I'm almost a year on HRT, and I still have orgasms, but no more erections or ejaculations (yay!). I find things still "work", but work "differently". I like to have much more touching and caressing of my whole body now, and without that, I just don't get aroused. If I'm with a partner, I just can't get enough of kissing! That raises my excitement level tremendously. In particular, I find that stimulating the mound at the base of the penis, as if the penis is a clit and the mound is pressed, rubbed and generally manipulated, is very erotic, and in fact I feel that for me, this sort of stimulation is now necessary for orgasm. It's sort of like my erogenous zones are being relocated. I think it's important to stay on top of this process during the period before surgery, in order to have the best result regarding sensation after surgery. At least that's how I think of it. I know girls who did not do this, and for whom sexual desire is now a distant memory post surgery (and yes, they're sensate, they just don't care).