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this post was submitted on 26 Oct 2023
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anti_cishet_aktion
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Fuck, I was really sure I wanted an orchi but now I'm not so sure. I mean I want to get rid of my balls 100% no questions asked, but I'm still not sold on SRS. I kind of want it but I don't know.
Scrotal tissue does play a role for depth when you get vaginoplasty, but there are workarounds when there's lots of shrinkage or not much there in the first place. Among other things, you can use skin grafts from the upper thigh or belly, there's a few surgeons that do a technique known as peritoneal pullthrough (you'd have to look up if your insurance covers that, though, it's kinda cutting edge when it comes to vaginoplasty) and some even graft buccal tissue, that is, skin from the inside of your cheek, to line the vaginal cavity. You do not depend on having lots of scrotal skin for vaginal depth, but it does make the surgery easier and has less chance of complications during recovery.
Whatever you do, i can recommend researching surgeons a lot and to get an eventual orchi at a place where you'd also do a vaginoplasty. That will mean that if you change your mind, the surgeon will have done the orchi in a way that does not interfere with their technique for vaginoplasty too much. Also, if the main reason you want an orchi is not "i want to get rid of my balls, but keep my girldick", but "i want to get bottom surgery, but a full vaginoplasty scares me", it's probably in order to think this through a bit more. I really recommend to go with what fits your sexual wants and needs and the way you see your post-transition body, not with what seems the easiest way. That can be either orchi or vaginoplasty, but it should be a decision you make based on what you really want to have in your pants.
The main reason I want to get an orchi is because I'm terrified of one day losing access to HRT and my body starting to produce testosterone again and reverting to how things were before. If I got an orchi then I wouldn't have to worry about that and I'd not be making testosterone even if I lost HRT for a bit. I really don't know what genitalia I want, that's something I've got to do a lot of soul-searching on still. I'm still very confused about my sexuality and what I actually want out of that so that's something I've got to figure out first too. I've got plenty of time, it's going to be a long time before I get good insurance and a stable job to save enough money for surgery so it will be years before I get any procedure. Thank you for the info though!