Quote from: Lori Dee on December 15, 2024, 02:21:01 PMAs for me, I just want it gone. All of it. Estradiol and abstinence have led to amazing shrinkage, but I won't be happy until all the "dangly bits" are gone. I don't use them and have no desire to, so they are just an annoyance.
Quote from: ChrissyRyan on December 15, 2024, 03:17:04 PMLori,
So are you saying, that at least for you, that "if you don't use it, you lose it?"
Quote from: Courtney G on December 15, 2024, 12:09:23 AMI'd much rather take fewer pills but I don't want to lose the ability to perform.
Any thoughts?
Yes. Do exactly what you're doing right now by asking questions and advocating for yourself at every stage of your transition.
Don't do what I did by starting transition before you've gotten solid answers to each and every one of your questions.
Regarding erections, they very much depend on keeping your penis healthily engaged in regular sexual activity. I had always heard "use it or lose it" as a general maxim, but I had no idea exactly how frequently that meant. I had, however, read that HRT will eventually cause the penis to atrophy and decrease in size.
The only effective counter seems to be having regular erections and keeping your overall cardiovascular system in good shape with regular exercise.
Most men start to experience some symptoms of erectile dysfunction as they age. If it's caught early, there are plenty of medical treatments available for it. Erectile dysfunction is actually the first stage of penis atrophy. But more changes to the penis happen quickly while on estradiol & P with no T. Smooth muscle is lost and replaced with fat and connective tissue, and it holds less and less blood volume during arousal.
I wasn't too concerned with losing size initially, as I was never much of an active top and penetrative vaginal or anal sex was never particularly high on my list to do. When I did I performed it more out of obligation than anything else. But then I went through a 3 year stretch of being single. When I wanted to become sexually active again I found my penis had changed significantly and I could no longer use it for penetration. An orchie made sense because I wanted to remove as much as I could and tighten up as much loose skin as possible. It looks better now for what it is.
I'd like to underscore how important it is for those in transition to advocate for themselves and fully do their homework before starting HRT. I was foolish and jumped into it ten years ago without having a clear idea of who I wanted to become. I did so because I was in a crisis during a major life transition and deeply grieving the life I had lived as a man. My old life had been completely destroyed in the summer of 2013, when I lost everything after I had a mental breakdown that ultimately destroyed virtually every meaningful relationship in my life at the time.
Why shouldn't I reinvent myself as a woman? I hated myself as a man.
But I had just been in the psych ward the previous year after I lost it all. So I had to ask myself if the lifelong fantasy I had occasionally entertained, that of life as a woman -- was anything more than an idle daydream. I would be delusional to attempt to live out my fantasy in real life, wouldn't I?
I believed strongly at the time that one's biological sex is determined at birth and cannot be changed. That's the idea that was firmly intrenched in me when I was raised.
Why did society change? Is the society we live in today and better and healthier than the society we had been brought up with?
To me, these questions were deeply philosophical and political in nature. How could I be sure I was taking the right step for my life?
Wouldn't HRT essentially represent a form of escapism and wishful thinking?
I hadn't stumbled into the death spiral of drug addiction at that point in my life, but I had to ask myself if HRT was any healthier for me and my long-term prospects than a drug habit would be.
I knew I had to do SOMETHING. Which choice would be the most authentic for me?
I highly, highly advise anyone considering HRT to seek stability and mental health first. Then take as much time as you need to weight the costs, risks, and potential benefits of transitioning medically.
Don't do what I did ten years ago and give in to wishful or delusional thinking by using HRT to escape from the disaster your life has become.