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Often still triggers erections unless the tissue is surgically removed.

Gender-affirming hormone therapy (GAHT) typically involves estrogen and testosterone blockers, which significantly impact erectile function: shemale with erection

: Most transgender women report a sharp decline in "morning wood" or spontaneous erections. Often still triggers erections unless the tissue is

: Common methods to maintain rigidity despite HRT include the use of PDE5 inhibitors (like Viagra), vacuum erectile devices (VED), or localized topical testosterone . vacuum erectile devices (VED)

For many transgender women, erections are a source of significant (distress caused by the mismatch between gender identity and physical body):

: Some individuals choose to preserve erectile tissue through specific surgeries, while others opt for vaginoplasty to remove it entirely. Summary of Erectile Function Changes Effect on Erections Estrogen/Blockers Reduces frequency and spontaneous occurrence. Orchiectomy