Archive for the ‘Vaginoplasty’ Category

Hair in Vagina and Contracting Girth

Tuesday, May 25th, 2010

Hello everyone,

 My name is Cheryl. I’m new here and exploring options. I transitioned in 2003 and had SRS with Dr xxx in 2004.  I’ve been happy with every aspect of my transition except for losing the “love” of my family and what I consider to be complications immediately upon arriving home following surgery. I called Dr xxx and spoke with him on the phone,  but he was somewhat dismissive and said I just needed to keep dilating and everything would be okay. I’ve been pleased with the aesthetics and I am orgasmic (yay!).

 I continued to dilate, even more than recommended, but the problem never improved. It got to the point where  dilating would cause swelling, which in turn made urinating difficult. I even saw a local urologist who was pleased to take me as a new patient, but he’s unfamiliar with SRS techniques. He found no problem except that I wasn’t able to void my bladder completely. It wasn’t until about a year I made the connection between urinating problems and the sdwelling due to dilation.

 One doesn’t realize just how much they like to pee until they can’t do it well. I eliminated the largest stent from my routine and that seemed to help.   Then some days, the next to largest stent would hurt and cause difficult urination. Eventually, about 24 months post op, I’d given up entirely on dilating. I should mention that at 11 months post op, I met a man, fell in love. He didn’t know my “history” until after we had fallen in love and I told him. I don’t know where I found the courage. That was a tough moment in my life. In any case, he didn’t care, but expressed concerns about “the plumbing already being done.” lol

 A tougher moment in my life was when we discovered, we couldn’t achieve intercourse. Tougher still was the break-up. We tried to remain friends, but it was just too much… mostly for him.

 Anyway, that’s all history. Now, my problem is constriction of the vagina and to make matters worse… my urologist discovered hair growing inside. You can just imagine what this all does for my psyche. Once again, urination is difficult and there’s inflammation around the urethra opening. Why? I don’t know. I’ve been waiting for a week and a half for Dr xxx to return a call.

 It isn’t like you can talk to your neighbor for advice on how they handled these problems. Any thoughts or suggestions would be much appreciated.
Cheryl

Good morning Cheryl,

Thank you for joining our group and your very informative post.

Your report of hair following vaginoplasty and those from Thailand as well is why we have patients get electrolysis before surgery.  “Scraping” in the operating room is not uniformly successful to say the least.

The hair could probably be removed with a few sessions using a vaginal speculum or long beaked nasal speculum and electrolysis. Pulling or teasing with a Kelly clamp might not work permanently and is really not my cup of tea.

You may consider as a conservative approach for vaginal girth enhancement, 2 lateral incisions, avoiding the urethral area, and then yes, you must dilate 6 times a day or more for than 15 minutes until that area is relined with normal
skin.

Glad you are lubricious and orgasmic. Let’s hear what some other savvy members of our group offer.

You will meet many Mr. Right(s) in life, if you are pleasant to be with and can give and receive spiritual love,

Wishing you the best,

Harold M. Reed, M.D.

MTF Vaginal Tissue Becomes like natal?

Tuesday, May 25th, 2010
Dr Reed there was a study I read about were in they discussed how the inter wall of the neo vagina changes over time and becomes more like that of a genetic
vagina are you familiar with this study if so do you know were I can find it.
Brenda
Hi Brenda,
Sorry, I do not believe that information is correct.  An aricle to the contrary was presented at the WPATH meeting in Oslo where biopsies were taken of
neo-vaginas versus natal vaginas and the tissue is still very reminiscent of skin.  In fact there is concern  that estrogen creams are not practical for the
neo-vagina as these cells do not have estrogebn receptors.

None-the-less many doctors will prescribe estrogen creams to treat tissue atrophy problems.

All the best as always,

Harold Reed, M.D.

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Needs MTF vagina only, possible?

Tuesday, May 25th, 2010

Was wondering if its possible to only get one part changed, i only want to go male to female between the knees you could say, is that possible?     Jeremy

May 25, 2010

Good morning Jeremy,

We receive requests like yours almost daily.  Why not a vaginoplasty?  Will you be sexually active?

If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope and you will receive a call ASAP.  We’ll have a lot to talk about.

There is a lot of information we need to put out to you, as well as answer your all questions and concerns.  This fee provides for followup discussion and covers your first visit at the office excluding laboratory work.

Anticipate we will show you every courtesy.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Fl 33154-2041

My brother is transgender, is he moving too fast

Tuesday, May 25th, 2010

Hello:
I have a brother that is transgender. He will ultimately undergo vaginoplasty sex reassignment surgery (SRS). He has been on hormones since October 2009. He has only been in therapy since Feb 2009. I am looking to understand if he is moving too quickly along this path or if he is moving about average,  and if it is according to an acceptable protocol or timeline within the medical community for such a transition.
 
1) I have heard that transitions take several years. First the individual undergoes extensive psychoanalysis and therapy. Then that person lives as the intended gender for a period of time. Then hormone therapy is introduced and finally, SRS completes the physical transition. What is the recommended time frame for all of this?
2) How long does a transgender individual have to be on hormone therapy before surgery takes place?
3) Is there a website that I can go to to get more information on the entire recommended transition process? From how long the person needs to be in therapy, to how long hormone therapy should be, to how long to live as the intended gender, to how long and how many surgeries are required to complete the transition?
 
So basically, I’m looking to find out what the general guidelines are for transgender individuals considering SRS? I want to know what is standard practice for physicians. What do physicians require from their transgender patients considering SRS? Do you look for certain things – like how long they’ve been living as their intended gender? What prevents a physician from allowing someone to just jump right into SRS? Like i said, I’m worried that my brother is moving way to quickly and that he will jump into surgery before he is 100% sure that it is right for him. I just want to make sure that he does the transition carefully and correctly. Can you help me?
 
Thank you,
Phyllis

May 25, 2010

Good morning Phyllis,

You concerned is appreciated and shared.  The purpose of WPATH (World Professional Association for Transgender Health) is to establish guidelines for an appropriate transition and is widely respected in the United States, often in Europe and perhaps inconsistently in the Orient.

Minimum requirements are to be living 24./7 in the chosen role, “RLT”  (Real Life Test) for 1 year, but truly most confirm their intentions with a lot more time in grade than that.  The incidence of remorse is about 3 per cent, but could be a lot less with good therapeutic evaluation.

Our office is available for consultation.

With best wishes,

Harold M. Reed, M.D.
305-865-2000

Vaginoplasty, how is it done?

Tuesday, May 25th, 2010

Question: Dr. Reed,

MTF vaginoplasty, how is it done and what is the cost.

Roslyn,

May 24, 2010

Good morning Roslyn,

Thank you for your interest in what we do.

We employ the technique of penile skin inversion with scrotal graft extension for added depth (in about 80% of our cases).

Our fee is 13,500 and inclues surgery, use lof the facility,  followup care,  your private RN, ACLS qualified,  an overnight stay, and my followup care.

If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope along with a check for 250 and you will receive a call ASAP.  We’ll have a lot to talk about.

There is a lot of information we need to put out to you, as well as answer your all questions and concerns.  This fee provides for followup discussion and covers your first visit at the office excluding laboratory work.

Anticipate we will show you every courtesy.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Fl 33154-2041

Affording MTF vaginoplasty

Monday, May 24th, 2010

I am currently on delestrogen Inj. and Premarin tablets as well as provera and aldactone. Ihave been on these medications for over half of my life and I am 38yo now. I was a nurse and now on disibility with medicare and my states medicaid. I have tried so very hard to save money for the surgery and hair removal but, I just can’t seem to get there. I am writing you to see if you can help me as far as what I can do to correct the mistake that was made at birth.
Specific_Questions: I am just hoping that you can help me please in any way and I have had psychological papers for years however,I know I don’t see a solution for the money for the surgery. Please Help! I have spoken with Dr. in  US and wants ALOT more than I could ever dream of affording. I thought reaching out to you might just answer my many years of prayers just to be Normal! Thank You Dr.Reed for your time to read this request for help.  Carly 

May 23, 2010

Good morning Carly,

Sounds like you are well on your way.

Yes for 2010 we did have a Grant program…
our slogan, “the first 10 in 2010.”

There is only one grant position left (to be used only for truly financiallychallenged patients) and a few patients are eying that.

In the event it is taken, Anne may offer individual consideration as she is the maker of deals and the brains behind pa.

If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope along with a check for 250 and you will receive a call ASAP. We’ll have a lot to talk about.

There is a lot of information we need to put out to you as well as address all of your concerns, including scheduling and followup care.  Anticipate we will show you every courtesy.

Have a sunny weekend,

Harold M. Reed, M.D.
305-865-2000
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Fl 33154-2041

Speak to me of moisture. The drip ?

Sunday, May 23rd, 2010

Dr. Reed,
The more I look into this topic, the less I seem to know. First it was suffer and use products. Then it was sigmoid, more costly but moist. Then it was drip, more work but worth it. Now I read on Dr Reed’s website he is thinking about dropping his latest, the drip, in favor of what, nothing? I know the state-of-the-art advances bit what’s a girl to do? Will someone please help me?
Sharon

Dear Sharon, 

Are you talking about MTF vaginoplasty and when you say “the drip.”    Please explain. Please cite some references or web-site addresses where this term is mentioned.

Seeking financial assistance for vaginoplasty

Friday, April 30th, 2010

April 29, 2010

I Have Trachal Shave and Breast Implants living 3yrs as Tanya Specific_Questions: What financing options are available.?

Good morning Tanya,

We have noted that 50% of our patients come in with a sponsor, could be a family member, spouse, significant other, business partner or church group.  This makes your MTF vaginoplasty possible.  You would be surprised at the goodness and charitable qualities of people close to you.   Every so often, we also have a Grant Program to help people such as you.  That would bring you a big savings.   This January our slogan was “The First 10 in 2010″  Actually we were able to vest in 15 patients.  And let me say, that was a lot of fun.

We also accept pre-payments and many a patient has done that a 1000 dollars at a time.  If you are seeking individual consideration. please call Anne our amiable office manager, as she is the maker of deals. 

For a line of  Medi-credit, please tryChase Health Advance, USA only
www.unicornfinancial .comor,  Canada only.
http://www.medicard.com/

Reliance Finance Company, LLC
http://www.reliancemedicalfinance.com/
1-888-502-8020

or

Medicard Finance

or

www.carecredit.com
automated phone application #  is (800) 365-8295

All the best,

Harold M. Reed, M.D.
305-865-2000

Old medical records may not be available, requests vaginoplasty

Friday, April 30th, 2010

April 30, 2010

Dear Dr. Reed,

 No i’n not in any hormones of any kind and wish to get back on track to complete my transition
to being a woman.l
Specific_Questions: do i need to go back to my old doctors office or can it be my precent doctor who doesn’t have the oldest medical records?

Lonnie

Good morning Lonnie,

Thank you for your interest in what we do.

Old medical records are desirable, but in many instances they are not available and a new physician has to work with the information you present and continue on.

We also do hormones.  A letter of therapy clearance is required by a licensed therapist with a doctoral degree.  Our fee is 250 for consultation, and 600 per year to follow you with needed lab tests, office visits, prescriptions, counselling, numerous telephone calls, and medical records documentation.

The 600 fee is billed 3 months after your initial visit.

Lab tests are an out of pocket expenses as is the medication.  We may recommend a laboratory, but you can have them done at a nationally recognized laboratory of your choice.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000

Need help with vaginoplasty and putting this all together

Friday, April 30th, 2010

April 29, 2010

hi dr. reed,

thank you for ur return letter.i am very interested in begining the transormation from male to female and have heard so mcuh about the good work you do in Miami, i am currently working on the financial aspect now and i go see my physicitrist on the 5th of may i am going to talk to them about “gender identy”diagnosis.i am extremly anxious to start the process.thank you   Rohner Philpotts

Good afternoon Rohner,

We’ll keep in a “stand by” mode” and wish you well
with your transition.

Harold M. Reed, M.D.
305-865-2000