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: Many trans women experience ED as a side effect of hormone therapy. While some welcome this as it reduces gender dysphoria, others may use medications like PDE5 inhibitors (e.g., Viagra) if they wish to maintain erectile function for penetrative sex.

This guide provides an overview of how erections and sexual function are managed across the transgender spectrum, focusing on medical interventions, surgical options, and the physiological effects of hormone therapy. Erections and Transfeminine Health shemales in erection

: Gender-affirming hormone therapy (GAHT) typically decreases testosterone levels, which significantly reduces the frequency and firmness of spontaneous and morning erections. : Many trans women experience ED as a