It’s not really possible to extract the drug from the extended release components without knowing exactly what chemicals they used and doing some chemistry to dissolve the components you don’t want in a chemical that only disolved that chemical and not the drug.
As for reducing dosage, I do that with lots of drugs for rationing purposes either due to shortages, insurance delays, or financial issues. If it’s a capsule, you usually can pull the two sides apart and take a portion of the drug inside. Some have multiple different components inside, but usually they are randomized enough during shipping that you’ll get a fairly even distribution of the components.
If they are solid tablets, it depends. Some you can cut with a pill cutter, but some will cause issues because they are designed to be digested more slowly and taking it cut can cause unpredictable release timing.
Disclaimer: not a doctor or pharmacist, just have had to ration meds a lot due to the crappy healthcare system in the US.







First let’s clarify the components here.
Sexual desire/need isn’t really testosterone specific. Most people still retain their sexual desire on HRT, though often reduced. It takes a while, though. But typically, you won’t lose sexual desire with HRT alone, it’s just a little different.
Erections are different, but similar. Women also have erectile tissue, and it’s similar how it’s activated, but they don’t generally maintain the “erection” throughout the entire sexual encounter. Most mtf people experience a lot of difficulty in achieving and/or maintaining an erection after a year or two on HRT, timing is different for everyone, but it takes a while.
Many mtf people get an orchiectomy to reduce these things and reduce the need for the androgen blockers.
Anecdotally, I had vaginoplasty after about a year and a half on HRT. I didn’t take androgen blockers during my initial HRT, just Estradiol, so I can’t really say how they affect things. But towards the end, I was losing the ability to maintain erections for more than a few minutes at a time, and ejaculate was often very minimal. Also, the orgasms themselves became less of a spike and lasted longer. After vaginoplasty, I still have the need to masturbate, but it’s definitely not as intense, and I dont have as much anger and frustration build up if I don’t masturbate for a few days. Masturbating takes way longer, though, but orgasms are still something I enjoy and helps me relax.
I know some mtf people who do not choose or dont have the means to get vaginoplasty will have an orchiectomy to help make these changes happen as well as eliminate the need for androgen blockers and their side effects.
If you truly want no ability or desire to have sex, it’s mostly irreversible, but you can get “nullification” surgery. Basically all external genitals are removed and only a hole for the urethra is left behind. This surgery can leave some penile nerves intact or totally remove them so there’s no ability to orgasm. But the psychological need for orgasms still takes time to fade from what I’ve heard. But it will be less than with just HRT. Not something most doctors will recommend, but it is sometimes done for asexual people.