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The objective of the study was to determine the effects of androgen depletion on erectile function in a population of male-to-female transsexuals. The erectile function of 25 consecutive male-to-female transsexuals on androgen depletion treatment and scheduled for surgical gender reassignment was prospectively evaluated using medical and sexual history, physical examination, total serum testosterone, International Index of Erectile Function (IIEF-15) questionnaire, penile colour-coded Doppler ultrasonography (CDU) after pharmacological stimulation and nocturnal penile tumescence (NPT) test. All but one had undetectable or low testosterone. Subjective erectile function, according to IIEF-15 scores, and penile CDU findings did not correlate with testosterone levels, whereas NPT test findings correlated well with testosterone levels. These findings would suggest that nocturnal erections are androgen-dependent whereas sexually induced erections are androgen-independent. It can also be assumed that testosterone is important but not essential for male erectile function and that other androgen-independent pathways can be responsible for sexually induced erections.
Background: The combination of a neourethra and erection prosthesis in a single neophallus in the female-to-male transsexual remains a challenge. No good data are available on this subject.
One of the main benefits of phalloplasty is relief from physical and emotional challenges. Results include a natural-looking penis that may be capable of erections. When part of transgender surgery, phalloplasty helps you achieve your desired gender identity.
Penile implants provide an erection by serving as a replacement for the spongy tissue (corpora cavernosum) inside the penis that normally fills with blood during an erection. They come in a variety of diameters and lengths.
How it works: For an erection, simply bend the penis in the erect position. To end the erection, bend the penis down. Erections can be of various degrees depending on how the penis is bent.
Inflatable penile implants have two cylinders in the shaft of the penis, a reservoir that holds salt water, and a hydraulic pump to move the salt water from the reservoir to the cylinders, providing an erection.
How it works: Gently squeeze the concealed pump in the scrotum several times. This moves the saline solution from the reservoir into the cylinders. As the cylinders fill, the penis becomes erect and firm. To end the erection, gently bend the penis down for 6-12 seconds. This transfers fluid back into the reservoir.
Obtaining rigidity in total phalloplasty: experience with 35 patients.Hoebeke P, de Cuypere G, Ceulemans P, Monstrey S. J Urol. 2003 Jan;169(1):221-3.The combination of a neourethra and erection prosthesis in a single neophallus in the female-to-male transsexual remains a challenge. In this report, experience with 35 patients is described, and 1- and 3-piece hydraulic models are compared.
For most children, puberty begins around ages 10 to 11, though puberty sometimes starts earlier. The effect of pubertal blockers depends on when a child begins to take the medication. GnRH analogue treatment can begin at the start of puberty to delay secondary sex characteristics. In slightly later stages of puberty, the treatment could be used to stop menstruation or erections or to prevent further development of undesired secondary sex characteristics.
ED is defined as difficulty achieving or sustaining an erection. It is often caused by a combination of physical and emotional issues. ED makes intercourse difficult, which can lower sex drive and desire, increase anxiety and depression, and affect a man's relationship with his partner.
You should always monitor your sexual function for any changes, no matter how insignificant. For instance, can you get an erection, but not complete sex Do your erections take longer, or are they inconsistent
While androgen blockers will not do a lot of physical feminizing by themsel