Genitals – Testes will lessen quite significantly in size. The production of testosterone and sperm is also greatly reduced. Penile size will also likely diminish. Sexual function will decrease, but the extent to which performance is affected is unpredictable. Erections may still continue, but will probably be less frequent, and not last as long, and in some cases may not be possible. Ejaculate will lessen, probably to the point of only producing a very small, clear discharge as a result of the prostate and the associated structures responsible for semen production being impeded. It is important to note, however, that the ability to orgasm is not dependent on either an erection, nor ejaculate. Anecdotally speaking, many transgender females report greater satisfaction with their orgasms after these changes occur in their genitals.
Erythropoietin (EPO): A 165 amino acid glycoprotein hormone (glycoproteins consist of several sugar molecules linked with a protein molecule). EPO stimulates erythrocyte (red blood cell) production in the bone marrow, boosting the blood's ability to carry oxygen. Studies have shown that significant amounts of EPO resist digestion and survive to reach receptors in the intestinal tract. One raw milk-drinking athlete was wrongly accused of blood-doping, so there's at least anecdotal evidence of EPO's activity in our systems!
It was pure luck that found me in the Czech Republic, which is where my now-fiance happened to live. You don't get lynchings here, you don't have people beaten in the streets here, and the suicide rate is much lower. People don't even yell at each other. The first week I was here, I saw a gay couple holding hands on the train and nobody gave a shit. Everything is still expensive, because I've only been here for one year and I'm not a citizen yet, but it's significantly less expensive than in North America. It's like leaving your horrible small-town high school for college in the big city. I used to get bullied all the time, and now I'm the Fonz.