Transsexual Erections -

: 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

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: transsexual erections

: Most individuals experience a cessation of "morning wood" and spontaneous erections shortly after starting HRT. : Following surgery, sexual satisfaction is derived from

: 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. : PDE5 inhibitors (like Sildenafil or Tadalafil) can

: PDE5 inhibitors (like Sildenafil or Tadalafil) can often still be effective for trans feminine individuals.

If maintaining erectile function is a priority for someone on feminizing HRT, medical interventions are available:

: 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.