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: Sustained use of estrogen can reduce the frequency of spontaneous erections and may change the volume or consistency of ejaculate [18, 27]. Some may use medications like Cialis or Viagra to maintain functionality if desired [20].

: Often a primary source of intense pleasure, stimulation of the prostate gland can lead to powerful orgasms, sometimes described as feeling different from penile-centered sensations [3, 14]. she male pleasure

: Many individuals on HRT experience changes in how they perceive touch. For some, the genitals may become more sensitive , similar to a clitoris, while others may use tools like vibrators to manage shifts in erectile function [19, 24]. Common Practices and Enhancements Use of Toys : : Sustained use of estrogen can reduce the