other health risks of which I am not aware or which are not currently known to medical science.)
1. Health Risks that Affect All or Most Eunuchs, both elective and non-elective.
OSTEOPOROSIS (brittle bones): Virtually the entire medical community agrees that a severe deficiency of sex hormones will, over time, lead to some degree of osteoporosis. Osteoporosis, which primarily affects older, post-menopausal women, results when the body over a long period of time "steals" calcium from bones and joints in order to meet its calcium requirements. The association between hormone defiency in women has been proven irrefutably, and the same relationship in men between hormone deficiency and osteoporosis has been somewhat less firmly demonstrated. (Note: Men who take feminizing hormones (estrogen, etc.) avoid osteoporosis.) Sex hormones act as a shield against certain degenerative processes.
ELEVATED CHOLESTEROL LEVELS: The medical literature on this subject is tentative. Most physicians who study the effects of hypogonadism have believed, and still do believe that a lack of testosterone actually *reduces* cholesterol. However, some medical researches now believe that testosterone deficiency actual *raises* cholesterol levels.
MODEST WEIGHT GAIN/SOMEWHAT FEMININE BODYFAT DISTRIBUTION/BREAST DEVELOPMENT
Fortunately, I know nothing of these post-castration changes from personal experience. A weight gain of ten to twenty pounds is very common amoung eunuchs, the shifting of fat to the buttocks and the hips, and some breast enlargement are all well-documented.
However, these changes do not take place in all eunuchs, nor to the same degree. It all depends on the individual man's adrenal glands' level of testosterone production and estrogen production. The two testicles together produce 95%, *more or less*, of a healthy man's testosterone. The adrenal glands (located atop the kidneys) produce the rest of the testosterone.
Significantly, the adrenals also produce some estrogen (the main female hormone); they may (1) produce estrogen and testosterone in equal amounts, or (2) more estrogen than testosterone, or (3)more testosterone than estrogen. After castration, the body becomes very sensitive to adrenal estrogen, so a man who does not seek to be feminized would prefer the first possibility or the third. The first possibility could be compared to a see-saw with two people of the same weight, one on each end; this state is one of *perfect balance*. The castrated male with a balance of adrenal testosterone and adrenal estrogen should have only minimal weight gain or feminization, if any at all. Of course, the third possibility would, at least in terms of fat distribution and breast growth, be superior. The second possibility, that of more adrenal estrogen than testosterone, causes feminine fat distribution and breast development.
Prior to undergoing castration, you should have your hormone levels tested by an endocrinologist. After you are castrated, you should, both for your safety and in order to obtain the best physical and psycological results, consult with a physician before going on hormone therapy or changing your regimen or dosage.
I have heard that some males who wished to avoid feminization while still remaining free of libido take low or occasional (depending on what form, transdermal patches or injections, it takes) doses of TRT.
Unfortunately, I do not know how common feminization in the absence of testosterone is. It is my understanding that when it occurs, it is usually rather modest and not very obvious to most people other than the eunuch himself.
2. Long-Term Health Risks that May Affect some Eunuchs, both elective and non-elective
COGNITIVE DECLINE OVER TIME/SENILE DEMENTIA
There is some medical literature here and there that notes a link between hypogonadism and some loss of mental acuity. This may take various forms, including long-term loss of short-term memory capacity, confusion, or inability to concentrate. (THE ALCHEMY OF LOVE AND LUST is a valuable source of information about this and other beneficial and negative effects of hypogonadism, although I do not agree with it on all points.)
The prescribing information that accompanies the Androderm Transdermal Testosterone Replacement System states that there is an association between reduced levels of testosterone in the body and reduced levels of hemoglobin (which carries oxygen) in the blood. I personally believe that this possibly reduced oxygenation of the brain may account for the cognitive difficulties that some eunuchs supposedly have.
Let me point out at this juncture that as a relatively recent elective eunuch myself, I have no symptoms of this sort. Nor have those few I've had discussions with, nor second-hand reports I've encountered noted anything of the sort. Furthermore, eunuchs have existed throughout history and have effectively led armies, governed nations, and manipulated and even deposed royalty. Still, all bad things are possible.
3. Health Risks that Tend to Affect Non-Elective Eunuchs But Tend Not to Affect Elective Eunuchs
DEPRESSION: The medical literature, referring to studies conducted on eunuchs who became so out of medical necessity, paints a grave picture of long-term clinical depression. The medical literature sems to suggest that it is *physiologically* (chemically, biologically) necessary for a man to have certain testosterone levels in order not to be depressed, sad, and uninterested in life.
My personal experience could not be more unlike that. Aside from some very minor emotional ups and downs during the first few weeks after castration, I never experienced any psychological problems. I never felt any long period of sadness, depression, or irritability.
The few elective eunuchs I've had discussions with and the second hand reports I've encountered indicate no long-term emotional problems.
However, testosterone levels do influence the brain's levels of Dopamine. Dopamine contributes to interest in various things and a zest for life in general. Elevated levels of testosterone influence dopamine in the brain, and reduced testosterone levels also influence dopamine.
Personally, it is my belief that long-term depression in eunuchs is not a problem of chemistry but of psychology. Since elective eunuchs tend to feel happy and relieved long after their castration and non-elective eunuchs often feel miserable and lifeless, physiology cannot (in my opinion) be a cause of long-term, chronic depression.
At this point, please note that some elective eunuchs do experience a period of irritability, or depression, or both. It is my understanding that this period is only temporary, and that the elective eunuch recovers within several weeks. In this case, depression is caused by *not* by the low level of testosterone (it eventually bottoms out at about 5% of pre-castration levels) but by the *fluctuation* of testosterone levels as they plunge downward.
Once the level of testosterone stabilizes, the elective eunuch's emotion stabilize also.
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