Not all transgender people elect to have these surgeries. People who are transgender may undergo sex reassignment surgery to alter their genitals to match their gender identity. Penis enlargement is a term for various techniques used to attempt to increase the size of the penis, though the safety and efficacy of these techniques are debated. Ĭlitoris enlargement may be achieved temporarily through the use of a clitoral pump, or it may be achieved permanently through the application or injection of testosterone. The Hanabira-style (Japanese for petal) is a special form of scarification originating in Japan it involves the decoration of the mons pubis. The genital decoration by scars is an ancient tradition in many cultures, both for men and women. Similar to tattooing, genital scarification is primarily done for aesthetic reasons by adding cosmetic scars to the skin. Similarly, pearling involves surgical insertion of small, inert spheres under the skin along the shaft of the penis for the purpose of providing sexual stimulation to the walls of the vagina. Genital piercings and genital tattooing may be performed for aesthetic reasons, but piercings can have the benefit of increasing sexual pleasure for the pierced individual or their sex partners. Contemporary, western women with clitoral hood piercing and genital tattooing (left) and Hanabira (right)
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