If people experience pain when dilating, they will need to stop and readjust the dilator and body position. Although people may experience some discomfort when they begin dilating, they should not experience any severe pain.
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This helps prevent loss of vaginal depth and width.Ī healthcare professional will provide instructions on how to safely and correctly use a dilator. Following surgery, people may need to dilate twice each day for a minimum of 15 minutes. When using lubrication, people should use a water or silicone-based lube with latex condoms, as oil-based lubricants can damage latex.Īfter a vaginoplasty, people need to use a vaginal dilator to stretch the vaginal canal and keep it open. However, it is a far less common procedure that may lead to serious and possibly life threatening complications. As a result, the vagina will not self-lubricate, and a person will need to use lubricants to undergo dilation or have penetrative sex.Īnother vaginoplasty technique uses the colon or small bowel to line the vagina, which will result in a self-lubricating vagina. The University of California, San Francisco Medical Centre notes that the most common vaginoplasty technique uses the penile inversion procedure.
In people who have a rectosigmoid vaginoplasty or colovaginoplasty, the vagina may have more depth. For comparison, the average depth of a cisgender female’s vagina measures from 3.5 to 5 inches.
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Vaginal depth after a vaginoplasty can vary for each person and depend on the amount of skin in the genital area before surgery.Īn average vaginal depth after a vaginoplasty is 4–6 inches. In addition, research from 2017 involving 28 transgender women found that pressure and vibration provided the best results for genital sensitivity after gender-affirming surgery. Some reported infrequent symptoms, such as pain after sex and vaginal spotting, but these improved within 6 months.Ī 2016 study of 22 people who had undergone a vaginoplasty and clitoroplasty found that 86% of participants could experience orgasm after surgery. A post-surgery interview found that 79 of the participants had had sexual intercourse, and 72 had experienced orgasm. In a 2017 study, 84 participants had rectosigmoid vaginoplasty. People may experience a shooting or tingling sensation as the nerves regenerate, which should decrease over time. Nerve regeneration may begin around 3 weeks following surgery, but in some cases, it may take a year or more to regain sensation. Johns Hopkins Medicine states that people may experience clitoral sensation after a vaginoplasty, although it can vary for each individual. This means most people will still be able to experience orgasms through clitoral stimulation. When people undergo a vulvoplasty, the surgeon forms a clitoris from the head of the penis. It also looks at what to expect during sex after surgery and tips for hygiene, contraception, and protection from infections.įollowing surgery, it can take time for people to recover and start to experience orgasms. This article discusses how long recovery can take and when people can have sex after gender-affirming surgery. People may also refer to this option as a minimal depth vaginoplasty. People may opt for this surgery if they are uninterested in receptive vaginal sex or do not wish to maintain the dilation and aftercare regime necessary after vaginoplasty.
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