: Suppression of testosterone typically leads to fewer spontaneous erections and can result in the gradual atrophy of penile tissue.

: For some, masturbation is a vital part of exploring their changing body and maintaining a healthy connection to their sexuality during the transition process. Cultural Fetishization vs. Reality

Masturbation can be a complicated act for those experiencing gender dysphoria. The way an individual interacts with their body often reflects their internal identity:

: Interestingly, studies on "phantom penises" have found that while some post-operative trans women experience reduced phantom sensations, many pre-operative trans men report feeling a "phantom penis," suggesting a brain-based body image that may not match external anatomy.

For many transgender women (male-to-female), the use of estrogen and testosterone blockers has a profound effect on the physiological mechanisms of masturbation:

Erectile Implants in Female-to-Male Transsexuals - ScienceDirect.com

: Consumers of this content often find a heightened intensity in arousal, yet there is frequently a disconnect between their consumption of this media and their real-life attractions or views on transgender individuals. Post-Operative Outcomes

: Hormone therapy often results in softer skin and changes in how the genitals respond to touch, sometimes requiring different techniques or vibrators to achieve arousal compared to pre-transition methods. Psychological Perspectives and Gender Dysphoria