The most affordable route is a simple bilateral (scrotal) orchiectomy as a day-case (often done under local/regional or short general anaesthesia), which is cheaper than more complex procedures. To lower costs, consider public teaching hospitals, LGBTQplus health clinics or NGOs, and bundled day-surgery packages. Discuss options, anaesthesia choice, and post-op HRT plan with your surgeon to confirm safety and exact pricing.

A simple ovarian cyst usually only needs periodic ultrasound monitoring, as many stay stable or shrink on their own. Cystitis is treated with plenty of fluids and, if confirmed by urine tests, antibiotics prescribed by a doctor. If symptoms persist or worsen, follow up with a gynecologist/urologist.

Hald 200 (progesterone) helps support the pregnancy and reduce the risk of preterm labor, while Maintaine is usually given to prevent or treat infections. They are not for the same purpose. After a cerclage, both may be prescribed for protection, based on your doctor's advice.