Category Archives: Onset and effects of estrogens

FAQ | Orchiectomy | Dr. Harold Reed | Miami

Dr. Reed, Will I still be orgasmic after orchiectomy?  I pass as a lady, just concerned.  How soon will I start to see changes?  Alysha

Dear Alysha,

We probably have done over 4000 orchiectomies for transgender patients.  Typically within a few weeks to 3 months, they’ll tell me, one called at 3 AM, they’ve just had their first post-orchiectomy orgasm,.  Your adrenal glands will still make some testosterone, that helps.  If you re a minor, you will need supporting letters from both parents as this is an irreversible procedure.  Additionally we require 2 letters of therapy clearance, both written by therapists with a doctoral degree.  Simply put, I wish to be assured that the likelihood or remorse or regret is exceedingly low.

I think you find our fee of $2,500 to include use of the operating room, local anesthesia with IV sedation and any followup care I provide, to be affordable.  Do plan on staying here for 3 days.  First day pre-op visit.  Next day bilateral orchiecotomy, and then convalesce for 1 to 2 days before going home.

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A bilateral orchiectomy will make it easier for estrogens to work and may have some feminizing effect

Two tables re: onset of estrogen feminizing effect, the latter from WPATH, Version VII.

Typical changes from estrogen (vary from person to person) Average timeline Effect of estrogen 1–3 months after • softening of skin starting estrogen • decrease in muscle mass and increase in body fat • redistribution of body fat to a more “feminine” pattern • decrease in sex drive • fewer instances of waking up with an erection or spontaneously having an erection; some MTFs also find their erections are less firm during sex, or can’t get erect at all • decreased ability to make sperm and ejaculatory fluid Gradual changes • nipple and breast growth (maximum change • slower growth of facial and body hair after 1–2 years • slowed or stopped “male”-pattern balding on estrogen) • decrease in testicular size Estrogen affects the entire body. It’s not possible to pick some changes and not others.


estrogen effects


Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Miami