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@ -20,7 +20,11 @@ experienced during HRT is due to lowered interest and atrophy ([[file:CBettocchi
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Distress due to lowered sexual interest meets the critera for hypoactive sexual
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desire disorder. Maintenance of erectile function may benefit from low-dose
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testosterone or PDE5 inhibitors ([[file:MatsHolmberg1970.org][Holmberg et al., 2018]]).
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testosterone or erectile dysfunction medications ([[file:MatsHolmberg1970.org][Holmberg et al., 2018]]).
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Alternatively, consider consulting with your doctor about reducing or halting
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androgen blocking medication. While ED meds may help, it's worth noting that
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erections with them may not feel the same as you're used to ([[file:trans_women_and_viagra_trans_tool_shed.org][Trans Women and
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Viagra – Trans Tool Shed]]).
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* Is Progesterone an important addition to a feminizing HRT regimen?
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The addition of progesterone may yield improved feminization and breast
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trans_women_and_viagra_trans_tool_shed.org
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trans_women_and_viagra_trans_tool_shed.org
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#+title: Trans Women and Viagra – Trans Tool Shed
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#+roam_key: https://transtoolshed.com/blogs/news/trans-women-and-viagra
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https://transtoolshed.com/blogs/news/trans-women-and-viagra
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#+begin_quote
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For lots of trans women, including adult performers, those doing sex work, or
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anyone simply looking to use their trans girl cock, erectile dysfunction
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medications such as Viagra, Cialis and Levitra can be essential. Prescription ED
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medications work by blocking phosphodiesterase type-5 (PDE-5), an enzyme that
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promotes the breakdown of cyclic guanosine monophosphate (cGMP), which regulates
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blood flow. This relaxes blood vessels in the body, including in the penis,
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which makes erections easier to achieve and maintain. These medications do not
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interact with or alter the effects of hormone replacement therapies (HRT) and
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work the same way in both trans women and cisgender men, but with some added
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considerations for trans ladies.
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Trans women who are on HRT and have taken ED medications have reported that
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erections “feel different” than the erections they had prior to HRT. Erections
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may not be as firm as they were before hormone replacement therapy, but still
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firmer and longer-lasting than without ED medications. Estrogen also tends to
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make penile skin thinner and more sensitive, which may make erections feel more
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painful.
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Lower testosterone levels typically decrease many trans women’s libidos. Since
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ED medications still require you be aroused in order to work, some may discover
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that Viagra, Cialis, or Levitra are not exactly the “magic pill” they were
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hoping for. ED medications won’t necessarily make sex “feel” more pleasurable,
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but if your aim is penetrating your partner, the confidence of knowing you can
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may improve your enjoyment.
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There are of course other methods you can try to help achieve an erection. Some
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folks use injectables called prostaglandins such as Caverject or Trimix. These
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injections also increase blood flow to the genitals and are prescription-based,
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but unlike pills, they can provide erections whether or not the user is aroused.
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Cock rings are a great way to help maintain an erection by restricting the flow
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of blood out of the penis. There are also lubes or arousal gels, such as Max
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Arousal Gel, Intimate Earth Intense Clitoral Gel or others, that open the blood
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vessels to the genitals making erections easier. Another option to consider may
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be reducing or going off any androgen-blocking medications that you might be
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taking, unless doing so would be dysphoria-inducing. Be sure to consult with
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your medical provider before deciding to alter your hormones.
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#+end_quote
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