flippant answer: yes
less flippant answer: it depends. When I first came out as trans I went through a period of intense dysphoria about my genitals. Convinced that my genitals could never be fixed, I managed to make the dysphoria fade by pushing my focus away from that and trying to embrace what I had. It was imperfect and I had a real problem with sexual function during that time, but I didn't think about my genitals much, so #winning. Since I started testosterone, the changes to my brain and specifically to my sexuality (the way I orgasm) have forced focus back on my genitals. I also have room to think about surgeries because I completed my top surgery. So I think about it a lot although the pain is in some ways less. Testosterone oddly enough made me more comfortable with my front hole than I had ever been. (So weird.) Masturbation changed a lot, almost like a relearning process. Transitioning has made it possible for me to consume het porn, which I was previously disgusted by, but unfortunately looking at a lot of beaver makes me feel bad about how I perceive my genitals as looking. So, it's complicated, but I definitely think about it more and have bad feelings about it more. At the same time, I'm comfortable with more stuff sexually and I'm not sorry about the t-dick thing even if it didn't accomplish what I would like. I hope to find out there are more options four years from now than there are now.