I’m 37MTF, and haven’t had an actual orgasm in a…very long time. The last one I experienced was when I relapsed on coke, and it was amazing. Prior to that, I’d say it has been 10+ years since my last orgasm. I don’t plan on falling off again any time soon, so I don’t know what to do.

For a long time, I derived my pleasure from satisfying whichever random guy I was having an encounter with. This worked for so many years, but I’ve grown tired of it now.

I think it is the HRT I am on that has extinguished my ability to cum. I won’t stop taking it, but I want to feel it again—I’ve forgotten.

Receiving oral does nothing for me, being penetrated is nice, but I’m over it.

What suggestions might you have? What can I do? Or do I need to try to learn to enjoy it again? If so, how?

I'm not a doctor and I'm cis so, I'm not sure I could be useful but: do you masturbate? Listening to your own body by yourself may help. Or not, but if you don't it may be worth the try (a few tries, actually).

And I agree with @Pornphilosoph@lemmynsfw.com : if you didn't, speak to an actual doctor. Sexuality is a part of a healthy life, so it's their domain too.

It’s almost as though I have no feeling down there. Nothing really stimulates me enough for it to get hard, not enough to get hard. I use my hitachi magic wand and watch porn, and it feels like I get 50% there, but then it just kind of fizzles out.

I have my first doctors appointment in several years coming up in a week, I’ll mention it then. I had not thought of that

Thanks

Have you been checked for diabetes?

I haven’t, could that be related?

Sexual function is the early warning sign of metabolic health, eventually bad metabolism leads to diabetes

You can get a home glucose meter and check, or a continuous glucose monitor and see your blood sugar in real time

If you have your last lipid panel you can look at the ratio of tg/HDL to see your insulin sensitivity, less then 2 is ok, less then 1 is great.

Gosh I hope I don’t have diabetes… My diet is kinda bad.