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: 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

: Some individuals prefer Cialis (tadalafil) because it remains active in the system for up to 36 hours, providing a larger "window" of effectiveness compared to Viagra's 4-hour window. Medical Considerations Overview of feminizing hormone therapy : Some trans women wish to maintain erectile