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
: The skin and tissue of the penis may become softer or thinner over time due to androgen deprivation.
: 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
: Most individuals experience a cessation of "morning wood" and spontaneous erections shortly after starting HRT.
: 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. Pumping the device moves fluid into a cylinder
: These are firm but flexible rods that allow the phallus to be manually positioned upward for sex or downward for concealment.
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: : These are firm but flexible rods that
: 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.