I've been diagnosed with Klinfelter's about seven years. My testicles are very small, not sure of the medical term/for measure. I've been self conscious (knowing that) they do not really do anything!
Long story short, I've been approved for Testicular Prosthetic's & have been given more time to decide whether or not to proceed. There's an eight percent risk element, which doesn't really bother me. My wife is against it, as it is a procedure that might not be totally required. She thinks councilling might be a better route.
If anyone has had the implants, I would like to hear from you.
If your wife wanted breast implants would your opinion be of any interest to her? Would she feel good about herself if you said they're not an issue?
What you need to consider when getting implants is, how big are they, will they meet your standard, will you be happy with them, is it one size fits all take it or leave it, or do you get a choice?
I don't see why counseling would be of any use, will the counselor be able to feel what you feel? I think counseling's a total waste of time.
Pain, they are painful to get, in my opinion agonising, you have to really want them to have them as it'll be like being kicked in the balls, every moment of every day, for about 6 months. You will need adequate pain relief, and I've discovered Transsexuals get better pain relief for their surgery than was offered me for mine.
The choice of coursed is, and ought to be, all yours.
Getting testicular implants isn't the same as getting castrated. You can get both at the same time, I didn't, I had to wander about for years with both prostheses and testes, which in such a small scrotum wasn't all that comfortable.
Testes in virtually all XXY guys are atrophied, that means shrunken. They shrink because of Seminiferous Tubule Dysgenesis Julian, the seminiferous tubules is where sperm develop in normal males. Dysgenesis means 'defective development' - you don't have any sperm production Julian, you probably haven't since you were 14 or so - if you had sperm production you would have normally sized testicles and there are such XXY males out there, but you're not one of them Julian as you report atrophied testes.
The defective tubules prevent the Leydig cells, the cells that make testosterone, from expanding, therefore they are incapable of producing more testosterone. The ONLY reason normal balls get big is because of increased testosterone production.
But you could have the odd 1 or 2 sperms hiding in your testes somewhere, and only a biopsy will prove or disprove that. Your balls are never going to grow Julian, never, not ever, not in a million years, they are slang for 'intercoursed.'
Ejaculate doesn't come from testes, it comes from the prostate primarily. I've not had testes for years and I ejaculate just fine. I also orgasm just fine. It's how much testosterone one has that matters, if it's too much or too little there are likely to be problems.
Testes make sperm (usually) and testosterone, even in XXY guys. Ejaculate consists of sperm (usually) and water, and nutrients that keep sperm alive and give them something to swim in. The fluid protects sperm from the hazardous environment of the vagina and female reproductive tract. The volume of actual sperm to the rest of the volume of ejaculate is nominal. That is a normal state of affairs. ie the volume of sperm in a normal mans' ejaculate is nominal compared to the total fluid ejaculated.
XXY guys tend to produce less volume of ejaculate as their prostate is much smaller than XY guys, for the same reason their balls are much smaller, insufficient testosterone. The only reason balls (testes) get bigger is because of increased testosterone production. You can discuss this with your doctor.