Transmasc

the dysphoria is more likely to cause someone to not seek help, which would cause it to get worse. that's when you see the the scary symptoms. i literally fainted when reading one study about it a few weeks back, because it was too graphic for me. i don't mind blood and do my own shots, but when you start getting detailed about going inside out -- i'm out like a light lol.

they don't really know what causes it but it seems to be that whatever hormone your organs are used to producing, if it lessens, the muscles of the pelvic floor, regardless of the type of gonad, get weaker and smaller. these muscles are responsible for holding your bladder and rectum and help push pee and poop out of your body. the bladder and rectum do work too, but they do it with the help of these muscles. so it can present itself as urinary and fecal abnormalities.

that said, sometimes it presents as pain when bottoming from the front. so there are indeed people on t out there who have no problem using it and are still "losing" it, to use your phrasing.

long way to say, fuck if i know lol.