I looked at the calendar yesterday and realized it's been more than 3 years since my surgery. I wanted to post an update because some of what I'm experience, I hadn't heard about beforehand, and I thought it might be helpful for people here to know.
* I'm generally happy with having a vagina. I still find myself looking down at times (when I'm waking up, for example) to be amazed at how lucky I am to be able to walk around shaped the way I'm supposed to be.
* I'm still a virgin. I have a partner who is willing to change that but I confess I'm terrified. There are three tender spots: (1) My clitoris is large and takes up space. When dilators go in there it still is not comfortable. (2) The surgeon lined my inner labia with tissue from my urethra for moistness which was made the area around the urethral opening extremely painful to touch. Mostly doesn't bother me, even when I'm dilating, but I'm concerned it will be impossible to avoid for my partner. (3) The left side of my clitoral head has a tender spot. I had a doctor take a look at it and she couldn't find anything wrong there, no scar tissue, foreign bodies, etc. She said that sometimes there are just tender spots. So I just can't convince myself that penetrative sex won't be excruciating and I honestly don't want my partner to feel self-conscious or cautious (can't imagine that would be a good experience for them). They haven't pushed me.
* I still dilate 3 times a week. I can't go more than sixty hours or so between dilations or it's uncomfortable when it goes in. I know this is unusual, but seems to be the way my body is built. I'm going to wait a few more months and try dropping it down to twice a week and see if that changes. The good news is that I'm so naturally moist that the lube I use seems somewhat superfluous.
* I can't have an orgasm without introducing testosterone into my body. Before I went on T-blockers originally, orgasm was easy for me and if I put a bit of T-Gel on ahead of time, orgasm now isn't an issue. I've heard there are some surgeons who prescribe T as a matter of course. My hormone doctor has no problem prescribing it, but my insurance wouldn't cover it (T-use by women is off-label) so I have to pay out of pocket. 30 doses costs $450, so I use it sparingly (would anyway - not really worth losing my hair).
* I find that I can't go without using pads or my underwear gets slimy. Not complaining. The pads are not expensive and I love being that moist.
Hope this helps pre-ops who are thinking about it and post-ops who may be experience the same issues.