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Orgasm after MTF sex change vaginoplasty for Crohn’s disesase patient

Dear Dr. Reed,  I don’t know what my genes look like. But I am a trans woman. I started hormones about 9 years ago. Most people in my life don’t even know I transitioned, but I am tired of dealing with having the wrong genitalia.
Specific_Questions: Thank you for taking the time to answer my questions. Feel free to respond via whatever means are most convenient for you. First I am very concerned about the ability to orgasm after surgery. What techniques do you use to preserve this ability? Also, I am curious as to how close to a cis woman’s vagina would be to the one you would create through surgery. Second, I have Crohn’s disease, and that has kept me from being able to afford surgery due to large medical bills. I am concerned about the possible complications as well. Also, I heard that there is a possibility for a grant to help pay for surgery. Can you tell me the requirements to be eligible?
HEAR: Internet  Rebecca

Dear Rebecca,

Plan on being orgasmic after surgery, as all but 2 of over 2000 patients are.  The exceptions are a diabetic in poor control and an inveterate smoker. We say “if you can play the piano before surgery, you’ll play the piano after surgery.  This is accomplished very simply by preserving  the neurovascular bundler that ones on top of your penis and it is left attached to a portion of the glans (penile head) that becomes tubularized to form your neo-clitoris.

Crohn’s disease belongs to a group of conditions known as Inflammatory Bowel Diseases (IBD). Crohn’s disease is a chronic inflammatory condition of the gastrointestinal tract.

Crohn’s most commonly affects the end of the small bowel (the ileum) and the beginning of the colon, but it may affect any part of the gastrointestinal (GI) tract, from the mouth to the anus. Ulcerative colitis is limited to the colon, also called the large intestine.  Crohn’s disease can also affect the entire thickness of the bowel wall, while ulcerative colitis only involves the innermost lining of the colon. Finally, in Crohn’s disease, the inflammation of the intestine can “skip”– leaving normal areas in between patches of diseased intestine. In ulcerative colitis this does not occur.

Your GI doctor would know if the rectal area is involved, if so, there is a greater possibility for rectal injury during surgery, or afterwards such as a vaginal rectal fistula.

Yes, regarding an MTF grant, we can be very compassionate with patients have limited financial needs.  Please call Anne at the office.  Most importantly we want to be sure, you qualify medically as a surgical candidate, and we’ll discuss more during your initial phone consultation.

Happy Holidays,

Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami
1-305-865-2000

neuro-vasc

Being orgasmic after MTF Surgery

neo-clit

Creation of MTF clitoris

clit-caucasian

Orgasmic patient after MTF sex change surgery

vag-stent

Orgasmic patient after MTF sex change surgery

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