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Post-op transgender woman asks about dilation

Dr. Reed,

Want to be ready for Mr. Right.  What is your advice regarding vaginal dilation?   Cheryl

Good afternoon Cheryl,

This is always a timely subject because every year there could easily be another 2000 new transgendered women in this world.  We recommend you use tapered dilators which are curved like a ski.  Start with a size that easily fits in and aim (tip up) for the belly button (umbilicus).  The smallest stents are helpful to gain depth and follow this up during a 15 minutes dialing session with serially larger stents.  In the event you have a stent set that goes up to 1 1/2 inches in diameters and you are not ready for that size yet, go up one stent size a week.  You can ask your doctor about numbing cream or jelly if necessary.

In a tapered set the tip of the next larger stent is smaller than the shank of the preceding stent.  Use the dots as a marker of how deep you are going and during a session you may strive to go 1/8″ deeper.. Ifr you are under 5′ 6″ tall, I would be very cautious about going over 6 inches.

Even if you are having frequent intercourse, you should be dilating 3 times a day as relationships may not persist or be interrupted for a number of reasons..

Harold M. Reed, M.D.
Transgender Surgeon
The Reed Centre – Miami

 

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