Transsexual: Erections

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

: 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 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: To achieve rigidity for penetrative intercourse, an is

: When erections do occur, they are often less rigid than before hormone therapy. If maintaining erectile function is a priority for

For transgender women who undergo vaginoplasty, the erectile tissue is typically reduced or repurposed.

: 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: