Dr. Reed, Researching having an MTF orchiectomy I am a transgender woman, 50 years of age, and would like to reduce my estrogen intake and well as discontinuing spironolactone (Aldactone). Any recommendations? Geena
As a rule after an orchiectomy you can reduce your estrogen intake by a third, and of course stop the spironolactone. This is especially a good idea in that the National Health Institute is not recommended estrogens for post-menopausal women owing to the higher incidence of coagulopathy.
We require 2 letters of therapy clearance written by therapists with a doctoral degree (or cosigned by a therapist with a doctoral degree). This is not to say you need therapy as the longer you have been living as a female without any serious adjustment problems the less likely you need a course of therapy.
In that you are over 50 you will also need a letter of medical clearance with reference to an EKG and some blood tests which include a CBC, platelet count, PT and PTT. Please look at before and after male to female sex change photos on our web-site srsMiami.com/Vaginoplasty
Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Miami