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  • Loss of libido/sexual desire, never horny
  • No more sexual thoughts, fantasies
  • Nothing "turns you on" or "happens in your head" in response to sexual stimuli
  • Loss of sexual dreams during sleep


  • Erectile dysfunction, impotence
  • Loss of morning erections
  • Loss of spontaneous erections
  • Loss of nocturnal erections


  • Penile atrophy (length, girth)
  • Fibrotic penile tissue changes
  • Wrinkled, constantly retracting into body
  • Cold penis, decreased bloodflow
  • Rubbery texture, loss of sensitivity
  • Significant twisting/rotation on axis


  • Empty, saggy, loss of fullness
  • Shrunken, constantly retracting into body
  • Cold scrotum, decreased bloodflow
  • Rubbery texture, loss of sensitivity
  • White scrotal hairs, decreased scrotal hair


  • Decreased ejaculate volume
  • Decreased ejaculate force
  • Watery ejaculate
  • Ejaculate consistency & color changes


  • Loss of nocturnal emissions
  • Weak orgasm, no longer pleasureable
  • Ejaculations while flaccid
  • Premature ejaculation
  • Increased refractory period


  • Gynecomastia (male breasts)
  • Female fat distribution patterns
  • Female pubic hair pattern
  • Feminine hips, buttocks, chest/stomach
  • Feminine hands, arms & legs


  • Body-wide muscle twitches (fasciculations)
  • Significant muscle loss: fingers, hands, wrists, forearms; calves, legs, thighs


  • Testicular, epididymis and prostate pain


  • Chronic fatigue; no energy, always tired
  • Loss of stamina, frequent exhaustion


  • No more acne, oil or sebum production
  • Extremely dry skin


  • Decreased body temperature


  • Severe memory/recall impairment
  • Constant forgetfulness, blanking out


  • Decreased acuity, comprehension
  • Slowed thought processes, fogginess
  • Difficulty processing information
  • Impaired problem solving


  • Impaired tongue motor control
  • Slurring of speech, stuttering


  • Disrupted sleep/wake cycle
  • Loss of REM sleep (dreams)
  • Constant waking throughout night, often gasping for breath


  • Emotional blunting, flatness
  • Loss of excitement, pleasureable feelings


  • Loss of ambition, motivation
  • Loss of aggression, passiveness


  • Severe depression, hopelessness
  • Feelings of sadness, melancholy


  • Anxiety, paranoia
  • Severe panic attacks


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