Transgender vaginal depth, how to restore

Dr. Reed, Am a transgendered woman and had expectations of a deep and functional vagina.  While I had been instructed to dilate daily or wear a soft mold, I was not very consistent. What are the options now?  Narabeth

Dear Narabeth,

Vaginal depth is a given for intimacy.  Be of good cheer as there may be non-operative ways to restore your depth, especially with use of estrogen creams, numbing creams, a complete set of small to larger vaginal stents, lot of patience, motivation, and a consistent and persistent dilation schedule.

If you are contemplating vaginoplasty revision surgery, there are 3 different approaches: A. re-opening the space and insertion of a skin graft, a non-grafted approach, or revision with a colonic vagina.  Our favored approach is non-grafted vaginoplasty.

What to expect.  It takes about 6 to 8 weeks for skin to re-epithelial the space.  As with primary penile skin inversion vaginoplasty, the packing is removed in a week and then you’ll be introduced to a safe and effective dilating technique.  Best to have a friend or loved one with you and who can see what we are doing in the office and listen to cautionary guidance as how to avoid a vaginal-rectal fistula.

Please visit our web-site for before and after pictures of vaginoplasty and vaginoplasty revisions.


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


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