: 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.
: 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. shemales who use viagra
: 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. : Some trans women wish to maintain erectile