Author Topic: Male to "hermaphrodite" Update and revelations  (Read 1834 times)

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Offline HighDefinition-Dragoness

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Male to "hermaphrodite" Update and revelations
« on: February 13, 2018, 03:24:57 am »
This is an update to my older-ish post here: https://www.susans.org/forums/index.php/topic,233382.new.html#new

Okay, so quick introduction in case you didn't look at the last post, I'm a 17 year old biological male, wanting to become essentially as close to "hermaphrodite" (as you can tell by my username haha) as physically possible, as that's how I feel inside I guess? I want to talk about some revelations I've had about myself recently, and then also talk about stuff I've learned from last post's replies.

Alright, recently, I've had a huge realization about what i actually want, which doesn't change much, except for I'd be more happy with what's possible with medical things. Basically, what I originally thought I wanted was to be more half and half with male and female. I was at a party with anxiety about my gender identity, when I realized that I had a subconscious bias toward wanting to be more 75% female, 25% male (but still using "they"). I've noticed that for the past couple of years at least, my mind was always thinking about "what if I had been born female instead of male" and getting upset that I'd never know the answer because it's impossible to do so.

And I think the only reasons I don't want to be fully female, is well, in part, because of my family. They don't know about any of these gender thoughts I have, and I don't want to upset them. Not that they're not supportive, but just... They're slightly judgemental. they're already reluctantly accepting of me dating a male over the internet... I don't want to be judged even more. The second part is... I don't want to feel like I'm leaving behind what makes me me when I transition. Those two things are what's keeping me from removing my current name from my name entirely when I change it, even though I hate my name. Like, I'm wanting to change my name from) <first name> <middle name> <last name> to <new first name> <old first name> <last name>.

Another thing with this, is I realize that I don't give one singular shit (I try not to curse ever, so you know it's serious now) about if I'm rendered infertile (meaning that last post is now useless haha) so I'd want to go with the MTF hormone replacement therapy while keeping my privates generally the same.

And with that, another problem pops up: I'm only going by what I've seen online when I search up what I'm wanting with Google, as I'm pretty much allergic to doing research (idk how to properly research things lol), so I have no clue of this is a possible surgery here. I've seen people talking about a surgery for using the tissue from the testicles to pretty much turn them into a vagina in its place. I'm not sure if that's realisticly possible, but if so, I'd honestly really want that. Tell me if anyone knows of what that would be called or if there's something else similar I should do or if that's even possible, since my findings are probably unreliable :laugh:.



Thanks for reading!
   - a dragon who wants to be a hermaphrodite. lol
   - Orie :P

Offline AnonyMs

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Re: Male to "hermaphrodite" Update and revelations
« Reply #1 on: February 13, 2018, 03:48:20 am »
I'm not entirely sure what you're interested in, but you mentioned breasts before. There was a guy in Las Vegas who got breast implants to win a $100k bet. No HRT. If you search there's even a YouTube video. I suspect this wouldn't give a very good result compare to being on HRT. His name is Brian Zembic.

If you search YouTube for Leigh Dorei, he (I think) got FFS without HRT.

I don't think you'll get anywhere with the genitals. I've not seen any convincing evidence anyone (AMAB) has ever managed this, and there's a fair number of people I've seen interested. I'm not interested personally but I'd have remembered if I'd seen it.

Offline HighDefinition-Dragoness

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Re: Male to "hermaphrodite" Update and revelations
« Reply #2 on: February 13, 2018, 04:15:50 am »
I'm not entirely sure what you're interested in, but you mentioned breasts before. There was a guy in Las Vegas who got breast implants to win a $100k bet. No HRT. If you search there's even a YouTube video. I suspect this wouldn't give a very good result compare to being on HRT. His name is Brian Zembic.

If you search YouTube for Leigh Dorei, he (I think) got FFS without HRT.

I don't think you'll get anywhere with the genitals. I've not seen any convincing evidence anyone (AMAB) has ever managed this, and there's a fair number of people I've seen interested. I'm not interested personally but I'd have remembered if I'd seen it.
I don't want implants, as those seem to tend to not look/feel realistic, and I think they need to be replaced every now and then. I'm completely fine with doing HRT to get breasts and all the other things, and I don't mind the risk of not being able to become erect (though I've heard that people lose the ability to do so completely because of their mindset messing with the brain or something. I think I'll be fine as long as I continue having the mindset I have now).
   - Orie :P

Offline HighDefinition-Dragoness

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Re: Male to "hermaphrodite" Update and revelations
« Reply #3 on: February 13, 2018, 04:21:57 am »
There was a guy in Las Vegas who got breast implants to win a $100k bet.
Also, I've heard about that haha. I think that's the excuse I'm going to use when my family finds out:

Family: Woah, uhh.... Are you transgender now?
Me: Yeah, I lost a bet.
Family: Good job.
   - Orie :P

Offline HighDefinition-Dragoness

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Re: Male to "hermaphrodite" Update and revelations
« Reply #4 on: February 18, 2018, 05:59:14 am »
Rip when no one's replying anymore lol
   - Orie :P

Offline Dena

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Re: Male to "hermaphrodite" Update and revelations
« Reply #5 on: February 18, 2018, 09:24:31 am »
Many of us respond to posts when we have something to contribute to the topic. What you are asking is very rare on this site and I have only seen about 2 or 3 other members express desires like yours. We tend to fall in the binary as far as surgery and the non binary are either comfortable without surgery or desire a binary surgery. I am not really sure the surgery you desire is possible and if it is, I suspect there are a limited number of surgeons who would provide it.

Something you many not understand is the standard MTF surgery turns the glans of the penis into a clitoris and while your no longer able to have penetrative sex, you still retain much the same configuration you had previously. The reason this isn't the surgery your asking about is because the skin is recycled to produce other structures depending on the surgeons procedure.
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Offline HighDefinition-Dragoness

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Re: Male to "hermaphrodite" Update and revelations
« Reply #6 on: February 19, 2018, 03:49:40 am »
Many of us respond to posts when we have something to contribute to the topic. What you are asking is very rare on this site and I have only seen about 2 or 3 other members express desires like yours. We tend to fall in the binary as far as surgery and the non binary are either comfortable without surgery or desire a binary surgery. I am not really sure the surgery you desire is possible and if it is, I suspect there are a limited number of surgeons who would provide it.

Something you many not understand is the standard MTF surgery turns the glans of the penis into a clitoris and while your no longer able to have penetrative sex, you still retain much the same configuration you had previously. The reason this isn't the surgery your asking about is because the skin is recycled to produce other structures depending on the surgeons procedure.
Yeah, I apologize for my impatience. I wrote that last reply when I was really tired and anxious, and I actually forgot I wrote it. Also the fact that I also meant to ask for someone to walk me through the hormone replacement thing, and the surgery thing is kind of a secondary thing I wouldn't really care about if I had or not. Though, I guess I didn't specify in the topic post so my fault there.

Also, like I said, I don't expect it to be possible, but if someone knew it was possible or had any alternatives or something, I would hope to learn more.
   - Orie :P

Offline PurplePelican

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Re: Male to "hermaphrodite" Update and revelations
« Reply #7 on: February 19, 2018, 08:38:52 am »
And I think the only reasons I don't want to be fully female, is well, in part, because of my family. They don't know about any of these gender thoughts I have, and I don't want to upset them. Not that they're not supportive, but just... They're slightly judgemental. they're already reluctantly accepting of me dating a male over the internet... I don't want to be judged even more. The second part is... I don't want to feel like I'm leaving behind what makes me me when I transition. Those two things are what's keeping me from removing my current name from my name entirely when I change it, even though I hate my name. Like, I'm wanting to change my name from) <first name> <middle name> <last name> to <new first name> <old first name> <last name>.

Your name is a label.. Your gender comes with a label.. But these are just labels, they do not make you YOU. That said, transition itself will change you. If change isn't your thing, maybe transition isn't for you.

And as for judgement? People will judge you for all sorts of stupid things - might as well give them something juicy to work with.

Quote
Another thing with this, is I realize that I don't give one singular shit (I try not to curse ever, so you know it's serious now) about if I'm rendered infertile (meaning that last post is now useless haha) so I'd want to go with the MTF hormone replacement therapy while keeping my privates generally the same.

Future fertility can be dealt with prior to hormones, if that is a concern..

Quote
And with that, another problem pops up: I'm only going by what I've seen online when I search up what I'm wanting with Google, as I'm pretty much allergic to doing research (idk how to properly research things lol), so I have no clue of this is a possible surgery here. I've seen people talking about a surgery for using the tissue from the testicles to pretty much turn them into a vagina in its place. I'm not sure if that's realisticly possible, but if so, I'd honestly really want that. Tell me if anyone knows of what that would be called or if there's something else similar I should do or if that's even possible, since my findings are probably unreliable :laugh:.

The procedure is called a vaginoplasty, it uses much of the glans and the skin of the penis/scrotum to create various parts of the vulva/vagina. There are options to use a colon segment or other graft for creating the vaginal vault. And no, it's not possible to have both - 2 things can't occupy the same space..

Now, as far as hormones, giving a timeline can be problematic, as many people react differently.. But generally, you'll find softer skin is the first sign you'll see. Breast growth should commence within 6 months, and last for as long as it lasts. Fat redistribution? Depends on your metabolism/diet/etc..
This is not medical advice. Always consult your doctor.

Offline HighDefinition-Dragoness

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Re: Male to "hermaphrodite" Update and revelations
« Reply #8 on: February 19, 2018, 02:46:59 pm »
Your name is a label.. Your gender comes with a label.. But these are just labels, they do not make you YOU. That said, transition itself will change you. If change isn't your thing, maybe transition isn't for you.

And as for judgement? People will judge you for all sorts of stupid things - might as well give them something juicy to work with.
Well I don't want to change way too much, but I really do want to do the transition. What I'm saying though, is i want to look at my past as me, and not just a version of me. Not sure how to explain it besides that... My brain is weird haha.

Also I'm pretty emotionally sensitive? I worry too much about what people think about me. Though I do like that way of thinking, I'll probably be hurt anyway.
Future fertility can be dealt with prior to hormones, if that is a concern..
I thought it was a concern, but I realized it doesn't matter to me either way, ha.
The procedure is called a vaginoplasty, it uses much of the glans and the skin of the penis/scrotum to create various parts of the vulva/vagina. There are options to use a colon segment or other graft for creating the vaginal vault. And no, it's not possible to have both - 2 things can't occupy the same space..

Now, as far as hormones, giving a timeline can be problematic, as many people react differently.. But generally, you'll find softer skin is the first sign you'll see. Breast growth should commence within 6 months, and last for as long as it lasts. Fat redistribution? Depends on your metabolism/diet/etc..
Alright, that's completely fine. That's just a secondary wish I'd want if it was possible. Though if technology expanded to allow that to be possible, that would be great.

And yeah that sounds good, I'm not sure when to start though... Like, I'd want to start asap, but idk how much something like that would cost, let alone hide it from my family... I might wait until I move out, but I'm told it tends to be slower the more you mature. :-\
   - Orie :P

Offline PurplePelican

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Re: Male to "hermaphrodite" Update and revelations
« Reply #9 on: February 19, 2018, 04:49:35 pm »
Well I don't want to change way too much, but I really do want to do the transition. What I'm saying though, is i want to look at my past as me, and not just a version of me. Not sure how to explain it besides that... My brain is weird haha.

I'm essentially the same person I've always been, just changed the label and packaging a little.

Quote
Also I'm pretty emotionally sensitive? I worry too much about what people think about me. Though I do like that way of thinking, I'll probably be hurt anyway.I thought it was a concern, but I realized it doesn't matter to me either way, ha.Alright, that's completely fine. That's just a secondary wish I'd want if it was possible. Though if technology expanded to allow that to be possible, that would be great.

Worrying about what other people think is fine, to a point, but taken to far, it's just not good for you. And as far as surgical procedure goes, the limitation against what you want is not a tech issue, it's an issue of biology - 2 things can't occupy the same space...

Quote
And yeah that sounds good, I'm not sure when to start though... Like, I'd want to start asap, but idk how much something like that would cost, let alone hide it from my family... I might wait until I move out, but I'm told it tends to be slower the more you mature. :-\

Cost is going to be dependant on a number of factors such as location and what you've been prescribed. You may be able to hide it in the short term, but I wouldn't plant on being able to conceal it for too long.
This is not medical advice. Always consult your doctor.

Offline ~Delta

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Re: Male to "hermaphrodite" Update and revelations
« Reply #10 on: March 04, 2018, 03:56:11 pm »
Hey, someone else like me!  :)

I'm also an AMAB enby.  My identity is androgyne, somewhere slightly fem-of-center on the male-female spectrum if that makes sense.  "Hermaphrodite" does pretty succinctly describe my GCS goals as well, but it's not been an easy path. (Also, some people object to use of the term, since it has been used as an anti-intersex slur, so I tend not to use it.)

I'll share what I've been able to find out, which isn't much, sadly.

Starting on the most positive note, HRT is definitely possible.  I started mine by informed consent, in the Bible Belt, so even if you can't get a doc to write a letter for you, you could try the same (although a parent would probably have to cosign if you are still a minor).  In fact, I usually recommend doing so to newly-transitioning folks who are certain of their status as transgender, since gatekeeping is nonsense.

As for GCS...
Yeah, I want a vagina, and I want to keep my penis.  Orchiectomy, I could go either way on.  I don't have much dysphoria about the appearance/feeling, but hell if I want anything to do with testosterone ever again.
Actually, I'd probably at least consider any result that wasn't exclusively male or exclusively female, but that's what it would look like ideally.
To forestall some of the "But you can't!" responses that inevitably follow that:
  • Yes, I know that most vaginoplasty techniques in use today use the penile inversion technique.  Obviously, I am looking for something else.
  • Yes, there are other procedures that, to a layperson like myself, are at least sound enough that I'd like to have a serious discussion about them with an actual surgeon before ruling them out. (I'll get into that below.)
  • Yes, I know this is a big ask, and it might turn out that after an epic search that every option is infeasible, or that there might not be any surgeon willing to perform a procedure, or that there might be complications with the procedure, or that the results might not have the appearance and/or function that I want... etc.  Basically, I am gathering information, and I am a lot more interested in collecting and looking into possibilities than I am in hearing why something is impossible, unlikely, difficult, risky, expensive, etc.  It's very likely I've heard it before.  After I feel I've learned everything I can, I'll weigh those things and figure out what's best for me, even if what's best is doing nothing.
  • I can assure you I'm not rushing into anything.  I'm very settled in my identity.  I'm sure that this is what I'd want if it were feasible and "only" as hard to get as "traditional" GCS.  I'm trying to do this "right".  I've spoken with my doctors about this at length.  Each of them is supportive of my goal, and I've gone through an altogether-too-lengthy evaluation process to get cleared for surgery.  The only roadblock left is that they haven't been able to help me find any provider to consult with.

As for the procedures that might be possible...
Some are techniques used to treat vaginal agenesis in cis women, such as the Vecchetti and McIndoe procedures.
Some are older or less popular forms of GCS, such as a colon graft.
And there's a fairly new technique for GCS that uses the peritoneum for material.

Unfortunately, the usual response I get from doctors is that they aren't sure how these could be applied, aren't interested in developing any such technique, aren't interested in talking about it, and that they don't know any doctor who might be interested, nor any patient who's had it done.  My doctors and my insurance have also made inquiries on my behalf, to no avail.

The end result is I spent a couple years doing research on my own intermittently, and working with my insurance for the past year and a half or so, and I've still got no answers with any medical credibility behind them.  More recently, I've been looking to hire a patient advocate to help with the search, since it's become a fairly stressful and disappointing process, but it's been slow going trying to find an advocate willing to so so.

So, that's about the size of it.  So far, no surgeon's office wants to talk about it, even to give a detailed answer about why a particular technique might not be possible.  Frustrating really doesn't cover it.



Sorry I can't give better news.
Good luck in your transition, whatever form it might take.

~D
(They/them)

Online Devlyn

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Re: Male to "hermaphrodite" Update and revelations
« Reply #11 on: March 04, 2018, 05:46:17 pm »
Delta, it's pure business. Of course a technique would need to be developed, a hugely expensive process. In this case it has virtually no demand. I've seen only a few people over the years who want a penis and a vagina. It doesn't surprise me at all that a busy surgeon making tons of money doesn't want to sit around talking to you about something they can't sell. Put yourself in the surgeon's shoes for a minute.  :)

Hugs, Devlyn

Offline ~Delta

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Re: Male to "hermaphrodite" Update and revelations
« Reply #12 on: March 04, 2018, 10:35:53 pm »
Delta, it's pure business. Of course a technique would need to be developed, a hugely expensive process. In this case it has virtually no demand. I've seen only a few people over the years who want a penis and a vagina. It doesn't surprise me at all that a busy surgeon making tons of money doesn't want to sit around talking to you about something they can't sell. Put yourself in the surgeon's shoes for a minute.  :)

Hugs, Devlyn
First, I've seen quite a few people over the years who would want a procedure like this if it were possible, including some people who, publicly at least, identify as binary (although a lot of this was before NB/genderqueer people started being more accepted, so it's possible some of them would ID nonbinary today).

Second, I resent the implication that I'm not willing to put in the resources to make them happen. Of course it will cost money.  I'm not looking for anything for free (though it would be nice). It might turn out to be costly enough that it would take decades before it would be in reach, or never be in reach for me, but at this point, I don't have the information to make that judgement, and I doubt you do either.

Quite honestly, I'm tired of people dismissing the issue like this, especially other trans people. Imagine living in a time before surgery was available for binary trans folks and being met with this argument. It comes across as patronizing at best, if not outright insulting. Please don't bother responding if you have nothing to add.

Offline AnonyMs

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Re: Male to "hermaphrodite" Update and revelations
« Reply #13 on: March 05, 2018, 02:04:08 am »
I probably see a few requests for this every year, but I've never seen anyone get anywhere with it. Unfortunately I doubt it's going to go anywhere unless some surgeon takes a personal interest in it or you have a serious lot of money. Not money to pay for surgery, but something to influence a surgeon over a considerable amount of time. Maybe fund a long term medical research project. There's also the risk that it's could be damaging to their career. If you have millions to put into it I could see how you might go about it.

You could also try to form some kind of advocacy group. Try and find as many people as possible who are interested. Perhaps there might be more than it appears.

Online Devlyn

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Re: Male to "hermaphrodite" Update and revelations
« Reply #14 on: March 05, 2018, 08:23:25 am »
First, I've seen quite a few people over the years who would want a procedure like this if it were possible, including some people who, publicly at least, identify as binary (although a lot of this was before NB/genderqueer people started being more accepted, so it's possible some of them would ID nonbinary today).

Second, I resent the implication that I'm not willing to put in the resources to make them happen. Of course it will cost money.  I'm not looking for anything for free (though it would be nice). It might turn out to be costly enough that it would take decades before it would be in reach, or never be in reach for me, but at this point, I don't have the information to make that judgement, and I doubt you do either.

Quite honestly, I'm tired of people dismissing the issue like this, especially other trans people. Imagine living in a time before surgery was available for binary trans folks and being met with this argument. It comes across as patronizing at best, if not outright insulting. Please don't bother responding if you have nothing to add.

I certainly wasn't trying to be patronizing or insulting. If you're under the impression that I'm dismissing the non-binary I have done a truly poor job of expressing myself. In any event, I offered the advice with good intentions. If you got something from it, great. If not, sorry I couldn't help.

Hugs, Devlyn

Offline Lyric

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Re: Male to "hermaphrodite" Update and revelations
« Reply #15 on: March 06, 2018, 11:45:17 am »
Yes, I've run across many people who desire both male and female genitalia over the last few decades. However, I've yet to hear an account of anyone who has successfully done it. I've not actively investigated the matter, though. I'd be very interested in hearing of anyone's experience.

The structure of the fully grown penis and it's root material would seem to make it almost impossible to allow room for a functional vagina. I suspect the basic anatomical mechanics of such an alteration would scare off most specialists in gender reassignment. The other concern would be for the psychological condition of the patient. They would no doubt insist on a report from a therapist dealing in gender issues. Talking a therapist would best be your first task, anyway. A good gender therapist will probably have all the answers you seek about the possibility of such body alteration. And, of course, she or he could help you understand how this desire can be managed to satisfactory resolve. Do talk to a gender therapist.
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Offline ~Delta

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Re: Male to "hermaphrodite" Update and revelations
« Reply #16 on: March 06, 2018, 02:18:49 pm »
Yes, I've run across many people who desire both male and female genitalia over the last few decades. However, I've yet to hear an account of anyone who has successfully done it. I've not actively investigated the matter, though. I'd be very interested in hearing of anyone's experience.
The best I've seen is a few photos of an individual who seemed to have had this done.  I don't know the original source, unfortunately, but from what I remember of the forum post I first saw it on, the subject was supposedly intersex and had "corrective" surgery as a child and got it reversed as an adult. I don't know if this is true or not, or how their body might have presented different challenges to the procedure compared to a perisex AMAB person's body.

It also didn't look like an ideal result by any stretch. No vulva/labia, just kind of a hole. Iirc, some commenters on the forum post were speculating whether it had been done by a surgeon or underground.  It also wasn't clear whether it was a shallow-depth result or not.  So, there are a lot of unknowns, and a few scary questions, but it's at least something.

I could dig up the photo, which I've got saved somewhere or other, but it is, naturally, very nsfw.

The structure of the fully grown penis and it's root material would seem to make it almost impossible to allow room for a functional vagina. I suspect the basic anatomical mechanics of such an alteration would scare off most specialists in gender reassignment.
I can understand a lot of these reservations. And it might just end up being infeasible, or have too many drawbacks for me. I think I could handle that if it came to it.  But so far, I can't get anyone to offer a detailed analysis of the challenges and tradeoffs involved.  It's maddening.

The other concern would be for the psychological condition of the patient. They would no doubt insist on a report from a therapist dealing in gender issues. Talking a therapist would best be your first task, anyway. A good gender therapist will probably have all the answers you seek about the possibility of such body alteration. And, of course, she or he could help you understand how this desire can be managed to satisfactory resolve. Do talk to a gender therapist.
Yeah, you'd think so, huh?  So did I.  When I mentioned working within my insurance above, that included therapists and other mental/behavioral health specialists. Like I mentioned, they're supportive of my goals, and I'm cleared for GCS, I just have no one to go to.  I spoke with a lot of people during that time, including the regional heads of their transgender health program around the country, my company's contact within the insurance company,  an independent quality assurance evaluator that was seeking feedback on the trans health program, a private therapist unaffiliated with my insurance, and a few external patient advocacy groups,  and I have a resounding lack of any surgeons willing to talk about it from all of them.

I mean, I think I've tempered my expectations to a reasonable level, but I can't get a provider to seriously discuss it.  All I've been trying to do is get someone with credibility to give me a "Yes, but..." or a "No, because..." or a "Maybe inthe future if..." and talk about the challenges and tradeoffs.

I feel like that shouldn't be too much to ask.

Offline PurplePelican

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Re: Male to "hermaphrodite" Update and revelations
« Reply #17 on: March 06, 2018, 04:34:47 pm »
It seems you understand why it's not feasible, Delta, you just don't want to see it..

The vulva/vagina dissects the base of the penis, this is unavoidable for anything even vaguely anatomically correct. This isn't something that can be resolved with new tech.. There is also only 1 supply of nerves, which are already part of the penis - where do the nerves for the new vulva/vagina come from? Also, there is only a vascular system to support the existing organs - where does anything new get it's blood supply from?

OK, some of the issues I've mentioned could be resolved using thick grafts from other places on the body - grafts large enough to have their own nerves/vascular supply, but do you really want to dig large holes all over your body for this?

Could something be done that visually appears to be what you want? Yeah, maybe.. But I doubt any of it would be functional.
This is not medical advice. Always consult your doctor.

Offline ~Delta

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Re: Male to "hermaphrodite" Update and revelations
« Reply #18 on: March 06, 2018, 05:20:17 pm »
It seems you understand why it's not feasible, Delta, you just don't want to see it..
There is at least some evidence that something can be done.

As for the rest of your response, unless you have a medical degree and surgical qualifications, kindly keep your nay-saying to yourself.

OK, some of the issues I've mentioned could be resolved using thick grafts from other places on the body - grafts large enough to have their own nerves/vascular supply, but do you really want to dig large holes all over your body for this?
I see some very troubling undertones in this response. It reminds me very much of transphobes asking "Do you really want to cut off your dick?" Although I'll grant you they're not likely to be so delicate with it. It's offensive, and it misses the point.

Whatever the tradeoffs and risks might be (and I doubt you're qualified to assess them), it will be my choice. Keep your opinions off my body.

Offline widdershins

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Re: Male to "hermaphrodite" Update and revelations
« Reply #19 on: March 06, 2018, 09:05:51 pm »
Yes, I've run across many people who desire both male and female genitalia over the last few decades. However, I've yet to hear an account of anyone who has successfully done it. I've not actively investigated the matter, though. I'd be very interested in hearing of anyone's experience.

It actually is possible for AFAB people to keep their vagina after a metoidioplasty or phalloplasty, though depending on the procedure it can increase complications and not all surgeons will agree to it. It's not super common, as most binary trans guys are dysphoric over that part and want it gone, but it has most definitely been done and you should be able to find photos if you're curious.

But as far as I know, the equivalent doesn't really exist for AMAB people yet. That isn't to say it's impossible, just not as straightfoward as it is when starting with a vagina.