The Cosmetic Vaginoplasty

[Audrey]

@A Man Da,  each surgeon and practice will have different recommendations.

In my case with my surgeon (for peritoneal flap vaginoplasty), it will be four times a day dilation for the first six weeks after surgery, dropping to three times and then twice a day over the first year of recovery. Even after the first year, dilation is recommended with regularity a few times a week. I believe the risk of insufficient dilation is loss of depth at minimum to potentially more serious complications. It can thus be considered lifelong from this surgeon's point of view and something I must expect as part of having the surgery and recovering. This may be a consideration if you are looking at shallow or zero-depth options instead, which would not be demanding in this way.

 

Love,

~Audrey.

[Rishaya]

I haven’t been on HRT for 5 years due a stroke after 11 months so I can’t fulfill the 12 months on HRT.  I was wondering how long the waiting list is after contacting the surgeon.

 

Thanks

[AllieJ]

14 minutes ago, Rishaya said:

I haven’t been on HRT for 5 years due a stroke after 11 months so I can’t fulfill the 12 months on HRT.  I was wondering how long the waiting list is after contacting the surgeon.

 

Thanks

 

Each surgeon will have different waiting times, so you would need to contact them directly. They may also have different criteria regarding other health issues you need to know about. Have you had recent blood tests for hormone levels? 11 months may have been long enough to reduce your hormone production below healthy levels, and you may benefit from a supplement. Modern bio identical hormones have the same risk factors as natural hormones, and so taking some hormones may not elevate your risk above natal women. 

 

Hugs,

 

Allie

[missyjo]

Audrey the lower maintenance n less risk of zero depth sounds nice...but I just keep having problems hearing mysrkf say..ok  hrt, breast implants  maybe ffs n now a surgical coochy..but I can't use it..so if I get hit on in bar I have to stay shy because I still don't have what they expect to find down there...pouts 

 

yes I'm being childish 

no not sure I'll be that brave when it's time..but..

 

hugs

[Audrey]

@Rishaya It was able one year from the day I called the surgeon's practice to request a consultation and the day I actually came in. Initially it was two years (!), but when the practice received my support letters, I believe they saw me as a serious candidate and moved my appointment up. From the consultation to the surgery itself, it will be just shy of two years between them. Later, I was offered a slightly earlier surgery date, but I turned it down as I had already started planning with the initial one in mind.

 

@missyjo Part of the process of transition is deciding what steps are right for you. Your feelings may evolve over time and that is okay too. I initially believed I would want or need every medical option available to pass or feel affirmed - HRT, bottom surgery, top surgery, FFS, voice surgery, hair removal. Over the three years of my own transition, I feel that top surgery, FFS, and voice surgery are no longer necessary because I am very happy with the results of HRT and voice work with a speech therapist. Your concern about safety is well-founded though, and you cannot be too careful about how people may react to a transgender person - especially a stranger in a bar.

 

Stay positive!

 

Love,

~Audrey.

[Tilly]

10 hours ago, missyjo said:

Audrey the lower maintenance n less risk of zero depth sounds nice...but I just keep having problems hearing mysrkf say..ok  hrt, breast implants  maybe ffs n now a surgical coochy..but I can't use it..so if I get hit on in bar I have to stay shy because I still don't have what they expect to find down there...pouts 

 

yes I'm being childish 

no not sure I'll be that brave when it's time..but..

 

hugs

 

You’re not being at all childish missy jo. But when you say ‘can’t use it’ you mean ‘can’t use it for penetrative sex’. 

 

It’s still very usable in terms of clitoral stimulation. And MtF’s generally don’t have prostate removed which adds another potential route for stimulation in the area.

 

Urination is also routed through the area, not through a dangly penis, which adds a significant female-use dimension.

 

I’d also want to add (I think?!) that facial ffs surgery is cosmetic. To an extent, breasts are too although I have to say that I have been absolutely amazed at how mine have developed without implants both in terms of size and sensitivity. I can orgasm through nipple stimulation.

 

This is where I guess so much is about personal choice.

 

For me, I have absolutely no interest in taking a penis inside of me and shudder at the thought. Men, generally, repulse me.

[missyjo]

Audrey n tilly

 

thank you

 

I um don't like men generally..but do enjoy playing with penis..not as much as with a coochy .but they're still fun..n idv like to experience them inside my coochy..doing me n -visiting- in me...blush

 

green harper top over pink bra n black lace panties..no pants yet

 

laughs

hugs

[Ashley0616]

I'm curious what it would feel like but at the same time I don't think I could go out with a guy. I'm a long way away from dating someone again but I would like full depth just in case. The dilation I wouldn't mind. I know it would get annoying to stick to a schedule of doing it but after the beginning I have been told that you don't have to do it so frequently. 

[missyjo]

Ashley, 

darling I too am worlds away from dating, especially men ...but playing with their cocks is just simple fun n neighborly sometimes..giggles. when they spurt for you..on you..in you..well..anyway..

 

understood n agreed

 

but you certainly have the closet to start dating giggles 

 

I'm ok sticking the dialators in myself..I'm just afraid knowing it will be a fresh surgical wound n bleeding n ...all that...

 

I know..big girl panties..

hugs

[Tilly]

This thread is making me smile and blush

 

My personal feeling is that if you’ve doubts about whether you might want penetrative sex, but you do know you want vaginoplasty, then you should strongly consider going ahead full depth. It’s just that I’m not even sure it’s possible to have a vagina put in after the main op has been completed? There are some ops from which there’s no going back: an orchidectomy being one example.

 

Also, I know that people can change in their outlook / orientation. I might be repulsed now but will I always be? Might that change post surgery? One big factor for me is that I’m in my fifties and not really sure I can face a bigger op than I needed, especially the faff of almost daily dilation but again that’s just me.

 

As ever, consultation with your therapist(s) and medical staff is essential.

 

Just my thoughts.

 

xx

[missyjo]

Tilly 

thanks dear, sorry for tmi.

I am pretty set on knowing j want penetrative sex, so that's why I'm so inclined to full depth...bit chivken of the recovery needed..n then..what if nobody wants to...you know

blush

 

anyway  thanks for suggestions girls

hugs

[AllieJ]

3 hours ago, Tilly said:

This thread is making me smile and blush

 

My personal feeling is that if you’ve doubts about whether you might want penetrative sex, but you do know you want vaginoplasty, then you should strongly consider going ahead full depth. It’s just that I’m not even sure it’s possible to have a vagina put in after the main op has been completed?

 

Just my thoughts.

 

xx

 

Tilly, it is possible to have minimal depth labiaplasty and then a full depth neovagina later. The options are slightly less in that penile inversion would not be available due to lack of donor tissue, so bowel or peritoneal tissue would be used. It works out more expensive, and of course, you must go through 2 recovery periods, but the option is there. The specialist nurse who supervised my recovery after my op told me, in her 20 year experience with GAS, she found that the majority of women over 50 who have full depth stop dilation and let it start to close within the first 3 years. This is due to some who just can't get comfortable with dilation, and others who come to the decision that their chance of having penetrative sex doesn't warrant the dilations. 

 

So the decision should be about what fits your life, and what your hopes and dreams are, and of course, some of us just need to feel 'complete'.

 

Hugs,

 

Allie

[missyjo]

sorry one of us spent too many nights in adult book stores n cheezy bars.

 

blush

[Tilly]

AllieJ thanks so much for that. Really helpful info and advice.

 

Missyjo - haha!!!

 

I just wanted to add that there are plenty of cis women who don’t have penetrative sex. Some because they cannot, others because they do not want it.

 

The completeness thing is a vast topic, where this angel fears to tread ;)

[missyjo]

Kerry

congratulations on your surgeries..I'm envious

 

I was pondering, you hot zero depth n are recovering..I'd think if you ever decided you wanted gull depth they could just add it with a perimeal pull through...justxa thought

 

hugs

[Birdie]

On 1/5/2024 at 3:44 AM, Tilly said:

I just wanted to add that there are plenty of cis women who don’t have penetrative sex. Some because they cannot, others because they do not want it.

 

I'll add that as 'intersex', I can't have penetrative sex because my V is zero depth. It doesn't mean I don't have a uterus because I do, I just didn't form a complete vagina. It looks fairly normal from the outside except for an enlarged clitoris and of course I have testes instead of ovaries. 

 

I thought about surgery to fix things up a bit, but I keep deciding against it. Why fix it if it's not broken?

 

I really don't need depth to enjoy sex.