: Feminizing HRT typically involves estrogen and testosterone blockers (anti-androgens). This causes testosterone levels to drop, which often leads to a decreased libido and difficulty achieving or maintaining erections.
: Some trans women wish to maintain erectile function for penetrative sex with partners or to prevent tissue atrophy (shrinkage) if they are planning for future gender-affirming surgeries. shemales who use viagra
: Some individuals prefer Cialis (tadalafil) because it remains active in the system for up to 36 hours, providing a larger "window" of effectiveness compared to Viagra's 4-hour window. Medical Considerations Overview of feminizing hormone therapy : Some individuals prefer Cialis (tadalafil) because it
: While it helps with blood flow, it may not make sex feel more pleasurable, and some users on HRT report that erections feel different than they did before transition. It does not increase testosterone levels, so it
: Viagra is a PDE5 inhibitor that increases blood flow to the erectile tissues. It does not increase testosterone levels, so it will not interfere with the feminizing effects of HRT.