Susan's Place Transgender Resources

Community Conversation => Female to male transsexual talk (FTM) => Transsexual talk => Testosterone => Topic started by: KarlMars on September 15, 2016, 05:53:23 PM

Title: Vaginal Atrophy
Post by: KarlMars on September 15, 2016, 05:53:23 PM
I heard of someone getting vaginal atrophy after being on T, but I'm not sure how long they were on it. It's what happens to menopausal women- where the vagina gets too tight and dry for intercourse and makes it painful. I also heard it could cause incontinence. Does anyone know more about this or more about and other cons of taking T?
Title: Re: Vaginal Atrophy
Post by: FTMax on September 15, 2016, 06:27:45 PM
It's fairly common. Testosterone causes some dryness, and shrinkage of all the female reproductive organs to include the vaginal canal (as a point of reference - I had my hysto at 14 months on T and my uterus came out almost 1/2 the size of a normal uterus). You would still be able to get wet and have sex, it would just take more foreplay to get to the same point for it to be comfortable. Lube is probably also a good idea just to be on the safe side.

Never heard of anyone experiencing incontinence.
Title: Re: Vaginal Atrophy
Post by: groudon18 on September 16, 2016, 02:37:29 AM
because of this my (cis) boyfriend and i have been very slow and patient as we work on being able to have sex. we've managed to finally be able to fit a couple inches inside. lots of foreplay is needed + i still need to buy good lube, but buying lube should help... I've never heard of the incontinence thing either and it's not something i've experienced
Title: Re: Vaginal Atrophy
Post by: xchrisx on September 16, 2016, 09:09:35 AM
So (TMI sorry) I don't have PIV sex anymore (haven't in years) though other penetration is fine with me--I'm getting a bit older (46)--between having been on T a number of years and my being of / getting close to menopause age anyway, things are definitely, uh, tighter lol.

I still get wicked turned on & self lube is not an issue, but evidence of my being turned on is more evident in that I get hard as opposed to open. Wow this is a lot of very personal information HAHA

To avoid incontinence: kegels! ;)
Title: Re: Vaginal Atrophy
Post by: Preston on September 16, 2016, 09:03:18 PM
I'm going through this right now. Self lubrication during sex is not an issue (at all) but I am always really dry and the skin actually flakes causing extreme irritation (itching).
Title: Re: Vaginal Atrophy
Post by: KarlMars on September 18, 2016, 09:53:06 AM
Quote from: FTMax on September 15, 2016, 06:27:45 PM
It's fairly common. Testosterone causes some dryness, and shrinkage of all the female reproductive organs to include the vaginal canal (as a point of reference - I had my hysto at 14 months on T and my uterus came out almost 1/2 the size of a normal uterus). You would still be able to get wet and have sex, it would just take more foreplay to get to the same point for it to be comfortable. Lube is probably also a good idea just to be on the safe side.

Never heard of anyone experiencing incontinence.

Thanks for the advice. I'm going to avoid the hystorectomy as long as I can because my insurance won't cover it unless it's medically necessary.
Title: Re: Vaginal Atrophy
Post by: KarlMars on September 18, 2016, 09:54:51 AM
Quote from: xchrisx on September 16, 2016, 09:09:35 AM
So (TMI sorry) I don't have PIV sex anymore (haven't in years) though other penetration is fine with me--I'm getting a bit older (46)--between having been on T a number of years and my being of / getting close to menopause age anyway, things are definitely, uh, tighter lol.

I still get wicked turned on & self lube is not an issue, but evidence of my being turned on is more evident in that I get hard as opposed to open. Wow this is a lot of very personal information HAHA

To avoid incontinence: kegels! ;)

Thanks for this useful information.
Title: Re: Vaginal Atrophy
Post by: KarlMars on September 18, 2016, 09:55:22 AM
Quote from: Preston on September 16, 2016, 09:03:18 PM
I'm going through this right now. Self lubrication during sex is not an issue (at all) but I am always really dry and the skin actually flakes causing extreme irritation (itching).

Thanks for letting me know and I'm sure there's a cream for that.
Title: Re: Vaginal Atrophy
Post by: FTMax on September 18, 2016, 10:05:31 AM
Quote from: alienbodybuilder on September 18, 2016, 09:53:06 AM
Quote from: FTMax on September 15, 2016, 06:27:45 PM
It's fairly common. Testosterone causes some dryness, and shrinkage of all the female reproductive organs to include the vaginal canal (as a point of reference - I had my hysto at 14 months on T and my uterus came out almost 1/2 the size of a normal uterus). You would still be able to get wet and have sex, it would just take more foreplay to get to the same point for it to be comfortable. Lube is probably also a good idea just to be on the safe side.

Never heard of anyone experiencing incontinence.

Thanks for the advice. I'm going to avoid the hystorectomy as long as I can because my insurance won't cover it unless it's medically necessary.

Insurance companies don't cover anything unless it's medically necessary. The key is making sure they don't exclude transgender healthcare procedures, and then having your doctor write a letter that says you're a transgender man and having female reproductive organs is having a negative impact on your mental health. That is what mine did, and my insurance paid up.
Title: Re: Vaginal Atrophy
Post by: KarlMars on September 18, 2016, 10:28:59 AM
Quote from: FTMax on September 18, 2016, 10:05:31 AM
Thanks for the advice. I'm going to avoid the hystorectomy as long as I can because my insurance won't cover it unless it's medically necessary.


Insurance companies don't cover anything unless it's medically necessary. The key is making sure they don't exclude transgender healthcare procedures, and then having your doctor write a letter that says you're a transgender man and having female reproductive organs is having a negative impact on your mental health. That is what mine did, and my insurance paid up.

Is there any kind of health risk if I just don't have the hystorectomy at all? I'm not sure if I'll get bottom surgery now.
Title: Re: Vaginal Atrophy
Post by: FTMax on September 18, 2016, 12:11:50 PM
Quote from: alienbodybuilder on September 18, 2016, 10:28:59 AM
Is there any kind of health risk if I just don't have the hystorectomy at all? I'm not sure if I'll get bottom surgery now.

There is no conclusive data on it, but plenty of anecdotal experiences out there. Some guys have no issues, some guys have cramps, some guys get cysts on their ovaries, etc. There's no universal experience so it's hard to say what yours would be like.
Title: Re: Vaginal Atrophy
Post by: jentay1367 on September 18, 2016, 04:29:49 PM
QuoteThanks for the advice. I'm going to avoid the hystorectomy as long as I can because my insurance won't cover it unless it's medically necessary.

Yeah................how could your long term mental health and sanity have anything to do with medical necessity?  :laugh:

stooooopid Insurance.....I'd like to not give them their monthly premium until I have a medical necessity. >:( 

quid pro quo m'fers!
Title: Re: Vaginal Atrophy
Post by: groudon18 on September 19, 2016, 01:51:53 AM
Quote from: alienbodybuilder on September 18, 2016, 10:28:59 AM
Is there any kind of health risk if I just don't have the hystorectomy at all? I'm not sure if I'll get bottom surgery now.

you don't need bottom surgery to have a hysto, lots just get the stuff taken out to take it out. and like ftmax said everyone is different. there's also surgeries to get just parts of the reproductive system taken out instead of everything, such as an oompherectomy. that's what my current future plan is just because i wanna do as little as possible to be comfortable
Title: Re: Vaginal Atrophy
Post by: KarlMars on September 19, 2016, 05:09:20 PM
Quote from: FTMax on September 18, 2016, 12:11:50 PM
There is no conclusive data on it, but plenty of anecdotal experiences out there. Some guys have no issues, some guys have cramps, some guys get cysts on their ovaries, etc. There's no universal experience so it's hard to say what yours would be like.

So if I got those problems it would be medically necessary to have the hysterectomy then, right?
Title: Re: Vaginal Atrophy
Post by: KarlMars on September 19, 2016, 05:11:03 PM
Quote from: groudon18 on September 19, 2016, 01:51:53 AM
you don't need bottom surgery to have a hysto, lots just get the stuff taken out to take it out. and like ftmax said everyone is different. there's also surgeries to get just parts of the reproductive system taken out instead of everything, such as an oompherectomy. that's what my current future plan is just because i wanna do as little as possible to be comfortable

Same here-as little as possible to stay comfortable. I think I want to keep my vagina functioning for sexual purposes, but not for reproduction.
Title: Re: Vaginal Atrophy
Post by: FTMax on September 19, 2016, 05:23:36 PM
Quote from: alienbodybuilder on September 19, 2016, 05:09:20 PM
Quote from: FTMax on September 18, 2016, 12:11:50 PM
There is no conclusive data on it, but plenty of anecdotal experiences out there. Some guys have no issues, some guys have cramps, some guys get cysts on their ovaries, etc. There's no universal experience so it's hard to say what yours would be like.

So if I got those problems it would be medically necessary to have the hysterectomy then, right?

Yes.

But if your health insurance covers transgender procedures, a hysterectomy is considered medically necessary just by merit of you being transgender. So if you want one, you can have one.
Title: Re: Vaginal Atrophy
Post by: KarlMars on September 20, 2016, 07:51:42 AM
Quote from: FTMax on September 19, 2016, 05:23:36 PM
So if I got those problems it would be medically necessary to have the hysterectomy then, right?


Yes.

But if your health insurance covers transgender procedures, a hysterectomy is considered medically necessary just by merit of you being transgender. So if you want one, you can have one.

My health insurance doesn't cover anything transgender.
Title: Re: Vaginal Atrophy
Post by: xchrisx on September 20, 2016, 08:33:55 AM
Quote from: groudon18 on September 19, 2016, 01:51:53 AM
you don't need bottom surgery to have a hysto, lots just get the stuff taken out to take it out. 

You do need a hysto for phallo (not meta).

I'm 7 years on T and don't plan on having any lower surgeries or a hysto (unless of course there's an issue). My paps have all been normal so, so far no worries.

Also: I'm uninsured so there's no running out for a hysto for me.
I did have insurance when I started medically transitioning but even that didn't cover my chest surgery. Some do, some don't. This was before the Affordable Healthcare Act so I don't know what is or is not covered anymore.
Title: Re: Vaginal Atrophy
Post by: groudon18 on September 20, 2016, 04:59:18 PM
^ I said you don't need bottom surgery to have a hystorectomy, not that you don't need a hysto to have bottom surgery.
Title: Re: Vaginal Atrophy
Post by: FreakOfNature on September 26, 2016, 08:56:50 AM
Quote from: FTMax on September 18, 2016, 12:11:50 PM
There is no conclusive data on it, but plenty of anecdotal experiences out there. Some guys have no issues, some guys have cramps, some guys get cysts on their ovaries, etc. There's no universal experience so it's hard to say what yours would be like.

I was told by my surgeon that taking T would help for the cysts. It also causes them?
Title: Re: Vaginal Atrophy
Post by: FTMax on September 26, 2016, 06:30:47 PM
Quote from: FreakOfNature on September 26, 2016, 08:56:50 AM
Quote from: FTMax on September 18, 2016, 12:11:50 PM
There is no conclusive data on it, but plenty of anecdotal experiences out there. Some guys have no issues, some guys have cramps, some guys get cysts on their ovaries, etc. There's no universal experience so it's hard to say what yours would be like.

I was told by my surgeon that taking T would help for the cysts. It also causes them?

Some guys will tell you it did for them. Like I said, no conclusive data on it. Just a lot of different anecdotal experiences.

In my experience, I had PCOS pre-T. Once my period stopped, any pain I had in that general region also stopped. At the time of my hysterectomy, there were tons of small cysts on my ovaries, but none of them had ruptured or looked like they were even close to it.