Yes, it is possible to have orgasms after a penectomy. The ability to orgasm after a penectomy depends on a number of factors, including the extent of the surgery, the individual’s anatomy, and their overall health.

In a penectomy, the penis is removed. This includes the glans (head), the shaft, and the testicles. However, the nerves that control orgasm are located in the pelvis, so they are not affected by the surgery. This means that it is still possible to have an orgasm after a penectomy, although the sensation may be different.

Some people who have had a penectomy report that their orgasms are less intense after surgery. Others report that their orgasms are just as intense, but they feel them in different parts of their body. For example, some people report that they feel their orgasms in their prostate or in their anus.

The ability to have orgasms after a penectomy can also be affected by the individual’s overall health. If someone has other health conditions, such as diabetes or heart disease, these conditions can also affect their ability to have orgasms.

If you are considering a penectomy, it is important to talk to your doctor about your concerns about orgasm. Your doctor can help you understand the risks and benefits of surgery and can discuss your options for achieving orgasm after surgery.

Here are some additional resources that you may find helpful:

• The World Professional Association for Transgender Health (WPATH) Standards of Care: https://www.wpath.org/publications/soc
• The American Society of Plastic Surgeons (ASPS) website: https://www.plasticsurgery.org/
• The Trevor Project: https://www.thetrevorproject.org/

After a penectomy (partial or total removal of the penis), the ability to experience orgasms through traditional penile stimulation will be lost, as the primary source of sexual stimulation will no longer be present.

However, it’s important to understand that orgasm is a complex physiological and psychological response, and it is possible for individuals to experience orgasms through other forms of sexual stimulation and erogenous zones. While penile stimulation is the most common route to orgasm for individuals with a penis, other erogenous zones, such as the nipples, perineum, and other sensitive areas, can still be sources of pleasure and arousal.

For transgender individuals undergoing penectomy as part of gender-affirming surgery, the impact on sexual experiences may align with their gender identity. Gender-affirming surgeries are often pursued to alleviate gender dysphoria and improve the alignment between an individual’s physical body and their gender identity. In such cases, experiencing pleasure and sexual satisfaction may be redefined and experienced through different means.

It’s essential to have open discussions with healthcare providers, including gender specialists and mental health professionals, to fully understand the potential impact on sexual experiences and overall well-being. Additionally, post-operative counseling and support can be beneficial to help individuals explore and adapt to changes in their sexual experiences following penectomy.

Each individual’s experience is unique, and it’s crucial to approach these topics with sensitivity, understanding, and the recognition that sexual pleasure and intimacy can still be fulfilling and rewarding in various ways after a penectomy. Communication with healthcare providers and mental health professionals can play a significant role in addressing any concerns and ensuring a positive post-operative experience.