Metoidioplasty can affect your ability to engage in sexual activities, but the extent of the impact will vary depending on the type of surgery you have and your individual healing process.

In general, you will need to wait several weeks after surgery before you can engage in any sexual activity. This is to allow your body time to heal and to reduce the risk of complications.

Once you are healed, you may be able to engage in sexual activities, but you may need to modify some activities to avoid putting too much stress on your neophallus. For example, you may need to avoid activities that involve a lot of thrusting or that put pressure on your neophallus.

Here are some additional things to consider if you are considering metoidioplasty and sexual activities:

• You will need to wait several weeks after surgery before you can engage in any sexual activity.
• You may need to modify some sexual activities after surgery.
• There is a small risk of complications, such as infection or tearing, even after you are healed.

If you have any concerns about metoidioplasty and sexual activities, please be sure to talk to your doctor.

Here are some resources that you may find helpful:

• The Trevor Project: https://www.thetrevorproject.org/
• GLAAD: https://www.glaad.org/
• Trans Lifeline: https://www.translifeline.org/
• National Center for Transgender Equality: https://transequality.org/

Metoidioplasty can have an impact on your ability to engage in sexual activities, particularly in terms of the changes to the genital anatomy and potential effects on sexual function. However, the specific impact can vary depending on individual factors and the surgical technique employed.

Metoidioplasty aims to enhance the appearance and functionality of the genital region, including the creation or enhancement of a neophallus. Some individuals report increased sexual satisfaction and improved sexual function following metoidioplasty. The enhanced size and positioning of the neophallus can potentially provide increased stimulation during sexual activity.

However, it is important to note that the outcome and impact on sexual activities can differ from person to person. Factors such as the specific surgical technique, preservation of nerves and sensation, individual healing and recovery processes, and personal expectations can all play a role in determining the final result.

It is recommended to have open and honest discussions with your surgeon during the pre-operative consultations regarding your expectations and goals related to sexual function after metoidioplasty. They can provide you with specific information about potential changes and limitations based on their experience and the surgical techniques they employ.

Additionally, it can be helpful to explore resources such as support groups or counseling to discuss any concerns or questions you may have about sexual function and intimacy after metoidioplasty. Sexual health professionals, including sex therapists or counselors, can also offer guidance and support in adapting to the changes and exploring new possibilities for sexual satisfaction.

Remember, individual experiences can vary, and it is important to have realistic expectations, communicate openly with your healthcare team, and engage in self-exploration and ongoing dialogue with your partner(s) to navigate the impact of metoidioplasty on sexual activities.