I have questions about bottom surgery for trans women

[Guest RainbowGoth98]

I am considering whether or not to get bottom surgery but I am still weighing out the pros and cons. I want to have a vagina, just not sure if I'd want that to be a neo-vagina. My partner has made it known to me that they support me no matter what surgeries I do or don't have.

1) I know in some cases it is impossible to orgasm, are those cases rare?

2) Self-lubrication, to what extent is this possible with the neo-vagina?

3) Dilation, is dilation as awful as it sounds?(it sounds very awful)

4) Are there any practicing SRS surgeons anywhere in NYC or near?

[VickySGV]

For MtF, Neo-Vagina is what we get, not the other. "Neo" just means we were not born with it.

Dilation is a chore just like brushing your teeth, it has to be done, and while it is uncomfortable in the first 6 months or so after surgery, it becomes just one more thing to do if you follow your doctors instructions.

Orgasm IS NOT RARE for those who want them, but 1) they are not comparable to male orgasms, and 2) you need more self set-up to have them and 3) they will involve much more than your (neo) vagina.

It will depend on your surgeon as to whether there is any self lubrication, and on the type of vaginoplasty you have. You will probably need some lube inside your vagina if something is going into it.

[KathrynJulia]

Probably the closes surgeon to New York is Dr Brassard and the surgical group that he practices with in Montreal. He has an excellent reputation as being very good.

I had my first orgasm just prior to my 5th month postop. It takes longer to produce an orgasm, but yes, I had three of them in a row. They were more of full body orgasm and very different than a male orgasm.

I experience some lubrication when I become aroused. You are probably going to require extra lubrication for penetration. Dilation is a daily chore that becomes as familiar as brushing your teeth. You can develop a sore spot from when you are introducing a larger diameter dilator for the first couple of uses and develop a sore spot near the introytus or entrance of the vagina. It pays to find a gynecologist before your GRS surgery in case you run into any problems. I'm moving next week to St Louis and I've set up an appointment with a new gynecologist to develop a relationship with. Develop a yeast infection and yes you often can treat them yourself. But how well do you know what the symptoms are or what yeast looks like and smells like? I've worked over 15 years in Laboratory Medicine and stained many thousands of slides of yeast. That first time I went to my doctor for treatment. Kathy