The Effects of Feminizing Hormones on Sexual Function & How to Deal With it.
Feminizing hormones affecting your sexual function? Dr. Z explains why it happens, who it affects most, and medical options available that providers don't always mention.
When testosterone levels drop from feminizing hormones (even estrogen alone without anti-androgens), it affects sexual function for many people—harder time getting or maintaining erections, decreased sexual arousal. Two groups most affected: (1) Trans feminine individuals with genital dysphoria who can't get bottom surgery for personal/financial/medical reasons but are sexually active and want to maintain function, and (2) People who feel neutral or comfortable with their genitals, don't gender them at all, and want sexuality as part of their healthy lifestyle.
Many people don't bring this up to medical providers because they fear it will invalidate their transgender identity—like providers will say "you should hate your genitals if you're really trans." That's outdated thinking. Many trans women keep their penises, feel comfortable with them, and enjoy using them sexually.
Watch to find out about two primary medical solutions—erectile medication like viagra (helps blood flow but doesn't create desire) and topical testosterone cream applied to genitals (helps with erections and desire)—and why you shouldn't gender-stereotype these helpful options.