I didn't have ED but my sex drive was really low until I started progesterone.
If you find it's not right for you and your sex life, you can just stop taking it. You'll know pretty quick.
this post was submitted on 09 Mar 2026
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i never thought of being able to stop actually lol idk what happens much i heard its finr but /shrug
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 experiences
My 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 genitals
Basically they just drain the blood from your penis manually.
It’s rare, but it does happen.
Thank you this was informative
I've had similar issues. At first, I really liked the idea of reduced function, but after working through some gender stuff and ending up in a more vaguely fluid/queer position, I want some of my function back (I somehow ended up with dysphoria on all sides), but I still don't regret starting HRT.
(keep in mind I have yet to pursue any of these)
Of course there's stuff like viagra, which I haven't tried but may look into. There's also DHT cream, which can be applied to the area for localized effects. I've brought up both with my doc/hrt provider and we're going to look into things involving DHT cream. I think that may be the direction you want to look into (alongside not taking t blockers).
yea id never be able to access a doctor in this country, ill keep in mind what you said ty!!
Not being horribly depressed will help your sex drive, believe me. You can use topical t gel as well to keep penis function. A good E dose and prog also help.
You can get diy t-gel by talking to your local gymbros, and rejecting the injectables they will recommend.
gymbros are scary lol i used to go to the gym and its hell nah to interact with them
past month life is just getting worse idk how to not be horribly depressed about things:( im trying to stay afloat
even if i go on hrt id have no clinic where to trst blood levels
Here's a guide that should help pghrt.diy. If you have a proper dosage you should be fine going mono without bloods. It's not as complex as it seems. Tell me if you need help accessing diy meds.
woah looks cool havent seen that website before ty!! yeah seems quite intimidating and if i socially transition right now in the most unstable (socially, financially) part of my life I think I'm fucking myself over in this country but ty!!
You are welcome! At least you can still prepare for when you are able to transition.
~~That last bit has to be the wildest peice of HRT advice I've ever seen and I applaud you for providing it.~~
Addendum: My initial reaction to the reccomendation to "go to a gym bro" was one of suprised mirth. However upon further reflection it is very sad the way many transmasc people must do just this in order to access lifesaving HRT. Its not funny and they deserve better. (The situation is more complicated than that apparently but Ive edited this comment enough times.
Getting T from the gymbros is actually the go-to for transmasc DIY, but yeah it's talked about very little that microdoses of testosterone can have their place in transfem HRT as well
is actually the go-to for transmasc DIY
Wait for real? Thats fucked up but makes sense since its a controlled substance in most places. Its actually really sad how transmascs need to find dealers in order to do DIY and I did not realize this till now.
It is actually a material advantage for transmascs, since there is a large non trans market, there's lots of it, and relatively easily available too. If you want to use diy-estradiol, the market only consists of other transfems, so we have to rely on (also trans) homebrewers and specialised online sellers. Our diy supply is far more culnerable to disruptions.
Not really tho? Trans girls had to set all DIY sources up ourselves, the number of vendors is much smaller, in my country there are zero official injectable estrogen medications that are not custom-made in a handful of pharmacies, all of that is different for testosterone.
penis function talk
...does a good e dose and prog improve function again (anecdotally)? I've randomly had function improve and get scared I need a better t blocker dose (which sucks cause my t blocker causes awful mental symptoms) because I really prefer ED lol. I should research this cause if it can just happen with a good dose of the other stuff then as much as that sucks it would relax me in the meantime before surgery.
spoiler
Yeah, mine works fine without any t. Everyone reacts differently to Estradiol, but it is not the ED machine. It can cause ED, but that's mostly cause the penis needs to get erections every so often to retain the capacity, especially cause it degrades quicker under E than T.
All in all: use it or loose it
Personally, like 3 years in, I still get hard, am way hornier than pre hrt, and I top all the time
sounds nice
Also you can take Cialis daily in addition to what else has been suggested and it will help also preserve tissue. I take 2.5 mg daily and have been having no difficulty getting hard.
is it prescription only or otc?
I had pretty low sex drive on mono, adding progesterone made a big difference in the other direction though
For what it's worth I'm on mono and I don't got ED, only a reduction in libido. Before HRT was 1-2 per day, then right after was months long dry spell and now its avg 1-2 per week.
Im like too depressed to have a high libido, though I used to in the past, im like once per week as is maybe lol
In terms of libido, you will loose random erections. Those don't happen anymore. But you will gain the occasional "oh my gosh I'm horny and I feel hot" (less frequent than random erections for me).
In terms of mental aspects to libido, I also don't have high libido cause I'm depressed haha. But I probably would if I wasn't.
I dont really have random erections as of now either so guess not losing anything lol
Fair enough ty!