Susan's Place Transgender Resources

Hi,

Please excuse my writing as this is very exciting/nervous for me, I'm still trying to wrap my head around how awesome this is to me. I have contacted PAI and they said they would be able to schedule me for November 20th. I don't know who my surgeon will be, and I still have not booked a flight yet, although I will be contacting them to ask that and will get a ticket when I know for sure where I'm arriving and all. The surgery is on the 20th at 2:30 pm local time, but they said I needed to be there on the 17th so that they can do consultation and such. Needless to say, oh boy, I'm so anxious and excited at the same time.

I wanted to make a post on Susan partly because I wanted to ask for other's help, maybe some information on what I should bring, what kind of legal document I need, but mostly it is for me to process this and calm me down. I have waited for surgery for a very long time, and I have fought really hard for it. When I was 13 I wrote my dad a letter and leave it on his work desk stating that I would like to have the surgery when I grow up. It had been a long way since then, my dad used to be against me being this way, but had recently became so much more supportive in the last year and in fact, he is going to go to Thailand with me (albeit on a different flight because im currently in a different state). My fiance is also looking into taking a few days off from work to flight with me as well, although because of the nature of his job it might not be possible, we will see on on that. I am very thankful that I have a wonderful family who will be there for me for the life changing surgery.

With that being said, I do have some questions for you guys if you got surgery here. What kind of legal document will I need? I got my passport in the mail on Sunday, and i intend to make atleast 3 paper copy of the identification page on that passport just in case something happen. Other than that, I have no idea what else I need. Some people in the chat have mentioned that I might need a Visa, although from what I seen on the US Gov website and the Thailand foreign affair website, they both stated that I won't need one if I'm travelling here for tourism and stay less than 30 days (Which I am given I get here on Nov 17th and leave Dec 6th). I obviously also intend to carry clothings and personal hygiene stuff (which also including pads in case I bleed). Is there anything else I should carry?

Lastly, if you guys have any positive things to say about PAI, please feel free rub it at me  :D . I will be frank, as exciting as this is, it is also scary as hell, no matter how long I wanted it for. It would be nice to know that I'm making an informed decision and that there are other who made the same choice who turned out well. I suppose negatives are welcomed as well, although I'm not sure how well I will take them at the moment. I already spent quite a lot of time looking through all the positive and negative for each surgeon (oh yeah I read about someone complained about hairy bottom down there with PAI, this is a hit home because i dont intend to get any electrolysis, although I do think I'm relatively not hairy). The next 3-4 months are going to be extremely "fun" for me. Should I also mention that I'm in college and that I'm having flying right after my final? My exams are supposed to be on Nov 13-16, so in order to be in Thailand by the 17th I'm probably have to take my last exam a day early or flight right after i take the test. And not to mention the excitements/nervousness i will feel that week that might affect my performance

Cyndaquil,

Hi and welcome to the forum side of the site. Glad you joined and posted.

I don't have the info about PAI however, many members have gone there. As a matter of fact Susan just had surgery there this past January(I think). I bet you could search PAI in this category and it would pop up lots of information. I also bet you will get some responses from other members as well.

You must be so excited. I can imagine the anxiety as well. All this between semesters. My bonnet is off to you sister.

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Once again, welcome to Susan's. Look around, ask questions and join in.

With warmth,

Jacqui

Hi Jacqui,

Thank you for taking your time to response!

Yeah I understand that whatever I share is public. I think I was extra careful not to give away any information that might identify me (I didn't include college name or anything). Rest assured that just like my surgery, I'm informed of the risk and can make the decision  ;)

It is really good to know that many other people went to PAI. I don't really know many trans people in real life, leave alone those who have GCS. I did searched around for more thread and I'm glad that in general, the consensus is that PAI is really good.

Hey I had mine with PAI a little more than 2 months ago.  :) you can read my experiences here if you haven't. https://www.susans.org/forums/index.php/topic,224402.0.html
As for documents if you have a therapist's letter bring that, if not you can see 2 therapists there(you need to see 1 Thai psych anyway according to their law), it doesn't cost too much and is quick.

I had GCS with PAI just under 6 months ago. I have had a pretty straightforward recovery: from initial heavy swelling down to virtually none at all and none of the oft-reported "hair issue". Sensitivity has been coming back where I want it (!) and the clitoris is no longer super-sensitive. I have been fortunate enough to have had a long break from work which has no doubt also helped my recovery.

PAI were very good with ferrying me and my partner between places and appointments in Bangkok - you really don't want to be chancing your luck with Bangkok traffic - even 500m can be a major trip! My advice would be to stay somewhere close to the PAI clinic and the Piyavate hospital. Also: the longer you can stay in Bangkok post-op, the better.

Having family or partner with you at this time is really important if you can arrange it. It does help to have someone there in the immediate pre- and post-op time when you are a little overwhelmed or groggy from the anaesthetic.

Good luck and I hope all goes well for you.

Here's a good post on PAI

https://www.susans.org/forums/index.php/topic,204651.0.html

And the "video" here

https://www.susans.org/forums/index.php/topic,226261.0.html

Thank you all for your responses,

It really does make me feel safer and better knowing a lot of people went to PAI.

I am feeling less nervous about the surgery, and as I'm moving forward, the surgery is moving more toward the back of my mind as I have a lot until then to look forward to. I'm sure the nervousness will come back when the surgery is maybe a month away, but for now I'm calm and ready to take on the world.

I will keep the post updated whenever I have something worth sharing

Quote from: Cyndaquil on July 28, 2017, 08:19:34 AM

I will keep the post updated whenever I have something worth sharing

It's a deal. I look forward to it.

With warmth,
Jacqui

Just a little bit of an update.

I have arrived in Bangkok last night, and is now a few hour away from consultation with PAI.

I don't really have much to say other than the nervous and anxiety (and excitement) is getting to me, and that flying across the world suck.

I will keep this post updated within the next few days as more happen.

I hope all is going well leading up to the special event, Cynda.

Hugs,
   Laurie

Cyndaquil, good luck and hope you have a great recovery, keep us updated when you can.

Alright, everything is all set, I'm having surgery tomorrow. I figured I would take the time to write another post to describe my experience so far.

I have to say, I'm very impressed. PAI was professional and made sure that I felt comfortable and understanding the risk. They asked me what is my expectation, explaining that result is different for each person, etc. I am very glad that they provide transportation for you because I swear, I would stuck on the street because I'm too afraid to cross the heavy stream of traffic. They are very thorough, they explained the process, told me what I was going to do for consultation, and they did exactly just that. The staffs were very nice too, at least the one stationed at the PAI office was. Can't comment about the hospitals staff or even the driver since they don't seem to be able to speak English as well as the PAI staff does.

I had a really good time, but I feel like I probably should share some of the bad time too (not because of PAI though). I felt very ashamed when they prepared me for surgery by you know, shaving. I couldn't help but feel extremely bad and embarrassed. Don't get me wrong, the staff seemed very friendly, but I guess I wasn't emotionally ready for that. I wasn't ready for the actual surgery talk either. I mean I did research and everything, but when you are there actually talking 1 to 1 with your doctor about it, it is a very different topic and I was just really nervous to the point where I kinda stutter and couldn't think straight.

Two things specifically I think I should mention though since I feel like people here would want to know:
1. They didn't talk to me about hair in vagina at all. They did mention shaving, but that's it, they told me a lot of potential complications like swelling and having to leave the catheter in for an extra week or so, but nothing about hair. To be fair, having hair in there might not count as a complication, and they did mention things like after surgery they will show me how to take care and clean it.
2. I feel like the Thai psychologist here aren't really interested in actually gatekeeping you from surgery (NOTE that I'm not commenting on whether it right or not, this is just my opinion). I only have 1 letter with me (they only require 1 to book) but did ask that I speak to two Thai therapist, each cost about $50 each (3600 Thai dollar total). I guess I kinda over-expected but they only asked me like 5 questions after reading my letter of recommendation (the first psychologist only read the first page) before they agreed to write, they both probably seen me for less than 10 minutes each. I was expecting them to grill me about my past to make sure that I really want to do this and turn me away if they deem me to be emotionally unfit. To be fair, despite having only one letter, I felt like it was very solid since it described my transition process really well (I had been living full time for the last 5 years or so, tons of experiences, a lot of detail).

If anyone is interested, (i will add more to this list later), i learned a few things so far:
- If you are from the US (there is a list of countries), you really only need your passport to pass through immigration. I was worried and couldn't find much information about this, I brought copies of my bank statement (in case i need a visa), copy of all my documents and such, but all I really had to do was fill out an arrival card and departure card (given to me by the airline) and show them my passport.
- Be super duper careful with the traffic. Like really. It crazy. I guess I'm spoiled by the US but geez. If you can, request a driver/take a cab
- You will have to take medicine to clear out your stuff. It uh, not pretty. Bring manga or something cuz you gonna sit on the toilet for awhile :P
- In case you are wondering, yes, they do have wifi in the hospital where you are recovering. I haven't been in the recover room yet since I haven't had surgery, but I did asked about free wifi, and they said yes.
- Outside of PAI, virtually everyone I met can't really speak English. They might know certain words like yes/no, one, two, three, but don't expect much.
- It super, duper hot and humid. Don't bring sweater like I did

Thank you

Ha! The "swiff" laxative has hands-down one of the most revolting smells going!
Hospital- blood pressure checks frequently (maybe due to my age!), food wrapped under cling Film, decent wifi, you will not poop for days but.........when you do...........!!

Hope all is well, good etc!  :) :) :)

Uh that swiff solution was terrible. I took it with some orange juice and I hated orange juice for a while!

I had no letter at all with me and I had the same experience too. They asked some stereotypical questions and it took like 10 minutes. I think they have to do the letters because they are required by Thai law. I was very nervous during preparations too but consultation with Dr. Sutin was nice.

He mentioned the possibility of hair when I asked him whether removing the follicles during surgery is foolproof. He said most of the time they can get %100 but if I end up with some that there are ways to remove them. Although they just tell you to get laser done if you end up with hair. They should probably now laser can't reach too deep.

But I had no complication otherwise and had a very easy recovery. No issue with sensation etc. I'll probably go back in the future for a revision though, to make some details look more natural. Hope you have a smooth recovery as well.  :)

Yep, It is now about 24 hours since I had my surgery (I had surgery at 2 pm local Thai time) with Dr. Burin, and I'm very surprised that I was able to walk. Other than constant but not too bad pain down in that area, I'm actually feeling pretty okay. I'm conscious, can eat, can walk (albeit limited by the range of the catheter) so I feel like as far as recovery is going, I'm okay. This is definitely not an experience I want to have again, but this wasn't as bad as I imagined. To be fair, I haven't started dilating yet, I feel like once that happen I'm going to take back everything I say :P

I slept a lot since surgery, probably 75% of the last 24 hours was on and off sleep. My body as a whole feel very sore, and I felt like I could get cramp if I'm not very careful.

Either way, the staff have been very nice, and even though I didn't talk much to Dr. Burin, I really, really appreciate him for doing this. He told me that I should try to walk as much as I can to apply some pressure on the area since pressure is good + drink a lot of water and they will remove the bandage after about 3 days.

I will keep this updated as I go

All sounds good! They are very keen on you getting up and walking a bit as much as you can...it does get easier!

Huge congratulations Cynda. Keep us posted on progress.

Did you have a choice between Drs Burin and Sutin?

xx

I didn't request which Dr. specifically, although I have a feeling if I asked, they would have tried to accomodate me.

I still haven't had a chance to look at you know, that part yet since the bandage is sitll over it nor do I know what the depth is, but tomorrow (in about 14-16 hours), Dr. Burin will have it removed and voila, I can't wait.

But that also mean I'm gonna transitioning into the more difficult part - dilating. I can't imagine (nor do I want to) imagine the pain that come with it, especially given that I'm basically on painkiller currently 24/7. Without painkiller, there is liek a constant pain down there, it not too bad pain or anything but it feel like someone pinching it or for a lack of better word, being kicked in the ball. Despite being able to eat, I have not have any bowel movement yet, and while I do feel the need to, it have been mostly gas. I'm a little bit worried about how that go.

The staff have been extremely nice, they come in to check on me about every 2 hours or so, to take blood pressure and temperature. There is a button on the side that I can press, and they will drop by to check for what I need. So far all I been requesting for is painkiller, but I'm probably going to request for help to go to the bathroom at one point. In all honesty, this is actually, at least in my opinion, really damn high quality treatment, and while I don't doubt America have  the same level of treatment. I feel like for a private ward, staffed 24/7, staff check on you often + every day Dr. Visit, this would cost a fortune given how expensive healthcare is over there. Of course, I don't wish this same experience twice because you know, pain :P . But by far, this have been beyond my expectation

Lastly, I guess this is kinda rambling on my part, but I want to share that I don't really have a lot of expectation. I have read a lot of horror stories about hair in vagina, internal bleeding etc, and I know all of that walking in. With that being said, I don't really have that high of an expectation, I just wanted a vagina, beyond 5 inch+ depth would be nice, but if not it fine too. As long as my vagina don't have trouble and give me pain every day, I can deal with hair and I'm willing to put in more effort to clean myself. I have waited for this moment for a very long time, and I'm going to cherish it.

Please feel free to ask me any questions you have. If I'm not too tired/asleep i will answer you right away.

Okay, they removed the bandage and aw yis, I no longer have a schrodinger vagina, it is there :P

I haven't been on painkiller for about 10 hours now, and surprisingly after they remove the bandage, I been feeling less pain (Probably because I'm super happy). I am able to pee without catheter as well, however I have no control over it yet and the pee just kinda go out when I sit down on the toilet without much effort from me. The nurse told me it was normal. The nurse also showed me how to clean it, using betadine and saline water. I'm surprised that there is no pain yet, even when they used the douche to put some betadine on the inside. I did ask if I ahve to do this for the rest of my life, and they said yes, but I'm nto sure if that is right. I understand that early on especially when the wound is still healing, this is the way to go, but I feel like maybe 6 months down the line, still using betadine to clean is a little bit excessive. She was just a nurse though and she probably thought I simply meant if I have to clean it for the rest of my life, not clean it LIKE THIS for the rest of my life.

As far as the look of the vagina go. I am extremely happy so far. I don't have a lot of expectation, but my boyfriend was very impressed with the result. It still swell a lot, but I'm sure once the swelling is over it will look even better.

I know I'm just being kinda a fangirl here, but so far, I have been very happy. When they took the bandage off, it hurt a little, but you should have seen me afterward, I was just so excited. The doctor told me my recovery is "so far, so good".

Tomorrow I can take a shower and clean up after myself. No dilation yet though. We will see how that go

I don't think you're supposed to use betadine that long. It can cause skin irritation.

Dr. Sutin told me to use betadine solution for two months. You should probably ask Dr. Burin, maybe the nurse misunderstood the question.

So a little bit of an update, I have been discharged from the hospital since Saturday, I didn't have much to add until today so I'm updating now. On sunday I noticed a white flap in my vagina that look kinda like a deflated and chewed gum, and I noticed an open wound on the left outer of my vagina. It wasn't painful or anything, but I waited patiently and did my best to sleep my worry away until I saw Dr. Burin on Monday. Dr. Burin didn't comment on what the white flap was, but I assumed it was just probably dead skin or like the left over of blister of sort, he yanked it out with the grip thingy (no pain and no blood) and that seem to  be the end of that. The open wound was just a minor wound, he said I would be okay, just apply disinfection powder and keep it closed. My fiance's opinion was that probably a stitch that dissolve a bit early, and also think that it going to be fine. I finally started dilating, and my depth was 5 inch. I'm not complaining, I'm 5'3, I think 5 inch is okay for me :P (I walked in telling myself I would be happy with even just 3 inch). Dilation was surprisingly not painful, and not even the wound get into the way (the wound wasn't inside the vagina, just on the outer left wall). I am very surprised at my dilation schedule though. I half expected it to dominate my life for a while, but right now my schedule is 15 mins in the morning and 15 mins in the evening everyday with the smallest dilator. They told me i can go to the second smallest after a week or two depend on how I feel, but this is a surprisingly easy schedule (I expected it to be like, use these 3 dilator, 15 mins each, swap out, dilate 3 time a day for about 3 hours each day). I mean I wasn't complaining, but I'm definitely going to ask Dr. Burin just to be safe "That's all? 15 mins?" and if he think that all i need to do, then fine. I mean I can't tell if I'm not dilating much because I'm recovering or something.

I do have some questions for you guys though (although this is the kind of things I should have asked Burin, but I guess I wasn't really thinking this morning, I will ask him next Monday when I see him):

1. I'm oozing a lot, like, not bleeding, but straight up a lot of liquid come out of my vagina that usually doesnt end up on my pad since I lie down a lot.  Like I notice my panties was really dirty and stained on the back many time. It probably a mixture of blood and maybe just pus discharge in liquid form. It doesn't smell bad (or atleast I can tolerate it), but it come out a lot. Is this normal?

2. I haven't been on painkiller, but I have been experiencing some pain, not sharp pain or anything, just occasional short bush of rash pain that are bearable. This is to be expected right? How long will it take before it go away?

3. I don't think a lot of my sensation are back yet, it still feel weird to the touch even just the outer vagina down there. Everything still feel a bit numb (dilation didn't feel like much other than something was in me). When should I expect to begin feeling things?

4. When could you properly walk again, as in like when you can walk like you normally walk, not slow pace walk or wobble through like a penguin like I do :P If I remember correctly someone said I can do that after about 1 month or so, but I can't remember for sure.

That all the questions I can think off at the moment, if I have more I will ask. I won't see Burin again until next Monday so I can't ask the doctor himself till then.

Thank!

Okay, it is now Friday, about 11 days since surgery. I can't believe it have only been 11 days, recovery felt like it been forever.

PAI have been really great, I emailed them with my concerns, and they usually get back to me asap after they asked the doctors about what to expect. Like when I asked about discharge in previous post, Dr. Burin told me that is to be expected and I should expect discharge for about 2-3 weeks or so.

Recovery been slowly taking its toll on me. It starting to sink in for me that recovery suck. I was naive walking in, thinking I can take on the world "pfft pain can't be any worse than what I been experiencing". Don't get me wrong, I'm happy, life is good, but I won't deny that post op care is a pain in the neck sometime.

It had become a routine for me now, I wake up, take a shower, pour betadine and saline water together, use cotton ball to clean the outside of my bottom, dilate, insert douche in to clean the inside, make things dry and apply disinfection powder. It mundane, a little bit painful, and time consuming. Dilation too have become a bit of a chore, the worst part is to insert the dilator in, and I don't know why but it make me feel scared, but regardless I marched on.

The pain are worse now, or at least I think it worse. Most of it come from the nerve issues, and I'm assuming it because the nerves are healing so I'm experiencing pains as they are reconnecting to the brain. The actual vagina itself don't hurt so bad, it mostly concentrated in one part. Pain usually come in wave, it hurt a lot for a short burst, then I will feel fine until the next wave come. The discharging is pretty bad, it not painful but it a lot of work to deal with. I go through about 3-4 pads a day if I actively wear them, and when I lie down I have an underpad sheet to soak up the discharge.

I can walk okay, still walk slow, I went out for lunch on Wednesday and took a trip to the mall on Thursday. It mostly sitting that get to me.

I can't say I regret this though. I am very happy with my result, even with a minor wound. This had been an one in a life time experience. It getting worse to deal with, yes, but I remain positive forward when I don't have to excessively clean myself and can go out and enjoy myself. I can't wait until that day.

I am a little slow in seeing this for some reason. As you haven't received any responses yet, I will respond.

1. Oozing will continue for 1-2 months. Dilation tends to reopen the healing so you get a little bit of blood, a little blood plasma and the jelly you use for dilation all mixed up. Put in a good stock of feminine pads because you will need 2 or 3 a day for a while.

2. You could be having nerves waking up and reconnecting. It can be a pin prick or an itch as they are described differently. They can continue up to a year after surgery.

3. Healing time is variable so full sensation could return in a couple of months to a year. You will start getting feeling early but it will take a while for the final results.

4. A month to 3 months depending on your healing. I normally tell people be careful about returning to work until 6 to 8 weeks after surgery in order for you to get over most of your healing. One of the big problem I had was sitting in a chair because my bottom was sensitive to pressure.

Okay,

I think this post is gonna come to the end for now, at least for a few more month where I have healed more. I checked in with PAI again this morning, and Dr. Burin told me that I'm healing well, no tear, no infection, and that I'm good to fly back to the US. I have to say, I'm actually going to miss the PAI staff there, even though I only know them for a few hours at most, they seem like really nice human beings, and I'm going to miss them a lot (Bune, if you are reading this, this is Jackie!). Their services have been superb, and even though with an open stitch wound that I have (in which Dr. Burin told me it will be fine and heal), I'm extremely satisfied with the result and the care I received from both PAI and the Payathai hospital have been outstanding.

As far as post surgery recovery go, there isn't much to say. I still have a lot of pain, but that is to be expected of surgery, I mean I only been recovering for 2 weeks. Dilation is still difficult, but I have been doing it diligently. Everything have became a routine and that's really all I have to say. Maybe in a few months after I healed more, I will came back and add more, but as it stand, everything is well and I think as long as I keep doing what I'm doing, I should be good.

Thank you all for reading, this was an experience.

Cyndaquil, do stay around and let us know who everything is going for you.  You have had major surgery and as you said there is pain and take times to recovery.

Obligatory update:

I flew back to the US yesterday, roughly a 24 hours flight including layover. I'm telling you right now. Request a wheelchair. PAI give you a fit to flight letter that request a wheel chair for you, I assure you you won't regret it.

As far as the flight go, I was asleep for a lot of it so it wasn't bad. I took 1 sleeping pill on my longest flight and slept for about 5-6 hours or so I can't remember, and I was also asleep for another 3-4 hours on my other smaller flights combined. Surprisingly as far as jet lag goes, I actually slept well when I got home last night. I slept at about 12 am and woke up around 7 am today back in California. As for the pain, most of my pain was clitoris pain, but having a donut cushion really helped. I was basically on tylenol 24/7 during the flight, and I tried to pee often since from experience (even before I left Thailand), i woke up with lots of pain everyday, then after I go pee and when back to bed, the pain really subside, and I think it because the need to pee put pressure on my vagina so yeah.

Dilation was... painful. I think it was about 36 hours since my last dilation when I dilated last night. PAI told me that I don't need to dilate on the day of flight, but I think it might have helped if i woke up maybe a bit early to clean and dilate the morning of the flight.

Either way, I made it through hell :P I have another 6 hours flight coming up next week, but next time I'm definitely waking up early to dilate and then when i arrive I will dilate again.

Best wishes on your continued recovery.  I haven't had this surgery yet but I can imagine how rewarding it is to return home and know your healing will improve each day. 

Cyndaquil, glad you got back fine.  I would expect after 36 hrs dilating would be hard to do and would be sore.  Try to get back to your normal routine and everything should go better.  Where are you going on a 6 hr flight so soon?

I'm flying to another state @mm

I'm staying with my family for 2 weeks and visit all my doctors since I'm on my family insurance plan and they stay in CA.

But I'm a university student in another state

Cyndaquil, good luck in your recovery and keep us updated on how you are doing.

Since it been about 2 month and a half now, I figured I would update the thread a bit, just to let you guys know what to expect.

It have been quite an adventure. I went through a lot. It was an emotional roller coaster, but all thing considered I'm very, very happy with what I have. I no longer have a lot of pain down there, and at most occasionally I get a random pain that disappear within a second or so, I think that is because the stitches are still dissolving. I have been able to go through my day at ease since maybe week 8-9, and I started working out again about 2 weeks ago. Things have been going really well for me, and I was able to achieve the big O actually at around week 7 or 8 I believe. Things feel normal again as if I didn't had surgery and I'm in a good place.

As far as hair issues go, surprisingly, none. I haven't have any hair issues, or at least not that I can see. To be fair, I'm Asian, so I'm not very hairy, don't know if that change anything. Smell have become a problem though. I stopped douching around week 7, and to combat the smell, recently I started taking probiotic supplement and an insertion that do the work really well. It does make dilating a little bit harder since it can get sticky, but so far so good. As far as dilation go, it been great. I switched from PAI's dilator to Soul Source's and I haven't looked back since. Currently I can do #2 (31 mm) followed by #3 (34 mm). I don't think I can insert #3 without doing #2, at least not yet anyway, and I might or might not consider going to #4 (Big Orange) when I can do #3 well.

PAI have been neglecting their email responses though. I sent them 2 emails, 2 weeks apart and they never replied back to me. Since I got back to the US, I sent them 4 email (it really only 2 emails but the other 2 was asking "Hey I send you an email about 2 weeks ago I was wondering if you seen it. This is what I said etc") and they only responded to me once.  It not a big deal to me, as I didn't really have any serious questions. I asked if they have a recommended time as to when I can do #3 (which I didn't do yet at the time, but I do now) and when I can dilate less. The nurse did told me that after 2 years I can do less but I couldn't remember if it was 1 time everyday or 1 time every week. I sent PAI an email asking for clarification, and they told me "After 6 months if you have regular sexual intercourse then you can do 1 time everyday or 2-3 time a week", not exactly what I was asking, but I will take it.

But yeah. Life is good.

Glad you posted an update, I was wondering how you were doing.  Sounds like great news overall - and congratulations!