: Some individuals may downplay their existing anatomy, using techniques that treat the penis more like a clitoris to align the physical act with their gender identity.
Erectile Implants in Female-to-Male Transsexuals - ScienceDirect.com shemale masturbing
For many transgender women (male-to-female), the use of estrogen and testosterone blockers has a profound effect on the physiological mechanisms of masturbation: : Some individuals may downplay their existing anatomy,
Following Gender Reassignment Surgery (GRS), the capacity for masturbation and orgasm remains high for most individuals: shemale masturbing
: Suppression of testosterone typically leads to fewer spontaneous erections and can result in the gradual atrophy of penile tissue.