Born to Be

In a 2023 interview on the Pillowtalk podcast, popular transgender performer Emma Rose talked about undergoing bilateral orchiectomy surgery (castration) five years earlier when she was 21.

"I got castrated! I couldn't fly with them because it's biohazard waste, so I flushed them down the toilet like a goldfish."  The 26-year-old adult entertainer explained that she was awake at the time of the surgery as a surgeon put a needle into each testicle before removing them. "I'm lying there. Imagine you're lying down and they take this big-ass needle in each ball... They do one ball then the other ball, then [cut] the cord," she said.  She continued, "Then it's numbed and they cut it open. Then you can literally feel the cords being pulled. Then I went home afterwards." ... [H]er penis has shrunk due to the lack of testosterone caused by the castration. "I don't have to take testosterone blockers [due to the castration]; I take progesterone and estrogen," she continued. "It has shrunk. I used to be six and a half [inches when erect]," she said. "I had a nice d**k, and now it's shrunk and got thinner."

Removing the testicles and shrinking the penis makes it easier for transgender women to "tuck" and hide the bulge.

In addition to causing the penis to atrophy (shrink). the loss of testosterone from castration eventually leads to reducing or eliminating spontaneous erections. Emma went on to explain that if she wants to get an erection, she uses drugs like Viagra or Cialis.