Shemale Impotence May 2026

The primary cause of ED in trans women is the during gender-affirming hormone therapy (GAHT).

: Reduced frequency of erections (including the loss of "nocturnal erections") can lead to the shrinkage of erectile tissue over months or years. shemale impotence

: GAHT typically involves estrogen and anti-androgens (testosterone blockers) like spironolactone or cyproterone acetate. Testosterone is the primary driver of spontaneous and maintained erections; when it is lowered to the female range, the physical ability to achieve an erection often decreases or stops entirely. The primary cause of ED in trans women