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Correl Roush 2020-07-29 01:46:24 -04:00
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@ -20,7 +20,11 @@ experienced during HRT is due to lowered interest and atrophy ([[file:CBettocchi
Distress due to lowered sexual interest meets the critera for hypoactive sexual
desire disorder. Maintenance of erectile function may benefit from low-dose
testosterone or PDE5 inhibitors ([[file:MatsHolmberg1970.org][Holmberg et al., 2018]]).
testosterone or erectile dysfunction medications ([[file:MatsHolmberg1970.org][Holmberg et al., 2018]]).
Alternatively, consider consulting with your doctor about reducing or halting
androgen blocking medication. While ED meds may help, it's worth noting that
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
Viagra Trans Tool Shed]]).
* Is Progesterone an important addition to a feminizing HRT regimen?
The addition of progesterone may yield improved feminization and breast

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#+title: Trans Women and Viagra Trans Tool Shed
#+roam_key: https://transtoolshed.com/blogs/news/trans-women-and-viagra
https://transtoolshed.com/blogs/news/trans-women-and-viagra
#+begin_quote
For lots of trans women, including adult performers, those doing sex work, or
anyone simply looking to use their trans girl cock, erectile dysfunction
medications such as Viagra, Cialis and Levitra can be essential. Prescription ED
medications work by blocking phosphodiesterase type-5 (PDE-5), an enzyme that
promotes the breakdown of cyclic guanosine monophosphate (cGMP), which regulates
blood flow. This relaxes blood vessels in the body, including in the penis,
which makes erections easier to achieve and maintain. These medications do not
interact with or alter the effects of hormone replacement therapies (HRT) and
work the same way in both trans women and cisgender men, but with some added
considerations for trans ladies.
Trans women who are on HRT and have taken ED medications have reported that
erections “feel different” than the erections they had prior to HRT. Erections
may not be as firm as they were before hormone replacement therapy, but still
firmer and longer-lasting than without ED medications. Estrogen also tends to
make penile skin thinner and more sensitive, which may make erections feel more
painful.
Lower testosterone levels typically decrease many trans womens libidos. Since
ED medications still require you be aroused in order to work, some may discover
that Viagra, Cialis, or Levitra are not exactly the “magic pill” they were
hoping for. ED medications wont necessarily make sex “feel” more pleasurable,
but if your aim is penetrating your partner, the confidence of knowing you can
may improve your enjoyment.
There are of course other methods you can try to help achieve an erection. Some
folks use injectables called prostaglandins such as Caverject or Trimix. These
injections also increase blood flow to the genitals and are prescription-based,
but unlike pills, they can provide erections whether or not the user is aroused.
Cock rings are a great way to help maintain an erection by restricting the flow
of blood out of the penis. There are also lubes or arousal gels, such as Max
Arousal Gel, Intimate Earth Intense Clitoral Gel or others, that open the blood
vessels to the genitals making erections easier. Another option to consider may
be reducing or going off any androgen-blocking medications that you might be
taking, unless doing so would be dysphoria-inducing. Be sure to consult with
your medical provider before deciding to alter your hormones.
#+end_quote