Male to Female Surgery Vaginal Lubrication

Male to Female Surgery Vaginal Lubrication is to be expected to after vaginoplasty  Even when we performed a Non-grafted Vaginoplasty we were frankly surprised at the number of patients who reported lubrication  under the Female Sexual Function Survey (maximum score 6), our average score 3.7.



We also learned estrogen receptors exist in all male biopsies of penile and scrotal skin submitted even for non-transgender circumcisions. See the lower slide, where estrogen receptors (ER) on picked up on a special stain as dark brown- black appearing dotsestrogen receptors

As reported in

Aesthetic Plast Surg. 2015 Oct;39(5):733-44. doi: 10.1007/s00266-015-0523-7. Epub 2015 Jul 11.

Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our Experience and Survey of Related Procedures.

This provides support to empiric usage by transgender surgeons who have prescribed estrogen vaginal creams to promote wound healing.  Added benefits include suppleness and vaginal health..

Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami

Male to Female Surgery Post-Op Care | Dr. Reed | Miami

Male to Female Surgery Post-Op Care deserves emphasis well before GRS Vaginoplasty Surgery.  If you are from out of town, you will need to establish a relationship beforehand with a physician knowledgeable in pelvic anatomy, ideally a urologist, gynecologist, plastic surgeon or family doctor whose practice caters to transsexual care.  This doctor should feel comfortable…Continue Reading

Male to Female Breast Implants – Miami

The rate of satisfaction among patients who have had their breasts enlargement is among the highest in cosmetic medicine.One of the primary reasons for the popularity of Breast Augmentation is that the procedure can readily be customized to the specific goals of the individual patient. Women who undergo breast augmentation have a variety of options…Continue Reading

Male to Female Surgery

Dr. Reed, What are your Male to Female Surgery specifically Vaginoplasty requirements..  Will I be orgasmic and will I be moist? Sheila Dear Sheila, Having done over 1500 Male to Female Surgery procedures being orgasmic is almost a given.  Only 2 patients reported absence of orgasm.  One a diabetic in poor control and the other an…Continue Reading

Male-To-Female – The Reed Transgender Center

The goal of Male-to-Female surgery at the Reed Transgender Centre is to provide a Vaginoplasty and Breast Augmentation which is aesthetically attractive and affordable. The result should be functional and permits effortless intromission with lubrication and full orgasmic potential. This means crafting a vaginal vault of sufficient depth, a sensate and hooded clitoris, good labial cleavage with…Continue Reading

Penile transplant

Urology Times, August 2016 Penile Transplant  (by Randy Dotinga) raises technical and ethical issues. Donor procurement, a “very sensitive topic.” A 64 year old man underwent the 15 hour operation, 2nd time in the world an Allograft has been used (penis from another donor).  Some of the issues raised include permission from donor’s family to…Continue Reading

Vaginoplasty revision with Clitoroplasty needed

Dr. Reed,  Can you make a clitoris? Clitoroplasty  I was done elsewhere about 6 years ago.  I am orgasmic, so there must be something there.  Would like more show and tell.  Where should I send photos?  Nancy Hi Nancy, We do Vaginoplasty revisions frequently to include Clitoroplasty.  If you are orgasmic that’s a very good…Continue Reading

Camel toe when naked after MTF vaginoplasty

Dear Dr. Reed, Have a Camel Toe appearance when standing naked following a Transgender MTF Vaginoplasty.  Should the cleavage start further down? Cynthia Dear Cynthia, The labia normally are a perineal structure barely seen when a woman is standing. If after your feminizing vaginoplasty they seem to start way too high (well over an inch),…Continue Reading

Seeking Affordable Vaginoplasty in Miami

Dr. Reed,  Ready for an Affordable Vaginoplasty with orchiectomy.  I have been taking prescription hormones and anti androgens since June 18th 2012. As for how far along I am, it’s hard to say. Much of it depends on my wealth. From what I understand the full effects from hormone therapy will take up to 2 years.…Continue Reading

Transgender Breast Augmentation

Dr. Reed, Should I have Breast Implants now  I have been living as a woman for 4 years.  I have been on estrogens for 6 months and have seen no noticeable size improvement  My estrogen levels are somewhat over 110 pg/ml.  I can increase them but would like to have implants much sooner.  Any ideas.   Rachel…Continue Reading