Category Archives: Anal sex

Am interested in more vaginal depth following male to female transgender vaginoplasty

Dr. Reed,  Had a male to female transgender vaginoplasty a few years ago and have only about 3 inches of depth.  Sex is not mutually satisfying. Narinda

Dear Narinda,

We do several revisions every year for male to female transgender vaginal depth enhancement.  Take a look at before and after photos of male to female vaginoplasties we have done.  Your vaginal depth if you have had a non-colonic vaginoplasty should be equal to your height in feet converted to inches plus the fraction of your inches over 12.  Let’s say you are 5 feet, 9 inches tall your depth should be about 5″ plus 9/12 or 5 3/4″.  This can typically be attained with penile skin inversion with if needed a scrotal graft extension.

No do not recommend anal sex as this may lead to a rectal-vaginal fistula.  Daily vaginal dilation is very important to maintain and even add to your depth up to the limit for your height.  .Please see before and after vaginoplasty pictures on srsMiami/vaginoplasty


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

Example #2: Male to Female Transsexual Surgery Note clitoral hood, glans, and sulci. Ample introitus is confirmed by passage of our largest stent.

Vaginal dilation picture (patient of Dr. Reed)

(FAQ) Anal Sex before and after Sex reassignment vaginoplasty | Dr. Harold M. Reed | The Reed Centre for Transgender Surgery

Dr. Reed,  I have been a transgender woman for 6 years and have been pleasing my boyfriend with anal sex.  Is this a good idea in that I am considering transsexual male to female vaginoplasty?  Sarah Dear Sarah, We do not recommend anal sex for at least 8 weeks before surgery as this tends to…Continue Reading