#peritoneal flap vaginoplasty
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)
