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: Sustained use of estrogen can reduce the frequency of spontaneous erections and may change the volume or consistency of ejaculate [18, 27]. Some may use medications like Cialis or Viagra to maintain functionality if desired [20].

: Studies indicate that Gender Affirmation Surgery often leads to higher rates of sexual and life satisfaction by aligning the body with the individual's gender identity [4]. Procedures like Penile Inversion Vaginoplasty aim to create a functional vaginal canal that supports penetrative pleasure [10]. she male pleasure

Transgender women have several primary erogenous zones that contribute to sexual satisfaction: : Sustained use of estrogen can reduce the