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Erections occur when there is increased blood flow to the penis, resulting in the expansion and stiffening of the penile tissue. This process involves a complex interplay between the nervous, vascular, and endocrine systems. Testosterone, a hormone present in both cisgender men and some transgender individuals, plays a significant role in regulating erectile function.

The fight for trans healthcare (hormones, surgery, puberty blockers) has dovetailed with broader LGBTQ fights against HIV/AIDS discrimination and conversion therapy. The trans community’s demand for bodily autonomy—"My body, my identity"—echoes the feminist and gay liberation mantra of "My body, my choice." shemale erection photos work

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