this post was submitted on 09 Mar 2026
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I am quite afraid to begin hrt because I dont want ED, I know some people take viagra etc but seems as an additional bother in my case idk I dont have extreme bottom dysphoria and like penetration.

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[–] MeetMeAtTheMovies@hexbear.net 10 points 17 hours ago (1 children)

I have ED from HRT and use Viagra.

Viagra and Cialis both work similarly. You take a pill about 45 minutes before you want to have an erection. The time varies a little from person to person and there are pills online that claim to kick in in 20 minutes but I haven’t tried those.

CW discussion of sexual experiencesMy ED isn’t a problem when I’m on my own, but without Viagra, I can’t maintain long enough to finish during penetration. For me, it’s 100% worth the other effects of HRT, including the other sexual ones like change in sensation. Viagra’s also made it so I can continue after I finish which wasn’t the case before.

If your normal foreplay lasts at least 45 minutes, no need for planning ahead. Otherwise, spontaneous sex is kind of out the window. I did have a talk with my partner about me surprising her with the fact that I took a pill so that it could feel more spontaneous. Just basically saying that I was fine with taking a pill and not using it and there was no pressure to have sex just because I took it. She appreciated that and it’s helped a lot.

So it may take some getting used to but I’ve found it well worth it. As long as it’s cleared with a doctor in terms of interaction with any heart meds or conditions you have, the main risk is when you have an erection that doesn’t go away for more than 4 hours, you’re supposed to go to the ER. I’ve actually had one last the entire time I slept and managed to get rid of it instead of going to the ER.

CW medical procedure involving genitalsBasically they just drain the blood from your penis manually.

It’s rare, but it does happen.

[–] thirstyskyline@hexbear.net 2 points 15 hours ago

Thank you this was informative