Category Archives: Vaginal atresia

Had male to female vaginoplasty and only 2″ of depth. Help, please. Myra

Dr. Reed,  Had a male to female vaginoplasty 2 years ago and now my depth is only 2 inches.  Myra

Dear Myra,

We do male to female vaginoplasty revisions for vaginal depth several times a year.  If you had reasonably good depth after your surgery, but did not dilate a few times a day, or was banking on an inconsistent sexual relationship, nature will close the space over weeks to months.

Often the vaginal space can be re-opened with vaginal dilations starting with narrow stents (diameter of handle or shank – 3/4″).  Estrogen cream often improves vascularity of the vagina and may make stretching of inner skin easier. Please go to our web-sites and to see before and after male to female sex change (vaginoplasty) pictures.  We want you to have a good cosmetic and functional result.

If this does not work, we can reopen the space with a non-grafted technique.  The medical term for closure of the vagina is called vaginal atresia. An article we published 2 years ago can be referenced …

Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our Experience and Survey of Related Procedures by Harold M. Reed, Rafael E. Yanes, Joan C. Delto, Yumna Omarzai & Kailee Imperatore  (87 references)  Aesthetic Plastic Surgery ISSN 0364-216X Aesth Plast Surg DOI 10.1007/s00266-015-0523-7  2015


Harold M. Reed, M.D.
The Reed Centre of Transgender Surgery | Dr. Harold Reed | Miami
1111 Kane Concourse, Suite # 311, Bay Harbor Islands, Fl 33154-2041


Male to female sex change (vaginoplasty) picture (patient of Dr. Reed)


Male to female sex change (vaginoplasty) picture showing moist vulva (patient of Dr. Reed)

15/3 Her depth now is 5 1/2" and gaining. Able to have penetrable sex. She is one of 30 or more patients we have done so far. Routine dilation is emphasized

Male to female sex change (vaginoplasty) dilation picture (patient of Dr. Reed)

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…Continue Reading

Vaginoplasty dilation disability

D. Reed, Unable to dilate after my vaginoplasty elsewhere.  Darlene Dear Darlene, There are many reasons for inability to dilate after vaginoplasty.  While  prevailing suibject could be called “vaginal atresia“, the matter is often relates  to the location of the vaginal opening or introitus.  The opening must be under the pubic bone and about 3 finger breadths above the anal…Continue Reading

(FAQ) Rokitansky syndrome need vaginal depth | Dr. Reed | The Reed Centre

Dr. Reed, I’ve been told I have congenital absence of the upper portion of my vagina and uterus secondary to the Rokitansky syndrome.  My depth is only about 2 inches.  What would you suggest to enhance my vaginal depth? Clara Dear Clara, The Rokitansky syndrome also known as the Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH), relates to failure…Continue Reading

FAQ Vaginal Depth lost after Vaginoplasty | Dr. Reed | The Reed Centre

Dr. Reed, Had a transgender vagionoplasty about 8 years ago elsewhere and now have less that 2 inches of vaginal depth.  The opening is not very wide. Certainly not suitable for sex.  Charlene Dear Charlene, We see patients with loss of transgender vaginal depth frequently.  Another term is called vaginal atresia.  Our approach has been called “non-grafted vaginoplasty”…Continue Reading

Had vaginoplasty and lost depth, what now

Dear Dr. Reed,  Had a male to female sex change vaginoplasty 3 years ago in New York and for some reason my vagina seems to high and is not easy for my boyfriend to enter.  Rita Dear Rita,  Restoring vaginal depth after vaginoplasty is a frequent request. The medical term is vaginal atresia.  One issue you…Continue Reading

Had prior vaginoplasty and has lost depth

Dear Dr. Reed, Have vaginal atresia. I am trying to call the office there and I have tried a couple of different phones but for some reason you guys can’t hear me. I am calling from the UK, not had a problem international before so not sure what is happening. You guys probably think I…Continue Reading

Not dilating, asexual, space closed, should I worry

Dr. Reed,  Had male to female vaginoplasty about 15 years ago, am asexual and happy but the vaginal space has closed. Should I worry.  MaryAnne Dear MaryAnne, We see vaginal atresia or closure of the space and loss of vaginal depth frequently, as some patients just procrastinate and find excuses not to dilate.  2 years…Continue Reading