: When erections do occur, they are often less rigid than before hormone therapy.

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:

: 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.

: These are firm but flexible rods that allow the phallus to be manually positioned upward for sex or downward for concealment.