Self-performed bilateral orchiectomy in transsexuals

This paper reviews three cases of self-performed bilateral orchiectomy seen within a 2-year period at San Francisco General Hospital. All three cases were male to female transsexuals. The patients were not considered psychotic by the psychiatric consultant, although two patients admitted to past suicide attempts and psychiatric treatment. The patients' histories and treatment are reviewed and suggestions for diagnosis, management, and treatment planning are offered.