snapfie, why dont you go see a SRS surgeon for a checkup? Sounds like things are not great if you had to cut down dilation to once a montah which is way not enough and it is why you lost depth. I have regained that inch with rigorous dilation, so it is possible but you should get checked why there is blood if that is a significant amont. A gyn may not help as much as a trained surgeon but s/he can also provide some help - by prescribing Estriol cream, by giving advice for dilation - yes dilation is something women without a GRS also have to do when they had gential surgery for different reasons or if they have vaginitis. So definitely go see a gyn if you cannot see a srs surgeon. And dont give up now!