Unusual experience: how women undergo gender reassignment
Now we are increasingly hearing about gender self-determination and sex reassignment operations. You can see how this can be done, but questions still remain. Now we will answer them for you.
Contents of the article:
Operation
First, women receive testosterone replacement therapy. After the start of the operation. Yes, it”s plural. Change in Polina is a long journey that requires patience.
There are several types of surgical operations
- Breast reconstruction.
We are talking about the removal of breast tissue — subcutaneous mastectomy. In addition, the surgeon works on the patient”s nipples, changing their appearance and position. The breasts may also be covered with hair, which is stimulated by testosterone therapy.
- Removal of the uterus, ovaries and fallopian tubes
Hormone therapy does not always stop menstruation. In this case, surgical removal of the female reproductive organs comes to the rescue.
A partial hysterectomy is possible, in which the surgeon removes only the uterus. In a total hysterectomy, the cervix is also removed.
A bilateral oophorectomy involves removing the right and left fallopian tubes and ovaries.
- Metoplasty.
This is an operation to recreate the penis. The clitoris is the basis for future male genital organs. It begins to increase already at the stage of hormonal therapy. During the procedure, the surgeon also removes the vagina — this is a vaginectomy.
In addition, the urethra lengthens. To do this, the surgeon uses hairs from the labia and tissue from other parts of the vagina. All this is done so that the patient can urinate while standing.
Metoplasty usually takes from 2 to 5 hours. However, additional procedures may be required after the initial surgery. The advantage of this operation is that the penis takes over the erectile ability of the clitoris. The postoperative tumor does not always reach a sufficient size for the patient to have penetrative sex.
Skin from the arms, thighs, back or abdomen is usually used for this procedure. After phalloplasty, the penis becomes larger, but an erection by itself is impossible.
Read also: Women talked about fisting experiences
Fisting is one of the most extreme sexual practices, even a purely visual one. Obviously, pornography cannot be trusted, especially in the BDSM section, etc.
After the end of the recovery period, the patient can undergo implantation. This allows it to penetrate the floor. In the era of phalloplasty, surgeons also perform vaginectomy and lengthen the urethra.
Often one procedure is not enough for the patient, and several more visits to the surgeon are required. Yes, and the phalloplasty procedure itself usually costs more than methioplasty.
During this procedure, the scrotum is formed. During the operation, the surgeon shapes the scrotum from the labia and inserts a silicone implant into the control circle.
People who changed their gender and regretted it, how did this happen?
Recovery
How long does reconstruction take? It all depends on the type of procedure, the patient”s lifestyle and overall health. For example, smokers can delay the recovery process. And the risk of complications is much higher.
After surgery, the patient may be hospitalized for several days. Then, after discharge, he must strictly follow his doctor”s recommendations. A number of restrictions force him to reconsider his schedule and reduce physical activity for at least six weeks. In addition, if the patient had a dilated urethra, he had to use a catheter for three to four weeks.
Various complications are possible. In addition, the patient may simply not like the end result. There are always risks.
What”s the result?
The penis may become erect after metoidplasty, but it is often small in size. The penis after phalloplasty is usually larger but less sensitive. In this case, patients require an implantation procedure to achieve an erection.
All these ingenious procedures are designed to enable patients to go to the toilet “like a man” while standing up. However, many studies show that many patients experience urological complications after penile surgery.
But there is also good news! Many transgender men report that after surgery they masturbate more often and experience sexual arousal. Many also say that after changing gender they achieve orgasm more often.
Transgender men with penile implants are more likely to experience pain than those who have not undergone implant surgery. However, the former are more likely to report that their sexual expectations are justified.
According to a 2018 study, between 94 and 100 percent of people who had sex reassignment surgery reported being satisfied with the outcome of the procedure. Why are 6% of patients left disappointed? Often the problem lies in complications or psychological factors.
However, there are always risks. Gender reassignment is a long and difficult journey. But it”s worth it to find harmony with yourself and finally feel like you belong. At least, that”s what people who have experienced it firsthand say.
