If maintaining erectile function is a priority for someone on feminizing HRT, medical interventions are available:
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:
: These consist of a pump (usually placed in the scrotum) and a reservoir. Pumping the device moves fluid into a cylinder within the phallus to create an erection. transsexual erections
: 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.
For transgender women who undergo vaginoplasty, the erectile tissue is typically reduced or repurposed. If maintaining erectile function is a priority for
: The skin and tissue of the penis may become softer or thinner over time due to androgen deprivation.
: Most individuals experience a cessation of "morning wood" and spontaneous erections shortly after starting HRT. This tissue can still engorge with blood during
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