Sexuality after phalloplasty is one of the main concerns for trans men who choose to undergo this gender-affirming surgery. It’s important to understand that sexuality is not only physical. It also involves a process of rediscovery, adaptation, and connection with your own body. Many trans people who have opted for this surgery wonder whether they’ll be able to have sex after phalloplasty, how sensitivity will work, or what differences exist depending on whether they choose to get a penile prosthesis. In this article, we aim to answer some of these common questions.
What Changes and What Doesn’t After Phalloplasty?
Phalloplasty is a gender-affirming genital surgery that enables the construction of a phallus (penis). How is phalloplasty performed? The procedure typically uses tissue from other parts of the body, most commonly skin and fat from the forearm. However, tissue from the thigh or abdomen can also be used.
The new penis closely resembles a cisgender penis in appearance and allows urination while standing. It can also serve sexual functions, as it develops erogenous sensitivity. This means sexual pleasure is still possible. However, it’s important to know that a prosthesis is needed for penetrative sex, and it is only implanted once the person has fully recovered from phalloplasty.
Importantly, phalloplasty doesn’t change your right to pleasure, intimacy, or to build a fulfilling sexual life. Regardless of where you start.
Can I Feel Pleasure After Phalloplasty?
Yes. It’s important to say this clearly: pleasure is still possible after phalloplasty, although it may be experienced differently. Why? Because the clitoris is preserved during surgery – typically located at the base of the neophallus or in an accessible fold. This tissue is highly sensitive and remains functional in most cases. Many people experience pleasure and orgasms through direct or indirect stimulation of this area, along with emotional and mental arousal.
Additionally, the skin used to construct the penis often develops tactile and erogenous sensitivity thanks to the connection of sensory nerves with the dorsal nerve of the clitoris. While this sensitivity may not be exactly like that of a cis penis, it can still enrich your sexual experience.
What If I Have a Penile Prosthesis?
The penile prosthesis is implanted during a second surgical stage, after the neophallus has healed properly. Usually about a year after phalloplasty, as recommended by the medical team and if the patient wishes to proceed. Some men choose not to take this step.
There are different types of penile prostheses – rigid, semi-rigid, and inflatable – and their main purpose is to facilitate penetration, not to enhance pleasure. This is an important distinction: having a prosthesis won’t make sex more pleasurable, as it doesn’t provide erotic sensitivity.
With a prosthesis, many people can have safe and satisfying penetrative sex. It’s crucial to follow your medical team’s post-operative guidelines and wait the recommended 2–3 months after implantation before resuming sexual activity.
What If I Don’t Have a Prosthesis?
Sexuality without a prosthesis is also completely valid and fulfilling. Many men choose not to have one due to personal preference or medical reasons. Penetration is not necessary to enjoy sex. The key is rediscovering your body and exploring pleasure in new ways.
When Can I Resume Sexual Activity?
This is one of the most common questions about phalloplasty. Every body heals at its own pace. Generally, it’s recommended to wait about two to three months after phalloplasty before engaging in any sexual activities that involve pressure, contact, or intense movement in the area.
You should follow the guidance of your IM GENDER medical team. They’ll ensure the wounds are fully healed, with no swelling, discharge, or pain, and that you’re emotionally ready to resume your sexual life.
What Is Masturbation Like After Phalloplasty?
Self-exploration is a natural part of sexuality and is highly recommended during the process of getting to know your new anatomy. It helps build self-awareness, discover erogenous zones, and gain confidence, which can lead to more satisfying sexual relationships. However, you should wait for your medical team’s approval before beginning sexual self-exploration.
In the beginning, it’s a good idea to use a hand mirror, take your time in a quiet space, and explore without pressure. Use water-based lubricants and try different types of stimulation. Don’t expect the same sensations as before. This is about building a new relationship with your body.
Masturbation isn’t just a source of pleasure. It can also be a valuable tool for bodily adaptation and affirmation, helping you build your own unique sexuality.
Pleasure After Phalloplasty
We must begin with this idea: there is no one way to experience sexuality after phalloplasty. With or without a prosthesis, with or without penetration, alone or with a partner…It doesn’t matter! What matters is that your sexual life becomes a space for well-being and authentic pleasure.
After phalloplasty, it’s very common to experience intense emotions, ranging from relief and euphoria to doubt and frustration. That’s why it’s important to understand that sexuality begins in the brain. It doesn’t depend solely on surgery, but on how you experience your relationship with your body.
Sexual reconnection can take time, so try to avoid rigid expectations and enjoy the journey. Validate your feelings, communicate with your partner, and don’t compare yourself to others or their experiences.
Your pleasure doesn’t just depend on your anatomy. It’s rooted in your confidence, freedom, and the connection you feel with yourself and others.
Do You Have Questions About Sexuality After Phalloplasty?
At IM GENDER, we’re here for you! We accompany you with respect and without judgment. Whether you’re considering surgery or have already undergone it, and are looking for medical guidance, reach out to our specialized team. Your body deserves to be lived in with confidence.