It could also just be a mental thing. I’ve always been rabidly sex positive and don’t suffer from bottom dysphoria and not much physical dysphoria generally. Testosterone horny made orgasms feel like a biological imperative or an addiction kind of like smoking cigarettes. They feel great when you have them, but going without feels life threatening (that feeling is gone). Whereas now it’s more of an actual desire for emotional contact with another human. Not a need so much as a desire, but a powerful one.