Dear Dr. Reed
I have been living as a woman for 4 years and would like to proceed with a transsexual orchiectomy in Miami this July.
I work as a receptionist in a dental office. How soon do you think I could go back to work?
A typical scenario is to initiate a consultation over the phone., 2 letters of therapy clearance are
required for an orchiectomy. We request one is written by a therapist with a doctoral degree. If you are over 40 or on medications other than hormones, you may need a letter of medical clearance and some lab (CBC, platelet count) PT and PTT.
We ask that you stop hormones and spironolactone for a month before your procedure. We would see you the day before surgery which is usually done under local with IV sedation,
and ask that you stay at a nearby hotel for 2 days to convalesce. Anticipate returning to an office environment a week. I think you’ll be fine.
Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America
International Society for Sexual Medicine