: 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.
: Knowing they can maintain an erection can improve sexual confidence and reduce anxiety related to performance or gender dysphoria . How It Works and What to Expect shemales who use viagra
: The medication only works if the person is already sexually aroused; it is not a "magic pill" that creates desire on its own. How It Works and What to Expect :
: 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. : While it helps with blood flow, 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.