Fertility, Hormones, Sex, Erections, Pregnancy and Lactation for the transsexual women

After a question I noticed on twitter “If a transsexual has sex with a girl can he/she get them pregnant? @ZoiTheFemcee” I decided that it was time to answer this question.

So here goes:

Yes is the simple answer to the question above but there is so much more to it so read on.

Hormones and Fertility

In the case of a Male to Female transsexual it is very possible to still ejaculate while still on hormones, although there have been many articles written and cases presented it has been recently proven that in most cases it is possible to produce seamen while on hormones and even after many years on hormones it is possible to regain almost all lost fertility by stopping anti-androgens for a short period of time. in saying this I will point out that in most cases however after a few months on hormones there is little or no semen produced by the body and from 6 to 12 months some individuals also struggle to get erections even with manual stimulation.

In the case of the transsexual models or “Shemales” seen in porn and adult entertainment a lot of these girls are either no longer taking hormones or on such low dosages that the effects on erections and fertility are diminished.

It should be noted that in some rare cases the loss of semen production by the body can never be regained and is for this reason that sperm banks are recommended for everyone who would like to have children one day and want to transition.

Sex and Erections

Again this is much dependant on the amounts of hormones being taken, erections have been proven to rely heavily on a mental state of mind this is not to say that hormones don’t have an effect but rather that the female hormones that are coursing through ones body are more than likely to be effecting the brain and the way the brain signals for erections, this is much the same as Viagra because alone Viagra will not have any effect but with manual stimulation Viagra has proven to increase strength and longevity of an erection.

Personally I haven’t had an erection for two years until just recently the changes in my penis and testicles size have been dramatic to say the least but I still wish that my penis was smaller than it is. When I began my transition to womanhood my erect penis measured 8 1/2 inches from the tip to the base when measured on the top and about 5 inches flaccid, now after transition and my lack of erections it measures about 3 inches flaccid and maybe 5 inches erect.

After my recent orchiectomy it was the first time in 2 years I had been erect, I must admit that it is also the first time in a while that I have been off hormones for a extended period. but given the lack of testosterone in my body after my orchiectomy I was surprised and disgusted to see a stiffy down there.

Before my orchiectomy my testicles had also shrunk to the size of large raisin, which meant that any semen that I did have wasn’t much.

I personally haven’t had sex but it is quite obvoius that it is possible and that semen is still available during transition.

Pregnancy

Because of the lower sperm count the chances of impregnating a girl is reasonably lower but still quite possible. I a women was to have unprotected sex with a transsexual it wouldn’t be that unreasonable to expect to get pregnant even with lower sperm and testosterone and high levels of estrogen.

There have been few recorded cases of pregnancy to trans-women, and even a few to trans-men.

Lactation

The breasts of a transsexual woman are in fact quite capable of producing milk lactating given the breasts has developed internal structure and there is physical, hormonal, psychological stimulation for production of milk.

Microgest & Motilium are both needed as part of a lactation regime now although I will probably get many comments about this it is a great way to gain some extra breast tissue and if lactating tickles your fancy then this is a great way to start.

For those of you who would like to give this a try, ask your endocrinologist like I did or if you want to do it on your own try following these steps:

1. Be Patient and setup a schedule, as this will take 6 to 9 months for most transsexual women if you are under 25 it may be much shorter.
2. Regularly massage and need your breasts for at least 3 months, and wtart taking Motilium tablets per day during this first 3 months and 1 Microgest tablet per day.
3. Up the Motilium dosage to 4 tablets per day after the first 3 months continue with 1 Microgest tablet per day.
4. get yourself a electronic breast pump used to express breast milk.
5. Relax for 15 minutes before expressing, watch TV, listen to music, try to avoid alcohol as it constricts veins.
6. Try to minimize distractions – take the phone off the hook, etc.
7. Try to express milk in a familiar and comfortable setting – privacy and comfortable seating promotes relaxation, which enhances let-down.
8. Follow a pre-expression routine: Use warmth to relax and stimulate milk flow by applying a warm compress to your breasts for 5 minutes or putting a warm wrap around your shoulders;  relax with deep breathing and visualizations.
9. Encourage milk let-down by using an oxytocin nasal spray 2 or 3 minutes before using the breast pump – costly but worth it.
10. Think about babies – look at pictures of a baby and imagine him at your breast while you are expressing your milk or if it is for sexual arousal let your mind wonder to what ever turns you on about lactating.
11. Before pumping stimulate your breasts and nipples through massage as shown in the pictures above or by using a circular motion around your breasts, remember this should fell good.
12. While pumping help “push” the milk towards the nipple – place your thumb opposite the fingers on either side of the areola (positioned as the pump allows), then rhythmically press your hand in towards your chest, gently squeezing the thumb and forefinger together.  Rotate the fingers to get all the milk ducts.  With practice you can do both breasts simultaneously.
13. Interrupt your pumping several times to pause and massage your breasts more.
14. This must be done a maximum of every 2 to 6 hours once you have started lactating, so your body will continue to product milk.

If you have a partner or friend who is interested in joining you in this experience let them massage and suck on your breasts as often as possible as it will make a huge difference.

I hope this clears up a few questions, please comment if you have any more or want to offer your opinion