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If maintaining erectile function is a priority for someone on feminizing HRT, medical interventions are available:
: Some individuals utilize external sleeves or "erectile orthotics" if they choose not to undergo further surgery for an implant. Post-Surgical Sensations (Vaginoplasty) transsexual erections
For transgender women who undergo vaginoplasty, the erectile tissue is typically reduced or repurposed. If maintaining erectile function is a priority for
: These are firm but flexible rods that allow the phallus to be manually positioned upward for sex or downward for concealment. : A portion of the glans penis is
: A portion of the glans penis is often used to create a neo-clitoris. This tissue can still engorge with blood during arousal, providing a sensation similar to a natural clitoral erection.
This overview addresses the physiological aspects of erections for transgender individuals, specifically focusing on how gender-affirming hormone therapy (GAHT) and various surgical procedures influence erectile function. Hormonal Effects on Native Genitalia