I see a lot of posts near the event but rarely see any updates in longer time frames.

Are you happy?

Have you had any issues since the surgery?

Can you orgasm?

Any unique hygiene issues?

What are some non-obvious post-surgery things that only become apparent when everything settles back into a routine?

  • Lumelore (She/her)@lemmy.blahaj.zoneEnglish
    0·
    7 days ago

    There are multiple ways vaginoplasties are done. One is penile inversion, which results in a dry vaginal canal. Others use penile inversion plus some moist tissue so that the vaginal canal isn’t dry. Sometimes this tissue secretes excess fluid and that’s what the liners are for.

    • femtech@midwest.social
      0·
      6 days ago

      Ehh, I had penile inversion and mine has never been dry. It’s only been a year but I still have discharge sometimes.

      • Lumelore (She/her)@lemmy.blahaj.zoneEnglish
        0·
        6 days ago

        That’s interesting. I’ve only heard from people who got PI that theirs is always dry. I am aware that the shaft can secrete fluids, but I didn’t think it could be that much.

        • femtech@midwest.social
          0·
          6 days ago

          I think my Cowper’s gland is really active. I have been able to have sex without lube if I have a good amount of foreplay.

          • Lumelore (She/her)@lemmy.blahaj.zoneEnglish
            0·
            6 days ago

            I actually just looked it up and was going to edit my original comment but you already replied! Lol anyways, what I found was this:

            Anatomically, penile and scrotal skin have no self-lubricating potential, though penile inversion vaginoplasty may produce some sexually responsive secretory fluid when urethral tissue is incorporated and lubricating genitourinary accessory glands are retained.

            From this source: https://pubmed.ncbi.nlm.nih.gov/37105933/

      • LadyAutumn@lemmy.blahaj.zoneMEnglish
        0·
        6 days ago

        Same. I actually get very wet when I’m worked up haha. But yeah it varies day to day but usually I have a little bit of clear discharge so I wear liners to bed and sometimes during the day.

    • dandelion@lemmy.blahaj.zone
      0·
      6 days ago

      One is penile inversion, which results in a dry vaginal canal. Others use penile inversion plus some moist tissue so that the vaginal canal isn’t dry.

      I think you may have meant peritoneal pull-through (PPT) for the second (self-lubricating) option.

        • dandelion@lemmy.blahaj.zone
          0·
          6 days ago

          PPT is where they use a piece of the colon for the lining, yes, but it does not use penile inversion typically - it is as opposed to penile inversion (where the scrotal skin is used to create the canal).

          However, there is a “hybrid” approach that uses penile inversion for first part of the canal, but they use peritoneal tissue for the “cap” at the end of the canal.

                • dandelion@lemmy.blahaj.zone
                  0·
                  6 days ago

                  yeah, I am opting for penile inversion as well, mostly because that’s what my surgeon is good at, and because it is more of a “tried and true” method with less risk and faster recovery than the other methods.

                  Though I also might have less motivation than some trans women to have a self-lubricating vagina, namely I’m not young and potentially in situations where I would want to be able to have penetrative sex on demand (not wanting to plan and bring lube, etc.).

                  My life is much more boring. :-)

                  • femtech@midwest.social
                    0·
                    6 days ago

                    Yeah, also the issue with self lubricant is it’s constant so you will always have discharge. Not a bad thing. Im younger, 30s, but I just have a small thing of lube that I can carry if I’m going somewhere.

                    Though if they could just do a full swap I would take it so I wouldn’t have to remember hrt lol