: Reduced frequency of erections (including the loss of "nocturnal erections") can lead to the shrinkage of erectile tissue over months or years.
: Estrogen can change genital sensations, sometimes making the experience of an erection feel uncomfortable or different than before. Frequency and Impact shemale impotence
The primary cause of ED in trans women is the during gender-affirming hormone therapy (GAHT). : Reduced frequency of erections (including the loss