For many trans women, the ability to achieve and maintain an erection is influenced by Gender Affirming Hormone Therapy (GAHT). Hormonal Impact

For trans women (individuals assigned male at birth who identify as women), experiences with erections can vary, especially if they are undergoing or have undergone hormone therapy (often referred to as cross-sex hormone therapy). This therapy can lead to a variety of physical changes, including changes in sexual function and response.

: Many identify within the gender binary as men or women, while others use terms like non-binary genderqueer to describe identities outside that binary. Gender Affirmation

For years, Leo felt like he was living in a room where the windows were painted shut. In his small coastal town, the word "transgender" was a distant whisper, something found in textbooks or late-night documentaries, never in the mirror. He spent his youth performing a role he hadn't auditioned for, wearing the expectations of "daughter" like a wool sweater in July—heavy, itchy, and suffocating.