How do I orgasm after being on HRT now about 2 and a half years and am Pre-op

[AudreyW]

While there has been a proliferation of support Groups over on FB finding comprehensive information about the changes hormones does to our libidos is nil. Even most articles seem too clinical now I know we can explore our bodies to see how they have changed to due to the changes wrought by hormones.


<Link not allowed
Admin>

[krobinson103]

I experienced comprehensive changes in the way I experience things and a very significant increase in libido, Overall I love what hrt has done.

[Rachel]

Hi,

From my experience and mistakes.

When I was on Spiro and E IM my goal was high E and 0 T. Before, during and after group meetings (several different locations) we would talk about a lot of things. A lot of the times there would be discussion around T, E and spiro. Everyone was driving to 0 T.

What I have learned is that no T no libido. No T and a very difficult time to orgasm.

Pre-Op at a point I could not orgasm. Post op I could not orgasm for 5 months. I finally achieved one but it was with a lot of effort. I had this no T thing driven into me by myself all my life. When others confirmed my thought I had a difficult time using T.

My GCS doctor Dr. McGinn told me to shoot for 36 to 50 ng/dl. It was 2.5 years after GCS that I started to use T. My T last week was 25 ng/dl. I have a low libido and I can orgasm. I use an anal vibrator, a vaginal vibrator and a magic wand. I have some intense orgasms and 3 or 4 in a 20 minute session.

Anyhow, I plan to increase my T gel a bit and shoot for 36 to 50 ng/dl. I could double the gel and hit the mark. If I do that I may have a strong libido. I may do that in a cycle to. Perhaps the second half of my 2 week sub-Q cycle.

If I was to do this over I would go to my GCS doctor for HRT. Next best is a endo that sees trans. I found one near by me in New Town. Hormones is a balance and not an all or nothing proposition. Your body needs a balance and a good endo should be able to help you.

Anyhow, I hope this helps.

[Linde]

I have no libido for several years now, actually, for many years.  However, now getting well again after my recent orchi, which made sure for good that I do not have any T around, I seem to discover a tiny bit of libido coming up now and than!

Could it be that not the suppression of T, but the suppressant was the reason that I had no libido?
I am sure that I have no T, but I don't take spiro anymore either, and now think a little bit of libido is coming back. 

Does this sound realistic, or is that a wishfully dream only?

[StacyRenee]

I have no libido for several years now, actually, for many years.  However, now getting well again after my recent orchi, which made sure for good that I do not have any T around, I seem to discover a tiny bit of libido coming up now and than!

Could it be that not the suppression of T, but the suppressant was the reason that I had no libido?
I am sure that I have no T, but I don't take spiro anymore either, and now think a little bit of libido is coming back. 

Does this sound realistic, or is that a wishfully dream only?

Cis women get testosterone from their pituitary and adrenal glands. After an orchiectomy, trans women will also get T from them. Without the Spiro (or whichever antiandrogen) your T level will start coming up from 0-20ng/dl to normal female range of 15-75 ng/dl. Mine was as low as 8ng/dl. I'll get my levels checked again in a month.

Sent from my SM-G930V using Tapatalk

[Linde]

Cis women get testosterone from their pituitary and adrenal glands. After an orchiectomy, trans women will also get T from them. Without the Spiro (or whichever antiandrogen) your T level will start coming up from 0-20ng/dl to normal female range of 15-75 ng/dl. Mine was as low as 8ng/dl. I'll get my levels checked again in a month.

Sent from my SM-G930V using Tapatalk

Thanks, I did not even think about those two glands!  Who knows what will happen!  I was just called by my endo to double my daily estrogen dose.
Double the E and some T might wake up that old libido back to female levels, who knows?

[DawnOday]

I have been on Spiro for over 25 years, due to congestive heart failure. I have been celibate for about 22 years. However I can still have an orgasim but I can't get hard. I can also orgasim from a nice nipple rub. It just takes extra time. So you do have something to look forward too. Be patient, enjoy the intimacy.

[PurplePelican]

I have no libido for several years now, actually, for many years.  However, now getting well again after my recent orchi, which made sure for good that I do not have any T around, I seem to discover a tiny bit of libido coming up now and than!

Could it be that not the suppression of T, but the suppressant was the reason that I had no libido?
I am sure that I have no T, but I don't take spiro anymore either, and now think a little bit of libido is coming back. 

Does this sound realistic, or is that a wishfully dream only?

Ahh, you've hit the nail on the head.. This idea is part of the reason for the growing call to discontinue standard usage of spiro and other antiandrogens - it's beginning to become obvious that the risks outweigh the benefits, if any.

Being post-op and no longer taking an AA of any kind means that you should now be functioning on (mostly) adrenal T, at female-normal levels - this will likely lead to improved libido and overall improved good health.

[Linde]

Ahh, you've hit the nail on the head.. This idea is part of the reason for the growing call to discontinue standard usage of spiro and other antiandrogens - it's beginning to become obvious that the risks outweigh the benefits, if any.

Being post-op and no longer taking an AA of any kind means that you should now be functioning on (mostly) adrenal T, at female-normal levels - this will likely lead to improved libido and overall improved good health.

I hope this will work out this way.  Starting today, I was told to double my estrogen intake!

[Ann W]

I'm pre-op, been on HRT 21 months, and I never think about sex the way I used to. Cuddling? Snuggling? I'm all in!

If I had a vajayjay, I do believe I'd welcome a visitor; but I can't tell you how grateful I am that testosterone is now a memory. I'm normal at last. 

[LexiDreamer]

If you're pre-op and can't get/don't want erections, anal orgasms are the way to go.
I enjoy multiple full body orgasms that way.
So much more satisfying in my opinion too.
With penile orgasms it's just one and done, roll over and sleep... Kinda boring actuality.
With the full body orgasms, each one I have gets me more turned on.... Yummy!

You need to rewire your brain and how you think about sex.

I've been on HRT for 3 years now and can still do both, but I really prefer the full body orgasms.

[krobinson103]

If you're pre-op and can't get/don't want erections, anal orgasms are the way to go.
I enjoy multiple full body orgasms that way.
So much more satisfying in my opinion too.
With penile orgasms it's just one and done, roll over and sleep... Kinda boring actuality.
With the full body orgasms, each one I have gets me more turned on.... Yummy!

You need to rewire your brain and how you think about sex.

I've been on HRT for 3 years now and can still do both, but I really prefer the full body orgasms.

Pretty much only get full body orgasms now from any kind of stimulus. Nice thing? They just keep going and going. As for anything penis related? Don't even feel it. Works kinda sort sometimes but its not wired to my brain anymore.

[JanePlain]

Hi everyone.  I have done quite a bit of reading on hormones and normal levels in women and I think it needs to be said that the adrenal glands produce only a small fraction of the Testosterone in women.  Someone please check that but I'm 99% sure this is true. The ovaries are where most of the testosterone is produced so I think (totally an amateur opinion) that if you want to have a more normal functioning female experience you should be talking to your doctor about small dose testosterone and expect to have a libido.  Not having one or having difficulty climaxing is cheating yourself out of an important part of life.  And its just not normal.  Consider women who have had a hysterectomy.  They suffer from low to no libido because their normal levels of testosterone are too low.  *Estrogen as well. 

[Linde]

My endo told me that he plans to adjust my estrogen and testosterone levels to typical female levels.  He said hew wants to do that about 6 weeks after my orchi, to make sure that everything in my body has "normalized".
I know that spiro killed any kind of libido in me.  Now that all the spiro effects have let my body, I think that I can identify ever so little desire to do something with my sexuality.  I have to see how that develops, because i just started to take double amounts of estrogen.  I wonder if high level of estrogen can also be positive for ones libido?

[JanePlain]

My endo told me that he plans to adjust my estrogen and testosterone levels to typical female levels.  He said hew wants to do that about 6 weeks after my orchi, to make sure that everything in my body has "normalized".
I know that spiro killed any kind of libido in me.  Now that all the spiro effects have let my body, I think that I can identify ever so little desire to do something with my sexuality.  I have to see how that develops, because i just started to take double amounts of estrogen.  I wonder if high level of estrogen can also be positive for ones libido?

Its my experience that one without the other (or weirdly low levels) does equal zero sex drive.  There are some good papers on this that are very recently published.  The short version is that Men with great Testosterone levels still have low to no libido if they have abnormally low estrogen levels.  This is all my amateur opinion but the body has receptors that are designed to load Testosterone and others for Estrogen.

I realize that telling a audience of m2f folks that they need testosterone probably sounds insane or horrible but all I'm suggesting is to have a healthy female level.  Post Orchi you just aren't going to be able to count on the adrenal glands to contribute enough as they produce fractional amounts compared to Testes and Ovaries.   

Btw the same thing holds true for f2m folks.  I really think they should also talk to their endo about supplying a small dose of estrogen to achieve typical male levels of estrogen.

I don't want this to get TMI but first hand I can report that fixing this has changed a totally zero libido (Maybe negative as I was avoiding sex) to having a good libido.  I quickly felt the change. I just want to say you don't know what your missing until you have it again.  I think having libido is much better then having none.  Which probably sounds obvious.

Hopefully someone else can ask their endo to try this and report back so I'm not a single voice in the wilderness.

[krobinson103]

Its my experience that one without the other (or weirdly low levels) does equal zero sex drive.  There are some good papers on this that are very recently published.  The short version is that Men with great Testosterone levels still have low to no libido if they have abnormally low estrogen levels.  This is all my amateur opinion but the body has receptors that are designed to load Testosterone and others for Estrogen.

I realize that telling a audience of m2f folks that they need testosterone probably sounds insane or horrible but all I'm suggesting is to have a healthy female level.  Post Orchi you just aren't going to be able to count on the adrenal glands to contribute enough as they produce fractional amounts compared to Testes and Ovaries.   

Btw the same thing holds true for f2m folks.  I really think they should also talk to their endo about supplying a small dose of estrogen to achieve typical male levels of estrogen.

I don't want this to get TMI but first hand I can report that fixing this has changed a totally zero libido (Maybe negative as I was avoiding sex) to having a good libido.  I quickly felt the change. I just want to say you don't know what your missing until you have it again.  I think having libido is much better then having none.  Which probably sounds obvious.

Hopefully someone else can ask their endo to try this and report back so I'm not a single voice in the wilderness.

I'm on zoladex (t inhibitor) and estradot patches last test was estradiol 243 pmol/L and testosterone 0.7 nmol/L (low end of normal for female) and my sex drive is insanely high! So I don't think t is the magic bullet for libido for me its 75% mental and the rest seems to be down to e. More e means totally obsessed me.

[Linde]

I'm on zoladex (t inhibitor) and estradot patches last test was estradiol 243 pmol/L and testosterone 0.7 nmol/L (low end of normal for female) and my sex drive is insanely high! So I don't think t is the magic bullet for libido for me its 75% mental and the rest seems to be down to e. More e means totally obsessed me.

Did you have any medical intervention like an orchi or SRS?  I should have something like female levels, I hope.  And I am on a pretty high dose of estrogen now, I just wonder what the outcome of my test will be in about 4 weeks.

I would not mind to have a little bit of libido back, just to get that warm feeling if one sees an attractive person (for me that would be a female).  Summer is coming to the Gulf of Mexico, and I am 30 minutes away from the cool beaches  and all the European bikini girls!   

[krobinson103]

Did you have any medical intervention like an orchi or SRS?  I should have something like female levels, I hope.  And I am on a pretty high dose of estrogen now, I just wonder what the outcome of my test will be in about 4 weeks.

I would not mind to have a little bit of libido back, just to get that warm feeling if one sees an attractive person (for me that would be a female).  Summer is coming to the Gulf of Mexico, and I am 30 minutes away from the cool beaches  and all the European bikini girls!   

orchi coming up soon, but, as yet, no.

[Linde]

orchi coming up soon, but, as yet, no.

Good luck for your upcoming one.  Mine is almost forgotten already, still  little discomfort, but not bothersome.  I don't feel any real different, just that the really bad for me spiro is gone for good.  Dressing in tight female pants is way easier, the pretty atrophied penis is not much more than an overgrown clitoris anymore, and tucks itself away nicely in between the skin folds.
I don't know if I will get any different feeling in the future, but currently it is not a life chaging event.

[SadieBlake]

I was able to orgasm pre-op right up to the night before my surgery, I needed some Viagra to be able to stay erect for penetrative sex, however orgasm didn't depend on that. My T was close to zero, around 12-18 ng/dl.