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In the case of a female to male transition, the clitoris is usually retained in the new structures that are created so that orgasm and an erection of sorts are possible. It depends on the specific surgery involved. The new penis may also have artificial means of erection to facilitate penetration.

In the case of a male to female transition, the tissue of the penis is usually retained in the wall of the new vagina, so "erection" and orgasm are possible.

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Q: Can girls who had a sex change have an erection?
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