HaileyHeartless

I'm sorry you're getting downvoted. I really want people to feel safe to ask whatever questions they like without fear of offending me.

I plan to keep my penis. It doesn't give me any dysphoria and there's some things I like about it. I like that I can stand up to pee. I like to use it to top my lovers. I like that I can use it to make money. Most of my dysphoria comes from things that are public facing like my face. I figure anyone who sees my penis is already into me anyway, and I don't really feel like being a little different is a reflection of my womanhood.

I've heard some people seek a penectomy or a vainoplasty without a cavity, but those operations are both pretty rare and I don't actually know any surgeons offering them for gender dysphoria. The new wpath standards are being published soon though, and they are likely to have more focus on transgender people who don't fit the binary, so maybe options like that will become more common.

I'm a professional dominatrix, but a lot of trans women see their genitals as an economic opportunity and use them to pay for the tens of thousands of dollars in medical costs we often have. As far as full service sex work goes, you could say I don't have the balls for it.

( ͡° ͜ʖ ͡°) 

Haha. As a side note, it's not a good idea to tell your psychological screening doctors jokes like this. One of my friends told her doctor that she "wanted somewhere to keep change" and was almost denied surgery as a result.

Impotence is certainly a possible side effect of an orchiectomy, particularly for men, male eunuchs and some nonbinary people. I was made aware of that risk, but since I was able to maintain erections while taking cyproterone my doctors doubted that would happen.

When the penis becomes erect, it's because it's full of blood, not testosterone. As long as you're able to get aroused, there's a possibility that you can have an erection. In trans women, the hormone that helps the body feel sexual arousal is the oestrogen we take, so the method of arousal is often similar to other women (take your time to warm us up. Make it good) but when we become aroused, some of us are able to get an erection just fine.

All that said, erectile dysfunction is a problem for some trans women. Many trans women are okay with this because they can reach orgasm without an erection (and they may welcome it because an erection can be a source of dysphoria), but trans women who wish to top will sometimes have trouble with condoms, so doctors will often prescribe viagra and cialis to trans women in order to make condoms easier to use. I keep cialis and viagra around but I don't use it very often, mostly just for work.

No. Unfortunately once your voice masculinizes as a result of testosterone, you either need to get voice feminization surgery or train your voice to make it higher.

I saw a speech language pathologist for a few months last year and I'm slowly changing my voice using the techniques and exercises she taught me. People in British Columbia, Canada wishing to feminize their voices can access a voice therapy program administered by speech language pathologists by contacting the Transgender Health Information Program and inquiring about the Changing Keys program. The program is free to anyone who qualifies and is covered by BC medical.