What to Expect During a Transgender Orchiectomy

by | Apr 18, 2023 | Transgender Surgeons


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One of the first steps for transgender women is to have an orchiectomy procedure. A transgender orchiectomy is when one or both testicles are removed. A simple orchiectomy is when one testicle is removed while a bilateral orchiectomy is when both testicles are removed. If you are considering the procedure, here is what you need to know.

Preparing for the Procedure

When preparing for a transgender orchiectomy procedure, your doctor will likely need to confirm that you don’t have any unmanaged medical or mental health concerns. You must consent to the treatment and be fully informed of your decision. Most of the preparation for the procedure will be in the form of mental preparation, and the procedure itself should take no more than an hour.

Recovery Process

The recovery process following a transgender orchiectomy is typically straightforward. Most patients fully recover within a week, and doctors usually prescribe pain medication during recovery. Specific medications may be required based on your reactions to the procedure.

Potential Side Effects to Be Aware Of

Most side effects are similar to those encountered during any other surgical procedure, including bleeding, scarring, nerve damage, and swelling. You may also experience infertility, decreased libido, and reduced energy. Let your doctor know immediately if you experience any other major side effects. Mental side effects may also occur.

Visit the International Center for Transgender Care for help determining whether you qualify for a transgender orchiectomy.

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