I don’t feel very good right now. I’m one year and some change on HRT. It’s been a wonderful experience so far and I love being a girl. I know that I’m trans, and I’m reminded by “why” every time I go home and I’m forced to boymode.
Unfortunately that’s little comfort to the complex feelings of starting to feel erectile dysfunction (ED). I just had sex with my trans girlfriend and she didn’t have much left. I can’t ignore this feeling I’m on that same path eventually.
I want some sort of function either male or female. Even though I still wish I was born with a vagina. It pains me to even think about going off HRT though. I love being a girl too much and I don’t think I could present fem without HRT. I still have most all of its function but it doesn’t stay up for as long.
It’s a completely irrational feeling that I hope will be solved eventually with SRS, but that’s probably 10 years away and I just learned how to be sexual 2 years ago.


You need to dilate for the rest of your life yes. The frequency will become less with many trans femme people dilating only once a week after a couple of years. Also, penetrative sex counts ;)
For people that aren’t interested in being penetrated (at least vaginally) and that don’t want to dilate there is also Zero Depth Vulvoplasty (also called Minimal Depth Vulvoplasty) where no vaginal canal is created and it’s “just” the vulva (the visible parts on the outside) that is sculpted.
As for infections: there is a trial and error period that is highly personal. For some people it involves douching regularly, especially in the beginning and inserting lacto-acid pills to encourage a sour-ish millieu that is close to a natal vagina’s.
would just add that the width & hardness of what you are penetrated with matters here - you can lose width / have stenosis from no longer dilating with a hard dilator and just relying on penetrative sex, if the width of your partner or your toys are not comparable
Excellent addition/clarification, thanks!