For many, the association of an erection with their assigned sex at birth causes significant distress, which can naturally inhibit the body's response.
Arousal often becomes more "mental" or "full-body" rather than localized, requiring more intentional stimulation to achieve an erection. 2. Physical Changes and "Use It or Lose It" trannies erection
Hormone Replacement Therapy typically involves taking estrogen and anti-androgens (testosterone blockers). Because testosterone is the primary driver of spontaneous erections and libido in people assigned male at birth, lowering its levels usually leads to significant changes: For many, the association of an erection with
Low-dose Sildenafil (Viagra) or Tadalafil (Cialis) are frequently prescribed to trans women to assist with blood flow when desired. Physical Changes and "Use It or Lose It"
Learning how your "new" body responds to touch is a process. Many find that vibrators or different types of manual stimulation become more effective than traditional methods used pre-transition. 5. Consulting Professionals
Most individuals notice that "morning wood" or random erections stop shortly after starting HRT.