: 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.
: 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. 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. It does not increase testosterone levels, so it
: 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 How It Works and What to Expect :
: 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.
: 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.