Category Archives: Testosterone Blocker

Need an orchiectomy to stop “washed out” effects of spironolactone and reduce estrogens

Dr. Reed, Need an orchiectomy to stop “washed out” effects of spironolactone and reduce estrogens.  Nichole

Dear Nichole,

We do several transgender orchiectomy (ies) every month.  As rule you can reduce your estrogen intake by a third and of course stop spironolactone (called Aldactone).  As estrogens are coagulopathic we ask that your stop estrogen for 1 month before surgery.  2 letters of therapy clearance are required as this is an irreversible procedure.  You may also wish to give some thought to sperm banking if procreation in the future may be a consideration.

If you are married, we ask that your spouse approves of orchiectomy.  Loss of consortium is always a concern.

Please see before and after transgender pictures on our web-site


Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Dr. Harold Reed | Miami
1111 Kane Concourse Suite # 311
Bay Harbor Islands, Florida 33154


Male to female transgender after picture (patient of Dr. Reed)



Transgender woman seeking hormones for MTF

I am a transgender woman I AM NOT ON HOREMONES I HAVE JUST STARTED BUT MY BF IS WILLING TO HELP Jazlyn Hi Jazlyn, We do MTF hormones. A letter of therapy clearance is required by a licensed therapist with a doctoral degree. Our fee is 250 for consultation, and 600 per year to follow…Continue Reading

Orchiectomy | Dr. Harold M. Reed | Miami

Dear Dr. Reed, Which orchiectomy approach is most favorable for future vaginoplasty? Doing  the math, having an economical orchiectomy now will reduce the costly expense of testosterone blockers. Cassandra Dear Cassandra, Whoever does your orchiectomy ideally you want both testes removed via the same minimalist incision and of course your want the spermatic cords removed…Continue Reading

Orchiectomy in Miami, It’s about time

I’m 64 . I want the orchiectomy and scrotectomy (scrotal removal) and hope this will suppress my extreme sexual appetite…Removing the testosterone achieves this.  My wife is in a Alzheimer’s care facility Since I was in 6th grade I’ve been wearing women’s clothes.. it’s never stopped. Personally I find the aesthetics of the final outcome very…Continue Reading

Orchiectomy | Dr. Harold Reed M.D. | Male to Female

Thank you for your interest in what we do, several orchiectomies every month. Some women in our community choose bilateral orchiectomy prior to or instead of vaginoplasty. We remove both testes via a singular 1″ vertical midline incision which permits high ligation of the cord, No tootsie roll. Among the advantages are the feminzing effects, discontinuation…Continue Reading

Aggressive male seeks orchiectomy for calming reasons

Dr. Reed, I am considering an orchiectomy not  because I am a transgendered individual but rather because I have a very high sex drive and am overly aggressive and ambitious, occasionally take unnecessary risks that distract me from an otherwise very rewarding career as an accountant. Lyndon Dear Lyndon, May I propose you start with a…Continue Reading