: 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
: 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