A cell type may divide and then form a small benign lump, known as a tumour, and the patient may then suffer from the effects of too much of the hormone the cell produces. If the tumour grows very large, even though still benign, it may squash the surrounding cells and stop them working (hypopituitarism), or push upwards and interfere with vision – a visual field defect. Very occasionally, the tumour may expand sideways and cause double vision as it affects the nerves that control eye movements. It should be emphasised that even when these tumours are large, they usually remain quite benign and very rarely spread to other parts of the body.
So I think, given everything, if you’re not happy with how the finasteride is working for you your best bet is an orchie if that fits within your long-term goals. If you wanted to keep your gonads that’d be something else…. but if you want them to go, why not now? Definitely realistic, and your doctor can probably make a very good case with your insurance if the company is reluctant (., this is the *only* option left for suppressing your T effectively now, and suppression is necessary for treatment of your dysphoria which is a medical condition). Since you’re in California your insurance canNOT have a transgender exclusion clause in their policy. They can’t deny you surgery just because you’re trans — if they cover orchies for some, they have to cover them for all. CA is pretty awesome that way.
steroid ster·oid (stěr'oid', stēr'-)
Any of numerous naturally occurring or synthetic fat-soluble organic compounds having as a basis 17 carbon atoms arranged in four rings and including the sterols and bile acids, adrenocortical and sex hormones, certain natural drugs such as digitalis compounds, and the precursors of certain vitamins. Also called steroid hormone . adj. ste·roid·al (stĭ-roid', stě-)
Relating to or characteristic of steroids or steroid hormones.