: Most individuals experience a cessation of "morning wood" and spontaneous erections shortly after starting HRT.
: 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
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: : Most individuals experience a cessation of "morning
: While the physical mechanism of an erection may become less reliable, many report that arousal becomes a more "whole-body" or emotional experience rather than a purely localized physical response. Post-Surgical Erectile Function (Phalloplasty) This tissue can still engorge with blood during
: The skin and tissue of the penis may become softer or thinner over time due to androgen deprivation.
: 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.
: Some individuals utilize external sleeves or "erectile orthotics" if they choose not to undergo further surgery for an implant. Post-Surgical Sensations (Vaginoplasty)