: Most individuals experience a cessation of "morning wood" and spontaneous erections shortly after starting HRT.
: Some individuals utilize external sleeves or "erectile orthotics" if they choose not to undergo further surgery for an implant. Post-Surgical Sensations (Vaginoplasty) transsexual erections
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: : Most individuals experience a cessation of "morning
: PDE5 inhibitors (like Sildenafil or Tadalafil) can often still be effective for trans feminine individuals. transsexual erections