Testicle removal, also known as orchiectomy or orchidectomy, is a surgical procedure in which one or both testicles are removed. It is a common gender-affirming surgery for transgender women (individuals assigned male at birth but who identify as female) as part of their transition process.
Orchiectomy is typically performed to achieve two main goals:
- Hormone Therapy: Testosterone production primarily occurs in the testicles. By removing the testicles, the production of testosterone is significantly reduced, which helps transgender women achieve a more feminine hormone balance. After orchiectomy, transgender women can often discontinue or reduce their anti-androgen medications and may only require estrogen hormone therapy for feminization.
- Psychological and Physical Affirmation: Orchiectomy can provide significant psychological relief for transgender women, as it represents a tangible step in aligning their physical body with their gender identity.
It’s important to note that orchiectomy is a reversible procedure, meaning it can be performed independently or as part of a more comprehensive gender-affirming surgery, such as vaginoplasty (vaginal construction) or gender confirmation surgery (vaginoplasty and labiaplasty).
The decision to undergo orchiectomy or other transgender surgeries is highly personal and should be made in consultation with qualified medical professionals who specialize in transgender healthcare.
If you are considering orchiectomy or any other gender-affirming procedure, it is crucial to seek care from experienced and knowledgeable healthcare providers who can guide you through the process, discuss the potential risks and benefits, and provide comprehensive post-operative care and support.
Additionally, mental health support and counseling can be valuable in addressing any emotional concerns or questions related to gender transition.