this post was submitted on 15 Nov 2023
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[–] [email protected] 11 points 11 months ago* (last edited 11 months ago) (2 children)

HRT-related sex problems, advice neededYou know how it's a "use it or lose it" situation with sexual function of you dick once you go on HRT? Well I've kind of lost it and now I've been trying to use it again and it's not going well and I don't know what to do. HRT initially tanked my libido so I made no real effort to get regular erections to maintain function, progesterone kind of brought my libido back but also I've been in a depressive episode for the past couple of months so I still wasn't in the mood to try to masturbate much. Well I've been trying to use it again these past few weeks and now getting erect is quite painful and cumming is extremely painful. I've tried to push through it a bit but I'm worried I might fuck up my body and even after a couple days in a row masturbating it isn't any less painful, like not even a little bit. Am I just fucked now? Is this something I can push through and if I do it regularly enough it will stop being painful? Or is it just always going to be painful to get hard?

I feel like I'm stuck in an unwinnable situation though because even if getting daily erections eventually fixes the problem I don't really want to masturbate that often, like my sex drive just isn't that high, it's something I'd want to do like once or twice a week max. But doing it that infrequently is going to make it super painful and not enjoyable. I feel like I'm stuck in between either being cumbrained or celibate and I don't like either option.

[–] [email protected] 10 points 11 months ago (1 children)

This is entirely second hand and anecdotal but I have heard other transfeminine folk I know talk about this and mention getting a testosterone gel to specifically use on their genitals to counteract this?

But Im not entirely clear on if this is like a thing that is within the average doctors vocabulary or if its one of those things that very specific ones do, but it is something Ive heard can help and is probably worth looking into.

[–] [email protected] 6 points 11 months ago

Ah okay, I’ll look into that. My endo seems pretty cool so I’ll bring that up with her, thank you!

[–] [email protected] 8 points 11 months ago (1 children)

[CW: sex]

I was in a pretty similar place for a while. For me, the pain mostly came down to setting/who I was with. Masturbating was still not very fun and I did it virtually nill, but eventually my bottom dysphoria became less acute and me and my bf started having more fun in a way that incorporated my erect penis. Eventually, I started to get erect with him in a way that felt pleasurable and embodied that I couldn't/can't really access alone or with other people.

[–] [email protected] 7 points 11 months ago (1 children)

Oh I don’t mean like dysphoria, I don’t get too too much bottom dysphoria, I mean like physical pain. My dick has atrophied a lot so now when I get erect there is a very painful kind of pressure feeling, like it feels like it’s going to explode or rip apart or something

[–] [email protected] 7 points 11 months ago

Sorry I meant like for me I would get physical pain when I wasn't in the right headspace.