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The medication does not increase sexual desire (libido); it only assists with the physical response to arousal by relaxing muscles in the blood vessel walls [4].

Estrogen and anti-androgens often reduce libido and make it difficult to achieve or maintain an erection. Sildenafil works by increasing blood flow to the pelvic region, which can help overcome these physiological side effects of HRT [1, 2]. shemale on viagra

It is crucial to consult a healthcare provider before use, as these medications can interact with certain hormone regimens or underlying cardiovascular conditions. The medication does not increase sexual desire (libido);

It is sometimes used by those who plan on having gender-affirming surgery (vaginoplasty) in the future to maintain tissue health and elasticity in that area [3]. shemale on viagra