the frontgash is not even close to a vagina, so he won't ever have real sex, and the doctors attach a surgical tube to the bowel line which would get agitated and disconnect or rupture during anal. he can suck a dick, but will in all likelihood never cum again.

gender dysphoria is an extreme sexual fetish of a gay man, usually caused by extreme sexual abuse as a child, and he WANTS to be ravaged by another man because ofit. but now he will never experience what his fetish (and abuse) made him desire. the morbid torture he's caused himself has not only made him sterile, it's unlikely he'll ever have another orgasm. for someone with an extreme fetish, this will be agonizing.

so he will /wrists or ropeneck like practically all the other post-op faggots who self mutilate.