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: These are firm but flexible rods that allow the phallus to be manually positioned upward for sex or downward for concealment.
: Following surgery, sexual satisfaction is derived from nerve sensitivity and pelvic engorgement rather than the maintenance of a rigid external erection. Medical Support and Management
: Most individuals experience a cessation of "morning wood" and spontaneous erections shortly after starting HRT. transsexual erections
: In some cases, a low-dose topical testosterone cream applied directly to the genitalia can help maintain tissue health and function without significantly affecting systemic hormone levels.
If maintaining erectile function is a priority for someone on feminizing HRT, medical interventions are available: : These are firm but flexible rods that
For transgender men (AFAB) who undergo phalloplasty (the surgical creation of a phallus), the new genitalia do not contain erectile tissue (corpora cavernosa) and cannot become erect on their own. To achieve rigidity for penetrative intercourse, an is typically implanted after the initial phallus has healed:
: Some individuals utilize external sleeves or "erectile orthotics" if they choose not to undergo further surgery for an implant. Post-Surgical Sensations (Vaginoplasty) : In some cases, a low-dose topical testosterone
For transgender women (AMAB) undergoing feminizing hormone therapy, the introduction of estrogen and the suppression of testosterone typically result in significant changes to erectile function: