: 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.
: The skin and tissue of the penis may become softer or thinner over time due to androgen deprivation.
If maintaining erectile function is a priority for someone on feminizing HRT, medical interventions are available: transsexual erections
: PDE5 inhibitors (like Sildenafil or Tadalafil) can often still be effective for trans feminine individuals.
: 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) : These consist of a pump (usually placed
: When erections do occur, they are often less rigid than before hormone therapy.
: These are firm but flexible rods that allow the phallus to be manually positioned upward for sex or downward for concealment. If maintaining erectile function is a priority for
: Following surgery, sexual satisfaction is derived from nerve sensitivity and pelvic engorgement rather than the maintenance of a rigid external erection. Medical Support and Management