I'm not sure if this is supposed to be placed in the sexuality forum, but given that this is the topic I'm looking for other's experiences on, and the fact I can't see nor post in that thread due to being new, I figured I'd risk it here and see how it goes. 


So I started HRT almost a year ago now, and at first I was taking it consistently and feeling great, but even after half a year of that had passed, the decreased erections and lower urge to masturbate that almost every MtF I've ever met experienced never happened, not even slightly. (about the only thing that has reduced it is tucking, but ow. enough said)

I've been on Spiro and Estradiol, in a rather large dose, and my bloodwork has shown my hormone levels to be that of a cis-female despite the unfortunate lack of change in that one area.


Time has gone on and it's become something that is extremely distressing for me, and at times feel like life itself is laughing at me and invalidating how I feel in saying I'll never be able to stop these things that I absolutely hate doing.

But yeah, I've considered speaking to my endocrinologist about it, but ultimately I feel like that can't go anywhere aside from her suggesting to get SRS sooner.
Unfortunately, getting SRS is a rather large hurdle of it's own, not one that can be easily achieved in a comfortable amount of time, and I really want to find a way to stop the erections and desire for private time.


Has anyone had a similar experience, or does anyone know things I could try to solve the issue?


PS: I've even been on a decent dose of zoloft as well, so in total that's 3 medications that either should be or can cause erectile dysfunction and/or reduced desire, and not one of them is doing it for me.

I've been on a couple kinds of hormones and different concentrations.  I'm currently on Spiro and bio identical estradiol and bio identical progesterone.  I have to get blood work in a week or so, but last check had my T at Cis female levels.  A while back on other chems my T was about a third of what it is now.  Before, I had virtually no erections. If I was mentally exited and interested with my wife I would get a little growth but not really enough to penetrate and even that  didn't last long.  With my T at cis female level, which my clinic says they like for calcium protection, I can get a full erection for quite a while when I'm mentally stimulated but the long time at low T has caused my penis to shrink a whole bunch and it is no longer straight at all when erect, making intercourse uncomfortable.  I never have the desire to masterbate at all anymore.  I've been on hormones for nearly two years.
     Conclusion I came to is I think my T is higher than I would like.  I'm not worried about calcium because of my diet and exercise.  I'm scheduled for srs in Feb., so I'm not going to make an issue of it, but I still like lower T.  FWIW, the progesterone feels like it really "smooths" things out for me so I do like that a lot.

While I haven't started true HRT yet, I've been on low dose Finasteride (not quite HRT dose, but a decent bit above Propecia level because it is impossible to quarter Proscar properly so it usually just winds up halved or in thirds) for a bit now and haven't had the slightest change in that sort of thing, despite knowing it instantly impacted my brother (that was a TMI conversation if there ever was one). There are also certainly many cases I'm aware of that people did not have that reaction to HRT, and it really is just one of a million "your miles may vary" things.

All you can really do I believe is speak to your endo, but if you are already on high doses I can't imagine there is much they can do.

If nothing else, remember that maintaining sensitivity by, uhhh, "using" "it" is said to help with maintaining proper sensitivity post SRS, so you may benefit long term even if it sucks now.

Ill just add that on E and spiro I had zero erections. When I added progesterone they began to be possible again. Generally I don't like the sensation of it becoming erect. Usually it never goes beyond partial erectness.

This is not a very comfortable topic but we are all adults here so upwards -pun sorry- and onwards.

I have only been on HRT for 6ish months now (3 of these on full does) and at first I was still able to get an erection within the first 20 days and it would occur at night/morning etc. However, by around 35-40 days this was no longer the case. In fact my desire to masturbate or engage in sexual acts was zero. Now having played the role of a bit of a ladies man up until this point and trying to date anything with a skirt it was a shock yet I was grateful of it.

That said in the 3-4 month something changed and now I can get an erection from imagining sexual acts with someone. The girth is not the same or the length but it is obtainable.

At first I could not understand this as I had the same blood works all the way through for T (3-8ng/dL) having only started before HRT with 80-100 ng/dL. So I knew it was not related to this. I spoke to my gp about it and she advised that in my case this was around the time I switched medication from Alprazolam to Escitalopram for my PTSD. So perhaps the anxiety meds you are on contribute to your erections.

At 2+ years on HRT, i can say that my sexual drive has returned in a way that I much prefer and at the risk of being a bit stereotypical, I often label as a more "feminine sex drive". Like you all, the desires plummeted pretty rapidly and i was wondering where that would go.

The drive is no longer a controlling need, something to be satisfied or there would be consequences to my mood and my emotional well being. That dragon is happily defeated. Porn - zero interest whatsoever. What i love is emotional love and the physical part that goes with it. I can masturbate and do once in a while (no erections required), i have sex and enjoy every part of it, not just the high point as it were.

So hang in there and give it time, you may really like where it is going. The time it takes for you to experience all of the physical things that you want may just take a bit longer. Definitely talk to your doc about it too

You may want to consider an orchiectomy. It's a relatively minor surgery to remove the testicles. This will do the job as you will no longer be able to produce anything but naturally occurring adrenal testosterone.  Consult your doctor to see if it might be something to consider. Meanwhile here is an article to look into. www.california-impact.org/documents/orchiectomy.pdf    My medical insurance pays all but $100. Check yours. Otherwise expect $4500 to $6500. It is an outpatient procedure.

There's no reason to feel shameful about onanism, just like there's no shame in being transgendered.  It's a source of pleasure; in the immortal words of Alan Ginsberg, "Masturbation is fun!"   

Is self abuse recommended to ward off shrinkage before GRS?  I've read that somewhere or another, maybe it's just a TS folk tale.

For a more feminine feeling, buy some nylon or microfiber panties - you can rub the topside of your schmeckle for what I imagine is like what females experience.  Again - I imagine.  It's a vastly different feeling from what males do, since it is stimulating what will be the labia after GRS.  I don't know if you want to do it for hours on end, possibly bringing on irritation.  It takes much longer to climax, too, again, like women.

After almost 4 months morning wood is a thing of the past, and using my imagination gets the job done.  There are plenty of days where I'm just not libidinous in the slightest, too.  Hope my suggestions help, OP!

Welcome to Susan's Place. Low T affects people differently. Some elderly men lose the ability to have erections while others have no difficulty. The same can be applied to those who are on blocker. While it's somewhat distressing at the moment, it suggest that after surgery you will be able to enjoy a healthy sex life if you desire it.

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