Metoidioplasty surgery can have an impact on sexual function, although the specific effects can vary from person to person. The primary goal of metoidioplasty is to enhance the size and functionality of the clitoris, which has been naturally enlarged through hormone therapy. This can result in increased sensation and the ability to achieve erections.

However, it is important to note that metoidioplasty does not create a fully erectile penis. The size and functionality of the neophallus (the clitoris that has been surgically released and repositioned) may not be equivalent to a cisgender male penis. The ability to penetrate during sexual intercourse can vary, and some individuals may require the use of additional devices or techniques for sexual satisfaction.

It is crucial to have open and honest discussions with your surgeon about your goals and expectations for sexual function after metoidioplasty. They will provide you with personalized information and help you make an informed decision based on your individual circumstances. Additionally, a consultation with a specialized sexual health professional or therapist may be beneficial to explore sexual concerns and discuss strategies for optimizing sexual satisfaction post-surgery.