Response & Guidance
Dr. Jitesh Bhatt, MD
First, I want to say this clearly and respectfully:
Your feelings, identity, and personal experience are valid. There is no judgment here.
At the same time, as a doctor, my role is to help you stay physically safe, mentally balanced, and fully informed before you take any irreversible decisions.
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Understanding What You Are Experiencing
From what you have shared, there are three different aspects, and they must not be mixed:
1️⃣ Sexual Orientation & Sexual Role
Being gay and preferring a bottom role is completely natural and does not require any medical correction.
2️⃣ Discomfort With Erections
Wanting to suppress erections because they make you feel uncomfortable is not uncommon, but:
Erections are a normal biological reflex
Trying to permanently suppress them without medical supervision can harm your health
3️⃣ Desire for Genital Modification / Surgery
Wanting surgery to permanently alter genital anatomy is a major, irreversible medical decision, not just a sexual preference issue.
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Very Important Medical Truths (Please Read Carefully)
❗ There is NO safe medicine to:
Permanently stop erections
Make the penis “tiny” without consequences
Suppress male sexual hormones without affecting:
Heart
Bones
Brain
Mood
Sexual sensation
Fertility
Any attempt to do this without a specialized medical team is dangerous.
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About Surgery (Reality Check)
Genital surgery is not done based on desire alone.
International medical standards require:
Long-term psychological evaluation
Gender dysphoria assessment (by trained professionals)
Endocrinology consultation
Repeated counseling
Informed consent after understanding lifelong consequences
This is not cosmetic surgery.
It permanently changes:
Sexual sensation
Urinary function
Hormonal balance
Physical health
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What I Genuinely Recommend (For Your Well-Being)
✅ Step 1: Mental & Emotional Safety
Please speak to:
A qualified psychiatrist or clinical psychologist
Someone experienced in gender identity and sexual health
This is not to change you, but to:
Help you understand yourself clearly
Ensure decisions come from stability, not distress
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✅ Step 2: Medical Sexual Health Consultation
A sexual medicine specialist / endocrinologist can help you:
Manage discomfort with erections
Discuss safe, temporary, reversible options
Protect your long-term health
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❌ What I Do NOT Recommend
Self-medication
Hormones without prescription
Online pills or suppression techniques
Tight devices or unsafe garments
Making surgical plans without full evaluation
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A Gentle but Honest Doctor’s Message
You are more than a sexual role or a body part.
Confidence does not come from destroying the body, but from understanding and owning yourself safely.
Please do not rush toward irreversible steps.
Your life, health, and future matter.
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If You Ever Feel Overwhelmed
If at any point you feel distressed, trapped, or unsafe with your thoughts:
Please reach out to a trusted medical professional
Or a local mental health helpline immediately
This is care, not criticism.
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With respect and concern,
Dr. Jitesh Bhatt, MD
(This response is educational and supportive. It does not replace direct medical or psychiatric consultation.)
If you want, I can also help you with:
Understanding erections medically
Safe ways to manage sexual discomfort
How proper counseling works
What questions to ask a specialist
Just tell me.
Answered2026-01-22 00:49:48
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