Coming Soon: Ability to Orgasm After Gender Affirming Vaginoplasty

Lee says:

Research on transgender health and wellness after gender affirming surgeries can be helpful for transgender people who want to learn more about what their options for medically transitioning are.

Knowing the potential outcome of these interventions can help inform and guide the decisions of people who are considering getting these surgeries— and it can also help inform cisgender healthcare providers too.

As someone who had bottom surgery myself (I had ALT phalloplasty) I took a deep dive into the current research on the procedure before making my decision, and while the research was helpful, talking to people who had the surgery I was planning to have equally important.

That being said, if anyone is considering getting peritoneal flap vaginoplasty, this new study should have interesting results and is worth reading!

There isn’t enough knowledge out there about this topic, especially given the relative newness of the peritoneal pull-through procedure as a vaginoplasty option.

-

Here is the primary author’s Twitter summary of the study:

“Retrospective review of 199 peritoneal flap vaginoplasty patients

⏲️Median time to orgasm = 6 months

Any smoking history = correlated with less orgasm recovery

Among those with minimum one-year follow up (89%):

Orgasm pre-op not significantly correlated with orgasm post-op

Rate of post-op orgasm was 86%, however,

Not all anorgasmic patients were attempting to orgasm

Patients continue to become newly orgasmic past one year

Interventions for anorgasmia post-surgery include:

Pelvic floor physical therapy for scars, hypersensitivity, or dilation difficulty

Testosterone rx (orchiectomy is hormone intervention!)

Sex therapist with ️‍⚧️ competency

❤️‍Trauma informed care

We examined a rudimentary outcome (orgasm: yes/no). There is so much more to learn about the sexual health of transgender women and nonbinary people after surgery! It is a privilege to work for this community under the mentorship of Dr. Zhao and Dr. Bluebond-Langner at NYU Langone”

Full publication here: https://doi.org/10.1016/j.jsxm.2022.02.015

(It costs $31.50 to purchase access to the full article, but if you are in school you can request that the research librarians help you gain access to a copy of the full text of the study)

Post surgery musings 3; Our Sad, Broken Healthcare System

Hullo!!!

As you know, I’m 5 months out since my gender affirmation surgery. Healing has been slow and a bit uncomfortable, but wonderful overall.

Regarding some of that uncomfortableness, my surgeon set up a revision procedure to tweak things a bit, and to help with overall comfort and aesthetics. I had that on July 30th.

So now, it’s been 2 weeks since my revision and all is well. I expect to be back living my best life around August the 19th.

~~~

I wanted to share a thing. So, I love my Surgeon. In fact, my wife teases me by referring to him as my “boyfriend.” Between him, his assistant (that is now a good friend of mine), my physical therapist, AND the night nurse from my time in the hospital, I now have QUITE the crew going. These folks have been amazing, and I owe my life to them, literally.

The hospital however. Jeeze. So you’ll recall when they thought I was hiding a pregnancy? Wehhhhlllllll this last time, when I went in for pre-surgery testing, they asked me about the HYSTERECTOMY I had back in March, and how I was doing.

A hysterectomy. Really, though?

I find it TERRIFYING that the hospital – a GOOD highly RESPECTED hospital - people in whose hands I entrust MY LIFE to, can’t seem to agree what a person is there to do, and/or get done. What if I was going in for an appendectomy, and they did a lobotomy? For real, how incompetent are hospitals!? We pay through the nose for quality healthcare, shouldn’t they be better at it?

I considered correcting them, but at this point, I just don’t have the energy. So instead, I said “I’m doing well,” feel “mostly healed” and how I’m looking forward to “getting all this ‘hoo-hah’ business behind me, once and for all.”

The doctor (a lady one) then commented; “I bet you’re excited to not have to deal with menopause, am I right?”

“Sure,” I said.

In a way, this was very validating for me, as they CLEARLY believe me to have been assigned female at birth. Why not roll with it? And ultimately, is it really THAT far off the road from what actually happened?

*facepalm*

And folks wonder why I simply do NOT trust the healthcare system.

These kind of administrative f@#k-ups are PRECISELY how people end up dead on a table and why malpractice is a thing. How is this still an issue in 2019?!

Anyway, that’s my update.

queeranarchism:

theconcealedweapon:

& that 1% regret rate is almost entirely “Yes I’m still trans but the surgery was bad, or the transphobia i encounter is so much worse than anticipated, or I was pushed towards a specific treatment by my binary-oriented doctor when I wanted a non-binary transition” etc.

Actual ‘whoops, I don’t identify as trans anymore” cases are closer to 0,02%.

i am getting a breast reduction today. this is my farewell to my titties

vaingod:

vaingod:

reading about the first dude that got phalloplasty, Laurence Michael Dillon, and how he faked so many records and worked closely with his surgeon to fake a condition that would cover up why he was always getting surgeries

and he fucking worked with his surgeon?? Like he enrolled in the same medical school and worked with him to create phalloplasties before getting his

and he performed an orchiectomy on Roberta Cowell because the procedure was illegal in the UK and he wasn’t a licensed doctor so who cares?? and then his surgeon/colleague performed her vaginoplasty

Roberta Cowell btw is the first trans woman in the UK to transition, she died at 93 in 2011, I know we dont hear a lot about trans people making it to their 90s but she did, after a full transition, and I think its important that is noted

fatmasc:

local-transan:

fatmasc:

If ur like me and driving urself crazy trying to find a top surgeon but ur fat then look at transbmi. Its a short list of surgeons with high or no BMI limit (some surgeons are listed as having an unknown limit - be extra wary of them as they dont guarantee a high limit)

I had a friend go thru KU Med, and he said they don’t have a BMI requirement for top surgery. However, they do have a (flexible) one for bottom surgery, mostly because having hanging stomach fat on a brand new penis will not be good for said brand new penis. So, despite what their website says, BMI is not a factor for top surgery.

I’ve had 2 friends go thru KU Med for top surgery, one thru Dr. Ponuru, and one thru Dr. Farmer. Both are fat, both are gnc but binary trans men, both had good results. From everything I’ve heard, the surgeons are very open/welcoming to nonbinary people as well.

I cannot stress enough: if you know of a surgeon who you think should be on this list PLEASE contact Elijah Castle, the trans man who runs transbmi. He has a google form linked at the bottom of the page for submissions. I do not run transbmi so i cant add the reccomendations i keep seeing in the notes!