Table 2.

Individual reasons to undergo orchiectomy.

Reasons to undergo orchiectomy	Number of persons (%)
Individuals who desired but not eligible for vaginoplasty	16 (37%)
Did not meet institutional requirements for vaginoplasty	11 (26%)
BMI too high	5 (12%)
Cannot stop smoking	4 (9%)
BMI too high and cannot stop smoking	2 (5%)
Not eligible for vaginoplasty due to somatic comorbidity	4 (9%)
Severe respiratory problems	1 (2%)
Severe diabetic dysregulation	1 (2%)
Severe cardiac comorbidity	2 (5%)
Not eligible for vaginoplasty due to psychiatric comorbidity	1 (2%)
Severe intellectual disability	1 (2%)
Orchiectomy as a preceding step to a (possible) vaginoplasty	14 (33%)
Wants vaginoplasty later, but does not fit in schedule now	7 (16%)
Is doubting future vaginoplasty, but wants to stop anti-testosterone treatment	4 (9%)
Wants vaginoplasty later abroad	1 (2%)
Wants peritoneal vaginoplasty later (not offered currently in our center)	1 (2%)
Fear of surgery, wants to try minor surgery before major surgery	1 (2%)
Individuals who do not wish vaginoplasty	13 (30%)
No genital dysphoria, but wish to stop using anti-testosterone hormones	8 (19%)
Fear of complications of vaginoplasty	1 (2%)
Vaginoplasty too invasive surgery	2 (5%)
Non-binary gender identity	1 (2%)
Vaginoplasty too much to handle for partner	1 (2%)