: The skin and tissue of the penis may become softer or thinner over time due to androgen deprivation.
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
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: : The skin and tissue of the penis
: Some individuals utilize external sleeves or "erectile orthotics" if they choose not to undergo further surgery for an implant. Post-Surgical Sensations (Vaginoplasty) If maintaining erectile function is a priority for
: Most individuals experience a cessation of "morning wood" and spontaneous erections shortly after starting HRT.
: 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.
If maintaining erectile function is a priority for someone on feminizing HRT, medical interventions are available: