Transsexual partner's change in semen and erection ability

[XJohn89]

First of all I'm not sure if this is a problem at all, we just want to know if there is reason for concern or a need for visiting the doctor.

My partner is a male to female transsexual, 23 years old, with a pretty good health record. She has been on hormone therapy for over 2 years now, but has decided to keep her penis. She was capable of regular erection and had a (visually) normal ejaculate, up until several months ago. Her erections have been much harder to initiate and there is something really wrong with her ejaculate. It is very clear, watery and there is much more of it than ever before.

There used to be maybe 2 teaspoons worth of it in the past, but now it's surreally increased. She ejaculates at least 3 - 5 times that quantity now, and it comes out under very hard pressure. We first thought it was urine, because there was so many of it and it squirted (gushed) out so hard. But it's definitely not urine, we checked. It's almost completely see through and a bit thicker than urine, but not nearly as thick as normal ejaculate.

Also, probably worth of mention is that ejaculating doesn't end her erection, which is quite odd since erection is pretty hard to initiate, but then is kept for longer than we can remember in the past.

We first thought positively of this, considering she could have several orgasms during intercourse without losing her erection, but the amount of ejaculate (or whatever the hell that is) is scarying us both. I'm not sure if I'm illustrating this well enough - there is literally a glass full of it sometimes, if we count in several ejaculations. We have been avoiding sex for a while now and her libido seems to be lowered too (although once we manage an erection it turns out quite the opposite).

Any advice would be more than welcome...

[Janice M Epp, PhD]

Hi John and Ellie.

Thanks for clarifying your situation. I understand that transitioning in a small community can be quite challenging, to say the least. For your support needs, I'd suggest you check out some of the best-known MTF sites, which not only have good information, referrals, etc., but also chat rooms for both trans women and their partners. My best wishes to you both. Dr. J

[XJohn89]

Thank you for replying. We have taken some steps towards meeting a new doctor already, but it may take a little while, so I suppose I was just making sure it's not some well known condition that we should be worried about. We live in a somewhat isolated community where any attempt to contact a local doctor would probably expose the transexual identity of a person in this conservative environment. The trusted doctor who helped her transition died some time ago and we are in quite an awkward situation as to who to go to.

Any similar experience or knowledge (though unlikely) is welcome in this thread, as there may be a little while until we get to the necessary exam. Once again, thanks.

John and Ellie

[Janice M Epp, PhD]

Hi John.

Thanks for raising an interesting issue. First, you both need to realize that estrogen will inevitably bring changes to the sexual functioning of a biological male. I'm assuming your partner has spoken with her physician regarding this. If not, she should do so immediately in order to learn about these changes.

I have no idea about what's happening with her semen, and this is definitely a question she should ask her physician, although it doesn't sound problematic, just unusual. You both should be well-informed about the changes that her hormonal regimen will engender, so there are no surprises. Best of luck to both of you. Dr. J