Estrogen and anti-androgen therapies frequently cause erectile tissue to shrink. Erections may become less frequent, less rigid, or absent entirely.
This lack of acceptance is reflected in escalating discrimination and violence. The community, particularly transgender women of color, faces disproportionately high rates of violence. Reports from 2025 indicate ongoing fatal violence, with 27 individuals lost to interpersonal violence, the majority of whom were Black trans women.
Safe Sex and Inclusivity: A Comprehensive Guide to Transgender Women and Condom Use
When seeking sexual health care, look for providers who:
Estrogen and anti-androgen therapies frequently cause erectile tissue to shrink. Erections may become less frequent, less rigid, or absent entirely.
This lack of acceptance is reflected in escalating discrimination and violence. The community, particularly transgender women of color, faces disproportionately high rates of violence. Reports from 2025 indicate ongoing fatal violence, with 27 individuals lost to interpersonal violence, the majority of whom were Black trans women. shemales condoms