: Common methods to maintain rigidity despite HRT include the use of PDE5 inhibitors (like Viagra), vacuum erectile devices (VED), or localized topical testosterone .
: Erections are primarily controlled through nitric oxide and vascular pathways; therefore, some individuals maintain function even with near-zero testosterone levels. Dysphoria and Psychological Impact shemale with erection
For many transgender women, erections are a source of significant (distress caused by the mismatch between gender identity and physical body): : Common methods to maintain rigidity despite HRT
Often still triggers erections unless the tissue is surgically removed. vacuum erectile devices (VED)
Gender-affirming hormone therapy (GAHT) typically involves estrogen and testosterone blockers, which significantly impact erectile function: