Susan's Place Transgender Resources

I've been struggling with not being able to orgasm since my vagiplasty a year and a half ago. It does not appear to be related to sensation (I have plenty) or a psychological issue (I spent a number of sessions with a sex therapist who doesn't think the problem is in my head). My doctor suggested it may have to do with too little testosterone. My T levels are undetectably low.

I've heard tell that some women need testosterone post-op. I even heard that Dr. Christine McGinn routinely administers it to her patients.

Has anyone taken testosterone for orgasm or libido post-op? What were your experiences? Did it work? Were there side effects?

You can look up a study called

Testosterone-Patch-increases-Sexual-Desire-in-Menopausal-Women.pdf

So there is something to it, and there are numerous people who say it helped.
There are special small dose implants for menopausal women for example to raise the levels, while still keeping them in the female range.

You might take this info to your doc and discuss it with them.


hugs

I am not sexual or have been sexual active but things still seem to be working correctly. I just had my first blood test where hormone levels were measured and Testosterone total is 36 with a range of 14-76 ng/dl. I hope that gives you a data point to work with.

Talked about it with my doc after feeling less and less horny, but levels came back in normal range, so never bothered with it. If your levels are not right, then seems like a no brainer.

Hi Suzi,

Sorry to hear about the problem...Hugs

Testosterone helps with labido, of that I am sure.  It can help with other this as well.  A low dose is worth trying.  LOW dose, but worth trying.

Another thing you may need to check out is your prostate. Is that still intact?  And functional?

You might also try to crank up the levels of estrogen to 300+.  I'm guessing that your levels are set around those if a post menopausal woman.  Get them up a little.  Next, add in some progesterone.  Some part of that will metabolize into testosterone.  Kind of a double hit to your endocrine system that might do wonders.

Hugs

Jen

My t levels are not detectable anymore either.  Odd thing is that I'm on sididifil (cardiac form of Viagra).  Its a low dose, but before an hour is up after taking the pill, I feel more sexually aroused?  I linked it to this drug some time ago.  I only had an orchy, but even w the sididifil, I Dont get erections unless I want to.  My orgasms are unerect, so its not working in that manner, but rather putting blood in the arra , stimulating things.  So if the t doesn't work, give it a try.  I've heard about a female Viagra and think this may be in the same line?  Either way, just one low dose should tell you if it works?  My pills I think are 30 mg.  They want me to take 3* a day, but I only use once, because it does bring dead things alive if I go further and cause headaches.  But with it, I Dont need o2 to carry around, so it has a good tradeoff:). Good luck!  J

If you don't mind me asking Suzi, is this with or without a partner? Because that may also be a piece of the puzzle.

Suzi,

It is totally normal to have T levels increased for lower libido presenting post op females. Ahhh what planet does your endo come from?

Quote from: Ms Grace on February 21, 2016, 05:13:46 AM
If you don't mind me asking Suzi, is this with or without a partner? Because that may also be a piece of the puzzle.

No partner. Since my transition, no one has had the slightest romantic interest in me.

I never had trouble "doing my own laundry" in the past, though.

Quote from: Cindy on February 21, 2016, 06:42:53 AM
Suzi,

It is totally normal to have T levels increased for lower libido presenting post op females. Ahhh what planet does your endo come from?

Well my doctor is onboard. He has no trouble with my taking T. But it looks like I'm going to need to pay out of pocket because insurance won't cover it. So before I hand over a boatload of cash, I'd love to hear one or two women say it works. The fact that no one here can speak about it firsthand is beginning to concern me.

Quote from: suzifrommd on February 21, 2016, 06:55:33 AM

Well my doctor is onboard. He has no trouble with my taking T. But it looks like I'm going to need to pay out of pocket because insurance won't cover it. So before I hand over a boatload of cash, I'd love to hear one or two women say it works. The fact that no one here can speak about it firsthand is beginning to concern me.

I have read the statement of an endo that they fine adjust testosterone, progesterone and estrogen in the female level and that they are important. It even written on their home page. So its really done by some endos.

Have you asked if it might be covered ?
It might be a possibility its covered ... if its necessary to raise t to help with general level of activity ...


hugs

Suzi,

Would something like Addyi work? It is a non-hormonal pill for women experiencing low sexual desire. I don't know if there would be any issues with it in conjunction with HRT, but I'd look into that or something similar before T.

Quote from: Laura_7 on February 21, 2016, 01:10:23 PM
Have you asked if it might be covered ?
It might be a possibility its covered ... if its necessary to raise t to help with general level of activity ...

Well, it has already been rejected. My doctor is going to write a letter as part of an appeal, but I'm hearing it doesn't look good.

Quote from: FTMax on February 21, 2016, 02:59:58 PM
Would something like Addyi work? It is a non-hormonal pill for women experiencing low sexual desire. I don't know if there would be any issues with it in conjunction with HRT, but I'd look into that or something similar before T.

I'm not actually having a problem with sexual desire. My desire is strong as ever. The problem seems to be reaching and sustaining the level of arousal necessary to climax.

I'm nervous about taking supplements whose medical effects are untested. Heard too many horror stories.

Quote from: suzifrommd on February 22, 2016, 08:00:35 AM
I'm not actually having a problem with sexual desire. My desire is strong as ever. The problem seems to be reaching and sustaining the level of arousal necessary to climax.

I'm nervous about taking supplements whose medical effects are untested. Heard too many horror stories.

Well the solution seems to be the right levels of estrogen, progesterone and testosterone.
As said there are endos stating this, and showing letters of clients where it helped.

There are many reports of people who say it helped.

They had a combination of raising estrogen into the female range, well above menopausal levels.
Some said this alone helped.
Some had a raising of t by their endos, away from almost 0 but still well in the female range, below the male range.

Bioidentical progesterone also helped with some people, they said so.

This all might be talked throgh with a doc/endo.


*hugs*

I had a problem with orgasming after surgery. I was prescribed a low dose of testosterone by Dr. McGinn to see if that would help. Either I don't know how to do it to myself or it isn't working! No luck in getting the big "O" although I have had luck during some erotic dreams!

Love,
Clare

T can help you out a bit, but it sounds like you might want to change your point of approach on this.

prior to the surgery, your body is something your accustomed to and you know the way it all works,
after surgery, you need to take some time, romance yourself, take a free day.. lay naked.. touch your own skin..
explore yourself.. and take it slow.

I didn't have many orgasms at first, I was sure something was off because I could only get so close.. then ARGH!...

but it's not like riding a bike

it's like climbing a hill.. some days.. you reach the top no problem.. other days.. you can't climb it if your life depended on it..

take some time, and a bottle of wine is my prescription :P