lots of therapy x)

Basically, it depends a lot and varies from people to people. I heard several stories which I can tldr here, all for pre-op on hrt:

1. libido might go up or down
2. who you are attracted to might change or not
3. it might become harder to maintain erections and have orgasm
4. some types of stimulations might become more effective (vibrator, rapid small strokes) while others might become less (slow long strokes)
5. you might or might not need to rely more on feelings to reach orgasm rather than physical feelings

for me, pre op: 1. no change. 2. more open minded but still mostly into woman. lost some kinks I had before. 3. yes 4. yes. 5. always has been, even before hrt.

hope this helps