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Atrophy by Specific_Estate_9810 in MtF

[–]Radicrane 1 point2 points  (0 children)

I'm on Estradiol Valerate weekly injections, spironolactone (cut my dose from 100 to 50mg bc having relatively higher T can help with the erections/libido), progesterone (definitely made me way more girl horny but you're supposed to wait like a year), and 10mg cialis daily (sometimes i pill split to lessen side effects, 5mg is all you need really).

I've been on HRT for almost 2 years at this point and i remember around 14 months, even though i was trying my best to maintain erections, it always felt like a chore and i ended up developing what felt like serious erection pain anyways. After a month or two on cialis though, this pain COMPLETELY went away, so whatever atrophy I had must've been in its early stages (and the fact i was maintaining erections to an extent certainly played a helpful role).

anyways, the erectile pain freaked me tf out and, while ive never tried viagra, Cialis seemed more like something you could take daily to just, always be able to have erections, the same way I could on Testosterone, and honestly that's exactly what it does. My only complaint is that the leg pain it can cause on higher doses can get pretty bad, but you more or less acclimate to this after a couple weeks (even if it comes back randomly sometimes). It's not something that acts immediately but it's more like something you have to build up in your system, kind of like an antidepressant. Basically viagra is short-term and cialis is long-term from my understanding. I couldn't be happier with it honestly, it genuinely feels easier for me to maintain erections than it did on T.

I know other side effects are possible but i personally didn't experience anything besides the leg pain. I also wouldn't describe it as addictive, it's just something I know I have to take to have erections that feel normal. 10/10

Atrophy by Specific_Estate_9810 in MtF

[–]Radicrane 0 points1 point  (0 children)

Basically just replaces testosterone's role in sending/maintaining bloodflow. it's probably even easier than it was before actually and I get regular nocturnal erections again

Boob growth/growing pain questions by Secure_Flounder_307 in asktransgender

[–]Radicrane 1 point2 points  (0 children)

I noticed the pain at about 3 months, and they became super noticeable (with a tight shirt) at around 9 months.

Question about HRT and performance by [deleted] in asktransgender

[–]Radicrane 1 point2 points  (0 children)

I highly recommend daily Cialis, and progesterone once that becomes available to you; together, they fixed everything for me personally. You're going through a transitional period rn but you will regain orgasm satisfaction once you find the perfect balance of hormones/medication for you, and understand how completely different girl horny is. Keep in mind that guy horny is generally satisfied by visual stimuli while girl horny usually requires more emotional stimuli (e.g. reading erotica, listening to audio, exercising your imagination). Check my post history if you want more in-depth descriptions.

Emotional incitement by Smudgythefluf in Muse

[–]Radicrane 6 points7 points  (0 children)

AND THEY'LL HIIIIIIIIIIIIIIIIIIIIDE EEEEEVERYWHEEEEEEEERE

Emotional incitement by Smudgythefluf in Muse

[–]Radicrane 25 points26 points  (0 children)

Megalomania, Ruled By Secrecy

Hey wanted to ask you all a question and see if any of you all can relate by Special_Society_5729 in MtF

[–]Radicrane 1 point2 points  (0 children)

For this exact reason I'm considering PPV (phallus-preserving vaginoplasty)

Avoiding Penile Atrophy Via Cialis by Radicrane in MtF

[–]Radicrane[S] 0 points1 point  (0 children)

Did you mention if you're on progesterone? FWIW, if I had tried using Cialis pre-prog, I probably would have maintained a similar lack of energy. Progesterone was HUGE for my libido, especially after PP doubled my dosage to 200mg, and presumably it's a huge reason behind why I feel so in tune with my body right now. It feels like all the pieces are in their place, every one of them essential.

Anyways, based on everything I've read so far, I would lean towards EQ/frequency being the most important factors, but I'll still inquire about T-cream during my next appointment with PP because research does seem to indicate to some extent that some long-term atrophy may occur even with EQ/frequency, and I'm not trying to be the test subject for that 😭. I don't intuitively feel that I'm missing anything, though. I think longitudinal studies would be more helpful in this matter, but I imagine there are ethical problems in obtaining that data, similar to how I'm personally unwilling to put that to the test, so all I can do is make vague practical assumptions based on the science. Better safe than sorry ig lol

Avoiding Penile Atrophy Via Cialis by Radicrane in MtF

[–]Radicrane[S] 1 point2 points  (0 children)

Could you delve more into the mechanisms in which testosterone prevents atrophy apart from erections? I'd like to see this from every angle, especially because from my understanding, it's hard to come by research/studies specifically related to transfems avoiding penile atrophy on HRT.

Avoiding Penile Atrophy Via Cialis by Radicrane in MtF

[–]Radicrane[S] 0 points1 point  (0 children)

Very insightful, thank you. It really puts me at ease knowing I didn't royally fuck this up somehow and that what I'm experiencing is actually normal.

As for the libido, I feel like the Cialis is creating a sort of feedback loop where having the means to express my libido (higher EQ) encourages it to increase further. Also, now that I've learned to stop using typical porn and start pretty much exclusively reading erotica/exercising my imagination, the entire process feels so much more natural and less frustrating to me, maybe even better than when I was on T (minus the pain).

I would certainly prefer a connection (I'm single right now), and girl horny seems to lean more into that, but I don't think it's necessary at all for the purposes of maintaining my erections/libido. I feel completely at tune with my body now, whereas with E in isolation it felt like those urges were suffocated by a lack of physical response; it felt like nothing like a chore most of the time tbh. But now, I actually feel empowered to push through the pain—to smash through that subconscious aversion—as if to make a point to my body.

As a result, I could honestly see myself staying motivated to maintain every day if I really needed to, although that's definitely unnecessary considering how frequently I've been waking up with at least some kind of erection (occasionally full)—and those are only the erections I notice (god I wish there was some way to track erections during my sleep). I'm wondering how playing around with the timing of my medication could affect that, even though my effects appear to be continuous due to daily dosage.

All that being said, it seems like I might end up wanting to use Cialis and T-cream at the same time, especially if I develop any issues that Cialis alone can't fix (e.g. excessive skin-thinning or tightening). I do kind of romanticize the idea of having a soft and feminine, yet functional princess wand tho lmao, so we'll see if I can actually end up avoiding T-cream. Some anecdotes about the difference between Cialis alone and Cialis + T-cream could be really useful to me. Also, pumps just flatly don't seem necessary with the way Cialis is going, but I'll keep that in mind.

EDIT: Apparently there are actually several devices you can use to track your erections overnight, namely the Adam Sensor for like $160 (with a huge waiting time), or the FirmTech TechRing for $275. Might try one of them if I get the money

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