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is possible to get full erectile dysfunction? (quokk.au)
submitted 2 days ago by erin@quokk.au to c/mtf
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i have no random erections

BUT I HATE THIS AT ALL

i hate the pp which didnt athropy at all for a year on hrt

i hate "sexual function"

i hate the fucking penis and balls (which also doesnt athropy much)

i hate m@sturbation i hate i hate i hate

why sometimes i dont want m@sturbate but body wants (this happens even at zero T and high E maybe high E?)

i feeel supper dysphoric by next day after that

and prolactin spikes after this for a DAY(up to 600 mMe, 300 at normal days)

also is possible to get some penile athropy somehow but would be better if 70-80% athropy

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[-] irotsoma@piefed.blahaj.zone 5 points 1 day ago

First let's clarify the components here.

Sexual desire/need isn't really testosterone specific. Most people still retain their sexual desire on HRT, though often reduced. It takes a while, though. But typically, you won't lose sexual desire with HRT alone, it's just a little different.

Erections are different, but similar. Women also have erectile tissue, and it's similar how it's activated, but they don't generally maintain the "erection" throughout the entire sexual encounter. Most mtf people experience a lot of difficulty in achieving and/or maintaining an erection after a year or two on HRT, timing is different for everyone, but it takes a while.

Many mtf people get an orchiectomy to reduce these things and reduce the need for the androgen blockers.

Anecdotally, I had vaginoplasty after about a year and a half on HRT. I didn't take androgen blockers during my initial HRT, just Estradiol, so I can't really say how they affect things. But towards the end, I was losing the ability to maintain erections for more than a few minutes at a time, and ejaculate was often very minimal. Also, the orgasms themselves became less of a spike and lasted longer. After vaginoplasty, I still have the need to masturbate, but it's definitely not as intense, and I dont have as much anger and frustration build up if I don't masturbate for a few days. Masturbating takes way longer, though, but orgasms are still something I enjoy and helps me relax.

I know some mtf people who do not choose or dont have the means to get vaginoplasty will have an orchiectomy to help make these changes happen as well as eliminate the need for androgen blockers and their side effects.

If you truly want no ability or desire to have sex, it's mostly irreversible, but you can get "nullification" surgery. Basically all external genitals are removed and only a hole for the urethra is left behind. This surgery can leave some penile nerves intact or totally remove them so there's no ability to orgasm. But the psychological need for orgasms still takes time to fade from what I've heard. But it will be less than with just HRT. Not something most doctors will recommend, but it is sometimes done for asexual people.

[-] erin@quokk.au 1 points 1 day ago

how the SRS feels? pain? aethestic? dilatation? price or its covered?

i would prefer zero depth SRS or nullo, i hate vaginas and dicks plus its less risky

but seems like only orchie affordable, danke putler.....

i want FREE surgeries like in progressive EU countries such as france

i know trans women from russia, she a year in france by lgbtqia+ shelter in VERY UNSAFE environment and she is poor now but she getting free surgeries right now........ already done tracheal shave, going soon to BA

but i dont like her rly, as well whole russian trans community such as centre-t, t-action etc etc

[-] irotsoma@piefed.blahaj.zone 2 points 15 hours ago

There was definitely pain, but part of that was due to a complication I had. Meds were helpful.

Dilation is annoying and time consuming. That will reduce with time, but if you will never want penetration, then zero depth might be easier and less risky.

As for cost, it was covered by insurance after deductible and coinsurance, and that was a lot considering the total costs were somewhere in the $200,000 range. Plus I had to travel and stay for a month in an AirBnB in San Francisco, which was quite expensive, because the local provider has a many year waiting list. Definitely wish we had a better and less ridiculously expensive healthcare system like some EU countries.

Also, vaginoplasty does require about 3 months off of work. I had medical leave coverage through my employer which gave me 75% of my salary minus waiting periods and all that nonsense. Otherwise, I wouldn't have been able to take that much time off. FMLA in the US means your employer has to give you the time off and let you come back afterwards, but not pay you. Another thing that some EU countries do way better.

The orchiectomy is definitely lower risk than the zero depth vulvoplasty or nullification, and heals much more quickly. And there are a lot more surgeons available that can do it without the long wait lists most have for the other surgeries. But it doesn't solve the having a penis issue.

Just have to decide what's most going to help your issues, you have access to, and you can afford in both money and time off of work.

[-] erin@quokk.au 1 points 8 hours ago

tyyy

this post was submitted on 09 Apr 2026
21 points (100.0% liked)

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