Transgender Vaginoplasty Orgasm | Dr. Harold Reed M.D. | Male to Female

Dr. Reed,  I am anticipating transgender vaginoplasty in a few months.  Will I continue to be orgasmic as I am now?  Do you feel making a clitoral hood will diminish my sensation and ability to achieve orgasm?  Evelyn

Dear Evelyn,

We have done over 1000 primary procedures since 2003, and as far as we know, all patients except 2 are orgasmic.  One a diabetic in poor control and the other an inveterate smoker.  We note that the first orgasm may not occur as late as a few months.  The clitoris is typically sensate.  During the early healing process, being touched down there sexually is not an immediate activity.

We take great care to preserve the neurovascular bundle.  As with most natal women, sensation can be intravaginal although the course of the dorsal nerve or clitoral with either penetration contact or gentle touching or oral sex.  In that natal women do have a clitoral hood and are able to achieve orgasm, I would suggest we create a clitoral hood for you, with only a small portion of the glans clitoris exposed.

Hoping this is helpful.


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

Example #2: Male to Female Transsexual Surgery

Note clitoral hood, glans, and sulci. Ample introitus is confirmed by passage of our largest stent.

Transgender vaginoplasty clitoral hood

Example #4: Male to Female Transsexual Surgery Early Post Op. Anticipate labia minora will become more delicate and posterior fourchette will be more confluent over next few months. Patient already fully orgasmic.

Transgender vaginoplasty clitoral hood


Transgender vaginoplasty clitoral hood


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