Shemales Who Use Viagra Now

: 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

: 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.

: 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.