Gender-affirming hormone therapy is a primary factor influencing sexual function. For those assigned male at birth who take estrogen and anti-androgens:
The offers extensive research and education on LGBTQIA+ health and wellness. impotence shemale
Estrogen softens skin and redistributes fat, but it also makes achieving and maintaining a firm erection more difficult because it reduces the blood flow and muscle response necessary for traditional erectile function. impotence shemale