daily sildenafil and tadalafil are also good options afaik. working well for me anyway tho idk exactly what the effect on total T levels are. tho it should be noted that topical cream does actually affect your levels a bit, it's just far lower dose than your actual primary HRT so it doesn't necessarily like ruin the effects or raise your E/T levels enough to be an issue. prob a good idea to get your levels checked after using any of these options for at least a month to make sure your levels are all still in target range and make adjustments as necessary. also goes without saying but please masturbate a lot regardless of whether or not you are using these options, it's good for you and will help prevent atrophy to a degree all by itself!