Arousal often becomes more "mental" or "full-body" rather than localized, requiring more intentional stimulation to achieve an erection. 2. Physical Changes and "Use It or Lose It"
Switching from a blocker like Spironolactone to Bicalutamide, or adjusting dosages, can sometimes help preserve function, though this should only be done under medical supervision. 4. Psychological Factors trannies erection
Low-dose Sildenafil (Viagra) or Tadalafil (Cialis) are frequently prescribed to trans women to assist with blood flow when desired. Arousal often becomes more "mental" or "full-body" rather
Some providers prescribe a very low-dose testosterone cream applied directly to the genitals. This can help maintain tissue health and function without significantly raising overall blood testosterone levels. or adjusting dosages