Erections — Transsexual

: 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.

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: transsexual erections

: PDE5 inhibitors (like Sildenafil or Tadalafil) can often still be effective for trans feminine individuals. : These consist of a pump (usually placed

For transgender women who undergo vaginoplasty, the erectile tissue is typically reduced or repurposed. To achieve rigidity for penetrative intercourse, an is

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

: When erections do occur, they are often less rigid than before hormone therapy.

: 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.