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.
Testosterone is a primary driver of sexual desire; lowering these levels often results in a significant decrease in spontaneous arousal.
There is often a disconnect between a partner's expectations and the individual's physical reality. This pressure can trigger "anxiety-induced impotence," which is common across all demographics but intensified by the complexities of gender presentation.
The provides clinical standards of care that include sexual health guidelines.
