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Elective Orchiectomy vs. Future risk of prostate cancer

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User
Posted 07 Nov 2024 at 16:48

Does anyone know of research the might have looked at the change of risk in contracting PC if one decided to opt for an Orchiectomy before any symptoms or diagnosis? As a 65 y/o who would like his libido to go away I’ve tried Siterone for a few weeks and am concluding I rather prefer life without testosterone. I appreciate there are longer term health implications of near zero T but would also like to factor in and potential reduction in the chance of PC if I opted for an Orchiectomy. Appreciate this is not the usual perspective but it may suit me. Views or feedback?

User
Posted 07 Nov 2024 at 17:16
I am not a medical person but I think there would be no chance surgery of this nature would be offered without either having prostate cancer or a very high genetic risk of being diagnosed with prostate cancer in the future. A woman can not opt for a double mastectomy to avoid getting breast cancer unless they carry the gene that means their odds of getting breast cancer are very high.
User
Posted 07 Nov 2024 at 21:33

Hi DonCarlos,


I have no idea why you wish your libido to go away, I would give anything to have mine back but of course I don’t know your circumstances so it’s unfair if me to judge.


What I would say though that it is a drastic thing to do as the long term effects might make you regret your decision. I’ve been without Testosterone for 2.5 years and suffered a significant change in my physical and mental health, and I wouldn’t wish it on my worst enemy.


I suspect you would have to have it done privately and even then I’m not sure if they would agree to it.


If you’re worried about PCa, get yourself regular PSA tests so that if you do get PCa there are many options available to you.


Derek

User
Posted 07 Nov 2024 at 22:05

We have had a post-op transsexual post about a prostate cancer diagnosis. So the risk post orchiectomy is not zero. By 65 most men will have some degree of prostate cancer, it just won't be clinically significant in most cases. 12% of men will get a prostate cancer diagnosis at some time. Zero testosterone would almost certainly reduce your chance whether it would become 11.9% or 0.1% I don't know. What I would say is that the other effects of orchiectomy whether good or bad, will out weigh the change in risk of getting cancer.

Dave

 
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