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 ago, we reviewed about 87 articles on vaginal atresia (loss of space) and for neo-vaginas this occurs almost predictably.  Seldom do we see any problem, but I do recommend you see a transgender doctor at least yearly and sooner if there are any symptoms such as discharge, pain, fever or suggestion of pelvic mass effect.  Here’s the article.  Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our Experience and Survey of Related Procedures. 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 for Transgender Surgery- Miami


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