- you might consider estrogen levels being high enough, well in the female range. Many endos strive for levels of 180-200 pg/ml or above.
In this thread is more:
https://www.susans.org/forums/index.php/topic,209390.msg1855751.html#msg1855751- You might look for a healthy flora in the vagina. With a healthy flora unwanted bacteria etc are kept out and the tissue should be more resilient. Many cis people are recommended to eat organic yoghurt from time to time, and to use probiotic pessaries like intrafresh or femina flora.
https://www.susans.org/forums/index.php/topic,201542.msg1793097.html#msg1793097That pill made a huge difference. I smell and taste amazing. I feel healthier down there and all over. I self-lube better. ... I swear by this product!
- after the tissue is healed you might dilate with a small dilator and coconut oil and estrogen cream from time to time to help soften the tissue. You might also use dilators of increasing size to kind of be prepared for your partner.
After the vagina is healed regular sex may help keep the vagina stretched. Until then you might consider using dilators a while before.
Imo it may need some time to rebuild a healthy vagina but it may be better afterwards.
Until then you might consider anal intercourse. There are a lot of pleasurable spots that can be stimulated, at the right angle.
I'd say just use enough lube and tell him to take it slow in the beginning.
Usually guys would be happy for the opportunity.

Talk all of this through with your doc/gyn.
hugs