this post was submitted on 09 Apr 2026
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is possible to get full erectile dysfunction? (quokk.au)
submitted 3 days ago by erin@quokk.au to c/mtf@lemmy.blahaj.zone
NSFW 17 comments fedilink hide all child comments
 

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 0 points 3 days ago (1 children)

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 0 points 2 days ago (1 children)

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 0 points 2 days ago (1 children)

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 0 points 1 day ago

tyyy

[–] erin@quokk.au 0 points 3 days ago (1 children)

FUNNY FUNNY FUNNY or how russian laws never work,
offical website of plastic surgeron in Ekaterinburg,
which have Feminizing & Masculinizing surgeries which says THEY ARE FOR TRANS PPL ALSO
and he still doing BA and FFS INSIDE RUSSIA without gender marker change
Matveev a petersburg ffs surgeron also not cencor at all his trans FFS work
so is only SRS illegal in russia? also prices are democratic too, maybe i should get FFS some day

fR8ZPw8zAQ77YFH.png

[–] erin@quokk.au 0 points 3 days ago

how to get rid of face dysphoria: dont compare to cis girls at my age, they fucking DOLLS, mostly with TON of makeup, older women look normal but sometimes with TON of lip filler, i fucking hate doll industry in russia, in every house in my SMALL city at first floor there beauty salon

[–] Nissa@lemmy.world 0 points 3 days ago (1 children)

Have you considered a chastity cage? It would would keep you from having an erection and diminish the overall size of the bulge. I'm getting one to look/feel more feminine in my panties and skirts. This is what I'm getting:

https://lockthecock.com/products/pink-plastic-cock-cage-1

I don't like that it says sissy on it so I plan on filing that off. Don't know how normal this is but it sounds like it might be a good option for you.

The feminine chastity lemmy group is like 90% porn but there are some post about chastity progress and advice. It's pretty inactive but you might get lucky:

https://lemmynsfw.com/c/sissychastity

I generally only masturbate as a form of bodily maintenance, it's a good stress reliever and helps boost your immune system. It might help you to think of it this way, disconnect the sexual nature of the act.

I hope any of this helps. I don't like to hear you are in so much pain, and want nothing more than for you to feel good about you no matter what. Deep breaths and remember, it's a beautiful day as long as you want it to be!

♡♡♡Nissa♡♡♡

[–] erin@quokk.au 0 points 3 days ago (1 children)

idk for me it only for a moment then one day my state maybe okay by next day my head is trash

i suspect is prolactin flustrating(confirmed by three labs when a day before was horny)

i understand that is natural process that should be exist and IT MUCH MUCH better than on T and low libido but heh dysphoria

my castrated cat also still maintaing him sexual function......., so it more about psychology not hormones, funny that him pp also didnt athropy for a years without testosterone

i want compression underwear to tuck better

[–] Nissa@lemmy.world 0 points 3 days ago

Well at least you have an idea of what the problem is and hopefully it gets better. I should have my cage in the next week or so and if you are curious feel free to reach out. I'd be more than willing to share my experience. Not matter what you be you girly!

[–] birdwing@lemmy.blahaj.zone 0 points 3 days ago (1 children)

Do you take T-blockers? If not, get those, they help a lot.

[–] erin@quokk.au 0 points 3 days ago (1 children)

no, i would taking cypro but Teva stopped manufacturing it and androcur under sanctions(how the fuck other bayer meds exist but it disappered after war)

OUR!!, OUR RUSSIAN!!!!)))) Pharmasyntesis making cypro but is get out of stock super fast(100℅ is only OUR RUSSIANS girls buy them) even if lucky can get cypro injections

idk about bicalutamide is available casodex, teva, and OOOUUUR generics

spiro, idk i dont like it

[–] Entertainmeonly@lemmy.blahaj.zone 0 points 3 days ago (1 children)

I much much prefer cypro but spiro at lower does has worked great for me. I found at 100mg the side effects are very minimal and it gets my t down to proper level. The side effects of spiro can be brutal though.

[–] erin@quokk.au 0 points 3 days ago

maybe should try

[–] Shirow@lemmy.zip 0 points 3 days ago* (last edited 3 days ago)

I'm glad, I don't feel dysphoria about it (well it happened, but didn't last).

The only thing I wouldn't like would be if the other person would focus on it.

I don't really know yet.

[–] Berengaria_of_Navarre@lemmy.world 0 points 3 days ago (1 children)

I have heard that it's essentially a dice roll whether you loose erections or not. But there are drugs that will help just don't go taking the addictive ones.

Personally I enjoy giving my partner pleasure and she specifically likes my penis. So I'm trying to avoid ed. One of the main reasons I opted for monotherapy.

[–] erin@quokk.au 0 points 3 days ago (1 children)

i take sertraline but it useless should i ask my psych to change to that definitly get ER?

[–] Berengaria_of_Navarre@lemmy.world 0 points 3 days ago

I mean if that's your goal. But if you're planning on getting a penile inversion vaginoplasty at some point, you should be aware that it's dependent on having that tissue to work with. But if it's giving you significant dysphoria, you could for example take a blocker and then a small quantity of sildenafil before bed so you dont witness the erections. That's just if you wanted piv. I'm not sure of the requirements for other operations.