Male sexual hormones

BIOIDENTICAL HORMONE REPLACEMENT Millions of women today experience some kind of health issue relating to their hormones, ranging from premenstrual moodiness or sugar cravings, to severe hot flashes and sleep problems during menopause. Infertility and miscarriages are becoming more and more common. And while more and more women are searching for solutions, frequently the only solution offered to them by their doctors is to put artificial hormones into their body to relieve their symptoms. Hence the millions of prescriptions for […]
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Genitals  – Testes will lessen quite significantly in size.  The production of testosterone and sperm is also greatly reduced.  Penile size will also likely diminish.  Sexual function will decrease, but the extent to which performance is affected is unpredictable. Erections may still continue, but will probably be less frequent, and not last as long, and in some cases may not be possible. Ejaculate will lessen, probably to the point of only producing a very small, clear discharge as a result of the prostate and the associated structures responsible for semen production being impeded.  It is important to note, however, that the ability to orgasm is not dependent on either an erection, nor ejaculate.  Anecdotally speaking, many transgender females report greater satisfaction with their orgasms after these changes occur in their genitals.

The SHBG-bound fraction is not biologically active, but the albumin-bound and free fractions are. Reduction in free but not total testosterone is associated with diminished libido 107,108 and potency. Testosterone increases potency and libido, whereas estradiol lowers it. Although estradiol constitutes only 1% of male gonadal steroids, it exerts almost 50% of the negative feedback on male LH secretion. 110 Hepatic enzyme-inducing AEDs lower the amount of free or biologically active testosterone available to stimulate sexual function; at the same time they increase the serum level of estradiol, which actively inhibits it.

So while this starts to answer your question with regard to mechanics and erection potential, it does not really get into the all-important emotional and psychological piece. I think that any time our bodies and our minds are not quite in alignment that there can be an emotional toll. This is in no way to say that all transgender people have emotional problems, but I just want to recognize that our bodies, our gender, and our sexuality can be confusing even when everything lines up. Having the added challenge of feeling uncomfortable with one’s physical sex can add some complications.

Male sexual hormones

male sexual hormones

So while this starts to answer your question with regard to mechanics and erection potential, it does not really get into the all-important emotional and psychological piece. I think that any time our bodies and our minds are not quite in alignment that there can be an emotional toll. This is in no way to say that all transgender people have emotional problems, but I just want to recognize that our bodies, our gender, and our sexuality can be confusing even when everything lines up. Having the added challenge of feeling uncomfortable with one’s physical sex can add some complications.

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