- Reaction score
- 986
castration will destroy all the androgen in your system 24/7 with no chance of androgens rebound or resistance to build up in the receptors ,it is the most potent method of androgen deprivation,it is only used for stage 4 patients who have severe cases of prostate cancer or cancerous tumor and are not responding to any anti-androgens and gave up all hope on AAs, some people do not react to anti-androgen no matter what and how strong the dose is, even if the blood serum of testosterone is within a castrate level, in some cases anti-androgens fail to eliminate free testosterone which is bioavailable version of testosterone and it is deadly but not shown on blood tests.
1. most AAs have a half-life and if the medication is not taken properly or if it is discontinued without monitoring its effect, it can mess up with the receptors and overactivate them, this happened to @itchymadscalp , he was on a strong AA and his hair was perfect, but for some reason he discontinued the AA and jumped to dutasteride, you can't go from a strong regimen to a weaker one, your receptors will catch up and you will have a problem.
2.anti androgens may cause an adverse reaction to the receptors and induce androgen receptor upregulation, just like @itchymadscalp 's case, where the receptors are ultra sensitive to FREE testosterone, not only total testosterone
3. the body will find a way to resist the drug eventually, and some resistance may build up to the drug if it is misused, or used for a very long, or are taken on and off, which is very dangerous
4. anti-androgen can cause an increased level of prolactin, and prolactin is shown to increase androgenic activity in the receptors, look it up
5. AAs are drugs at the end, and drugs are man-made, not really perfect for everyone's physiology some people are exceptions, but orchiectomy, on the other hand, will eliminate the natural factories of androgens and that will work 100%
note that ani androgens work very well in 98% of people, and any weak responders or people with overactive receptors are outliers,and surgical castration may help them as their last hope,men with severe cases of prostate cancer who are on AA, and not responding like their peers, will be offered to go under this procedure,and they have to accept the loss of their balls because it is life or death for them, but for me baldness is death, so I chose life and boobs.
there is a slim chance that @itchymadscalp will be cured with surgical castration, but it is worth it? he decides not us
I really don't think physical castration will be a game changer for me. I'm already on Lupron. it's pretty effective. But because of long term use of Dutasteride something is wrong. If I had knew ... Lupron was working, I wanted to get my libido back ... for my BF. And now I'm miserable because of that mistake.
Castration + estradiol is safer than Dutasteride, I cannot back up my claims.