Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- Yes.The way you think is absolutely right Other causes need to be ruled out like .So you have to be careful and need to attend it seriously. Do s -suggested for your case- Don t Selfmedicate, as is done now by you- it could complicate your health problem more. Don t worry about being female to male transgender. Its your right by birth to enjoy what you are destined to by your physical gift. Do Consult Uorologist / or Surgeon-besides these suggestions,as things depend on your submissions, which could be different than what you observed. Maintain proper diet and take Tab Vit B12 / Folic acid to improve fast the recovery. Blood Tests and timely review with Surgeon / or Urologist would be needed if no recovery with initial treatment given, to rule out other causes of it. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. Need to Check with your Surgeon / or Urologist- if things don t recover. -Other causes need to be verified with your family GP doctor and team of Specialist doctors, as the facts may be different what you submitted. -For this Second opinion from PCP-or Gp doctor and if need be with Surgeon and Urologist-specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues. -for early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS