Susan's Place Transgender Resources

Community Conversation => Transsexual talk => Male to female transsexual talk (MTF) => Topic started by: sarahla on December 02, 2010, 12:19:54 AM

Title: SRS
Post by: sarahla on December 02, 2010, 12:19:54 AM
Hi,

I am getting a bit ahead of myself, but it is hard, if not impossible to think on SRS.  Over the past however long, I have been trying to decide that if and when I have SRS, who I would want.  I can see this thread causing polarization, but I am trying to do things scientifically, okay visually too.

My first observation is that there are technically no photos of results.  Yes, Anne Lawrence's site has a few photos, most of them quite dated.  I hope that techniques improve in a period of 5 to 10 years along with everything else.  Also, the photos on her site are not very good, when comparing to a natal female.  Dr. Brassard in Montreal, Canada seems to have the best results of the ones that are posted on her site.  From what I have read on this site, a lot of women here agree.  Even he, has exceptionally few photos with the last one in 2006.

The SRS surgeon in my area of Los Angeles, Dr. Gary Alter, has no photos.  His personal website has a few results, although some of the photos have broken links.  Of the photos that show, let me say that I would not be using that as marketing material.  I do remember watching a documentary several years ago (or was that a film), where this woman used him, but again no results or bad ones.

There is Dr. Supporn, who has name recognition and his own method named after the town where he practices.  He has his own Yahoo Group.  Yes, I am a member there.  I have read that the reason Anne Lawrence does not post photos is because he has threatened to sue and forcefully requested the photos taken down, so hence no photos.  His presentation packet is so so, but says nothing.  The photos on his website and the couple that I saw in forums (I think one on this site posted in about 2006, although looked at recently) are not the most flattering.  Flattering?  Some are scary, seriously.  One result was worse than the next.  One result has a huge (and I do mean huge) inner labia.  Most outer labia are not nice puffy and close, but rather look like scrotal skin.  The results after a period of time does show the scar lines.  This one woman who complained about it in some forum does have visible scar lines.  If I remember correctly, one person on this site (or could be another site) said that his results are not consistent.

One area that I tried to look at was the vaginal opening.  Some openings in photographs look like gaping holes.  I do not know if that is a poor photograph or just the state of things, but then others are better.  The bottom part, where the inner labia come together on some photos look strange.

Much of the problem is the poor quality of the photographs.  Many of the photographs are close up and do not show a more realistic distant view.  It is hard to get a feeling from a few photographs.

Yes, patients do not like sharing their personal anatomy, so I understand, but how is someone supposed to decide?

Dr. S has an advantage of depth.  I think that I heard that Dr. Brassard has better luck with the m2f vagina having self lubrication.  This subject is barely addressed.

Another subject not addressed at all is the g-spot.  I finally know what and where that is.  Okay, there was this one doctor in Wisconsin, if I remember correctly, who retired, had a zillion photos on his site, most of them looked quite good, although one woman complained about his bedside manner.  I remember reading on his site that he placed nerves and material and nerves from the tip of the penis integrated with the vaginal wall.  I do not know if others do that or that was his thing.

To bring the topic full circle, how is one supposed to find out which doctor gives the most realistic looking results along with sensation and depth, and a g-spot or similar structure would be nice too.

Why is Anne Lawrence the only place on the web for photos?  This one wikipedia page referred to by a posting on this site from a few years ago was incredibly small.  Why that person said the photo was better than anything on Anne's site is beyond me.  That was a postage stamp of a photo.

Okay, thinking on this topic, I came across this other transsexual woman SRS surgeon (not Marcie Bowers) and she has a few photos.  Dr. Bower's site is also not the most marketable, although she does have a name, no question about that.

TSRoadmap has some photos too or is that a redirect to Anne's site.  In any case, if judging from the internet, one would think that nobody does SRS anymore with the heyday back about 10-years ago.  That, of course, is the furthest thing from the truth.

I hope that I will not create a firestorm with this thread.  That is not intended.  My question is merely to get more information.

Thanks,

An inquiring mind who wants to know some more.
Title: Re: SRS
Post by: Muffin on December 02, 2010, 12:39:04 AM
some good info there..... I have myself gasped at a lot of the pics online which have me torn between thinking 1) omg vaginas are so...axewoundish meh still better than before, and 2) they are just mostly pics taken sooner after surgery than later and they all mostly look better after a few years of healing.
But I don't know under the circumstances what surgeons can do is amazing. Some people prefer different surgeons based on personal preference of what they feel to be best for them.. sure the true ability to analyse all results are pretty much nil which makes it that much harder. I guess some surgeons might feel that it really depends on the patient and their after care regime that can effect results quite a bit.. it can color results in their eyes, perhaps.
It also seems that if you know people that have pleasing results then that can be good enough, at least for me.
I think this is why I didn't really bother with research on it as much as I should, I'd say I've done more research on post-op care than surgeon decision making :P
currently reading: http://www.intelleng.com/zen.html (http://www.intelleng.com/zen.html)
Title: Re: SRS
Post by: jamied on December 02, 2010, 01:00:53 AM
Dr. Christine McGinn has photos of her work on her website, she is probably the transsexual woman surgeon you mentioned.

http://www.drchristinemcginn.com/ (http://www.drchristinemcginn.com/)

Jamie
Title: Re: SRS
Post by: CaitJ on December 02, 2010, 02:41:49 AM
I'm 11 days post-op and I'm extremely satisfied with my results from Suporn already.
I think you need to go and check out the natural variation in cis vaginas (i.e. NOT porn sites where labia are airbrushed out) and realise that vaginas are, to be perfectly blunt, pretty damn ugly things close up, whether you're cis or trans.
Just as with cis women, natural variation will occur depending on the trans woman; what your skin is like, what your health is like, your age, how you look after the wound pre-surgery, what material you had to work with (short, long, orchi, cicumcised). This is not a 'buy and install' procedure. Each neo vagina will be unique and yes, some will look really fugly, no matter who you have as a surgeon.
But pretty much all vaginas look fugly anyway.
Realistic expectations are a MUST if you want surgery.
Title: Re: SRS
Post by: carolinejeo on December 02, 2010, 03:25:35 AM
In order to assure yourself that the results of SRS can be as good as nature, take a look at this cis site:

http://www.vulvavelvet.org/index.html (http://www.vulvavelvet.org/index.html)

Caroline
Title: Re: SRS
Post by: rejennyrated on December 02, 2010, 04:04:18 AM
Quote from: CaitJ on December 02, 2010, 02:41:49 AM
I'm 11 days post-op and I'm extremely satisfied with my results from Suporn already.
I think you need to go and check out the natural variation in cis vaginas (i.e. NOT porn sites where labia are airbrushed out) and realise that vaginas are, to be perfectly blunt, pretty damn ugly things close up, whether you're cis or trans.
Just as with cis women, natural variation will occur depending on the trans woman; what your skin is like, what your health is like, your age, how you look after the wound pre-surgery, what material you had to work with (short, long, orchi, cicumcised). This is not a 'buy and install' procedure. Each neo vagina will be unique and yes, some will look really fugly, no matter who you have as a surgeon.
But pretty much all vaginas look fugly anyway.
Realistic expectations are a MUST if you want surgery.
This is SO true.

You do have to be uber realistic and realise that whilst surgical technique will make a difference so will your own anatomy. As each of us has different spacings between organs, sizes, bone structure etc. It simply isn't a repeatable process. Three patients - same technique - three completely different results.

Finally if you are unlucky then a rework is possible and can help. I lived for 25 years with a result that was decidedly cosmetically marginal before going back. The transformation was very satisfactory.
Title: Re: SRS
Post by: kelly_aus on December 02, 2010, 04:34:00 AM
I've recently learnt that there are 2 surgeons here in Australia that do SRS, however, due to the law here neither provides example of their work. It seems the only way to find out what they are like is to actually have a consult with them.. Which, given that neither is in my state becomes an expensive proposition, specially just to find out what they are like..


EDIT: And yes, vagina's are odd looking things, and no 2 look alike..
Title: Re: SRS
Post by: sarahla on December 02, 2010, 10:34:41 AM
jamied: Christine McGinn is the transsexual woman doctor that I mentioned.  I just did not remember her name.  As I recall, she is affiliated with Dr. Gary Alter, the doctor here in Los Angeles, at least I remember finding her when I was looking at his site and somehow I got to hers.
Title: Re: SRS
Post by: Robert Scott on December 02, 2010, 10:37:21 AM
Dr. Metzler in Arizona seems to have an outstanding practice.  I have only heard good things about his surgery and the facility/staff he uses.
Title: Re: SRS
Post by: sarahla on December 02, 2010, 10:49:31 AM
CaitJ: Thank you for the response.  I am not being biassed in any way, just honestly trying to do some research with the minimal amount of information present.   I feel like an empty sponge trying to get water, where there is not any.  Anyways, Dr. Suporn definitely, and I believe Dr. Lawrence both have a photograph of a CIS / GG vulva.  I believe that I saw one on tsroadmap.com too, but I will not swear by it, as I have not looked at photographs there for a while.  Those look normal and some of the others, most notably on the Dr. S Yahoo group site do not.

Oh, fugly is F****ing ugly. Aha.  I get it now.

I do not think that vaginas look ugly.  How are vaginas on porn sites airbrushed?  I know that the vast number of vulvas on porn sites are hairless.   The shaved vulvas look better than hairy ones at least in photos that I have seen.

I looked at the site, although I should look some more.  Some vulvas look good, while others do not.  The one from the heavyset woman did not look good.  Also, the one with the huge opening in the vagina looked ugly too.  I presume that this woman had lots of children and the opening did not close like when she was a younger or maybe some other reason.  Otherwise, most looked good.

The one difference between vulvas that I have seen surgeons create and those of natal women are seen in this photo from that site, namely the bottom of the vulva near the butt, where the bottom skin folds around.  I do not see that on trans women's photos that I have seen posted.

http://www.vulvavelvet.org/imagesbsx/submit4.jpg (http://www.vulvavelvet.org/imagesbsx/submit4.jpg)

Title: Re: SRS
Post by: sarahla on December 02, 2010, 10:57:54 AM
rejennyrated:  Yes, it makes sense that each person is different (weight, health, height, spacing, etc., etc.) all make a difference and will yield a different outcome.

On a theoretical basis, I have heard (even in biology classes) that no two vulvas are identical.  I presume that means penises too.  I have not seen  that many vulvas to offer up my own opinion.  There are some that are better looking than others, true.  The natal vulva  on Dr. S's site that he offers up as a comparison seems like a textbook classical vagina and a nice looking one at that.  That does not look ugly at all.

I have read that some doctors will not do a rework on someone else's work.  I will not swear by it, but as I recall Dr. S falls into this camp.  I think that I read that somewhere.  I know that Dr. Gary Alter does, as his website talks about rework.

Yes, many of the photos were taken very soon after SRS, but not all of them.  Anne Lawrence's site have photos from nearly a year after surgery, not on all, but I do seem to recall that some were not immediately after SRS.  I guess the question is if the appearance of the vulva changes from year one (1) to year (5) post SRS.
Title: Re: SRS
Post by: Debra on December 02, 2010, 01:02:45 PM
Just a quick note: There are lots of photos on most surgeons sites. I know for a fact Marci has them on her site:

http://marcibowers.com/grs/srsoutcomes.html (http://marcibowers.com/grs/srsoutcomes.html)
Title: Re: SRS
Post by: sarahla on December 02, 2010, 02:51:34 PM
There is a forum post somewhere in the 2006 timeframe on this site called something like "Dr. Brassard verses Dr. Suporn".   I read the postings about a month ago, as it came up on a Google search.  In the postings, at least one talked about Dr. Metzler and posted a negative comment about him.  I read other negative comments about him too, not that I remember what at the moment.

I saw Marcie Bowers photos. She does not have consistent results from the photos that I have seen.  From what I have seen and read Dr. Brassard and Dr. S seem the best, but that was the reason for my posting this thread in the first place.

There are few photographs and little information about each of the doctors.  Also, at least I do not have access to the records that show how many patients each treated, what the results were, complications if any, and of course a patient's honest feedback.  There are always individuals that dislike and like a particular surgeon.  One woman had noticeable scar lines after SRS (about a year afterwards).  She was very happy, as I remember reading as were others, but this one person commented on the scar lines and said that it was a bad job because of it.  Another then commented that they had the same scar lines and that her boyfriend easily noticed that she did not have a natal vagina.  I guess that she was in stealth mode.

The point is that information is scarce and patchy at best.

For all that I have read and seen, there is no surgeon that provides information adequately to make an informed decision.  Some have virtually no information, such as Gary Alter.
Title: Re: SRS
Post by: Northern Jane on December 02, 2010, 04:50:13 PM
I had surgery in 1974 with Dr. Biber and appearance doesn't change much over the years, not after the initial healing. I used to think my vulva was UGLY and that it was the result of the primitive techniques way back then but the more I see of "normal women", especially now with so many picture on the Internet, the more I like my own, actually PREFER my own!  ;D

When it comes down to it, there is such a wide range in what is "natural" that appearance should not be an issue at all. As someone said years ago, if a guy gets that close, he has other things on his mind!  ::)
Title: Re: SRS
Post by: sarahla on December 02, 2010, 07:39:23 PM
Maybe I am more female than I give myself credit for.  I smiled in reading the comment that if a guy gets that close then he has other ideas on his mind.  True, guys like to get laid and women care about their looks, or so stereotypical behaviors go.  I do obsess about my own looks.  That much is definitely true.
Title: Re: SRS
Post by: JennX on December 02, 2010, 07:51:41 PM
Quote from: Jerica on December 02, 2010, 01:02:45 PM
Just a quick note: There are lots of photos on most surgeons sites. I know for a fact Marci has them on her site:

http://marcibowers.com/grs/srsoutcomes.html (http://marcibowers.com/grs/srsoutcomes.html)

This. Most of the well known surgeons do. You might have to hunt around on their sites to find them though.

Also, genetics and anatomy play a big part in the outcome. Not everyone has the "ideal" body shape, fat distribution, muscle tone, etc to yield a consistently "beautiful, aesthetically perfect" result the majority of the time. Just too much variation due to genetics, age, diet, etc. Now I'm not saying that some surgeons are not more skilled than others, but you could have the most gifted surgeon in the world, and not have an "ideal outcome", if the surgeon doesn't have the right combination of variables to start with.

Bowers, Brassard, McGinn, & Meltzer (in no particular order) are the surgeons that will be on my short list.
Title: Re: SRS
Post by: Colleen Ireland on December 02, 2010, 08:33:06 PM
Quote from: JennX on December 02, 2010, 07:51:41 PMNow I'm not saying that some surgeons are not more skilled than others, but you could have the most gifted surgeon in the world, and not have an "ideal outcome", if the surgeon doesn't have the right combination of variables to start with.

And it's not just genetics, there are things the patient can do to maximize the outcome.  Just last weekend I was asking a friend about her trip to Montreal to visit a friend of hers who was at Brossard's clinic for her surgery.  She said her friend had a much more difficult time with healing and pain than anyone else in the clinic, because she was a smoker.  Smoking has a definite effect on the body's ability to heal, and in an operation like this, that is critical.  So... the patient has a lot of variables within their control as well...
Title: Re: SRS
Post by: Janet_Girl on December 02, 2010, 11:32:03 PM
I have chosen Dr. Nguyen (http://www.mdtnguyen.com/m2f.htm) from Lake Owego.  He does a two stage,and is about the same price of most Doctors.  Because most US Doctors have you stay in some kind of hotel, I chose Doctor N. because I can recoup at home.  Which is a plus.
Title: Re: SRS
Post by: sarahla on December 03, 2010, 12:01:24 AM
On my short list would be Brassard and possibly others, not that I know who they are yet.  I keep thinking of Supporn.  Yet, my thoughts keep coming back to Dr. Gary Alter, as he is close to where I live.  Going there would mean no hotels or even long hospital stays.  There would be no transportation bills either, which all adds to cost.

That being said, it should be quality that is the most important, not price.
Title: Re: SRS
Post by: CaitJ on December 03, 2010, 12:48:10 AM
Quote from: sarahla on December 02, 2010, 02:51:34 PM
I saw Marcie Bowers photos. She does not have consistent results from the photos that I have seen.

No kidding. Human bodies are UNIQUE. If you're expecting 'consistent' results from ANY surgeon then he/she would need to be working on clones.
I think your expectations are extremely unrealistic, to say the least.

QuoteThe point is that information is scarce and patchy at best.

Hey, whadya know, we belong to a marginalised group of people who have poor care worldwide and whose medical treatment is still in it's precocious childhood! Welcome to being trans. Try the veal.
And if you think OUR surgery results are inconsistent and unnatural, the trans guy beside me replies with "Boo fricken hoo".
Title: Re: SRS
Post by: Nicky on December 03, 2010, 01:07:09 AM
Quote from: sarahla on December 03, 2010, 12:01:24 AM
On my short list would be Brassard and possibly others, not that I know who they are yet.  I keep thinking of Supporn.  Yet, my thoughts keep coming back to Dr. Gary Alter, as he is close to where I live.  Going there would mean no hotels or even long hospital stays.  There would be no transportation bills either, which all adds to cost.

That being said, it should be quality that is the most important, not price.

I think price is a consideration, I mean if it is a choice between getting a vagina now or never because of price then....

I think you need to go with your gut on this Sarah, it is a scary choice. But results from any surgeon are inconsistent. As long as you pick one that has a half decent reputation, you know their facilities are good and the after care is good then sometimes that is the best you can do. The rest is a little out of your hands.
Title: Re: SRS
Post by: carolinejeo on December 03, 2010, 09:14:17 AM
Sarah said:
QuoteThe one difference between vulvas that I have seen surgeons create and those of natal women are seen in this photo from that site, namely the bottom of the vulva near the butt, where the bottom skin folds around.  I do not see that on trans women's photos that I have seen posted.

This is true of many but as has been mentioned there is a great variation because of anatomy etc.

Indeed, many natal women tear the membrane during childbirth and subsequently after remedial stitches tend to look similar to SRS.

However some results are similar to the picture Sarah linked.

See here: http://www.supornclinic.com/restricted/SRS/Results.aspx?fn=SRS_1_15.2cm_2001_09_22_4.jpg (http://www.supornclinic.com/restricted/SRS/Results.aspx?fn=SRS_1_15.2cm_2001_09_22_4.jpg)

Caroline
Title: Re: SRS
Post by: peggygee on December 04, 2010, 12:13:02 AM
Quite often natal vaginas that we see in magazines or videos have been Photoshopped, airbrushed or other types of photo or video manipulation, lighting, etc. have been employed.

Then too, natal females in the adult entertainment industry will often avail themselves of labiaplasty or other vaginal cosmetic surgery to obtain that "designer vagina" look.

Conversely, the neo-vaginas that we see on porn sites are usually of a woman who has recently been operated on, hasn't fully healed, and most likely hasn't had any of the afore-mentioned cosmetic surgery.

I have to say that nothing ticks me off more that the the phallo-centric "->-bleeped-<-s" on  porn forums condemning post op women in an effort to ensure a steady supply of penises for their fetish fulfillment.

I really get upset because I know the truth, and the truth is that our vaginas can and do look just as good as the vaginas of our natal counter-parts.

Title: Re: SRS
Post by: sarahla on December 04, 2010, 01:29:07 AM
Another concern is that of a lack of g-spot and self lubrication, although some trans women do self lubricate.  That might be because some surgeons transplant a gland that secretes liquid.

Question:  Is it possible for transwomen to get stimulated (come?) through vaginal stimulation?  Yes, I know that many women cannot reach orgasm that way but many can.  I know that the penile skin gets inverted, even in Suporn's technique, but are nerve endings transfered over as well, so that what a transoman feels is similar to what a natal woman feels?  (Okay, I know.  There is no way to answer that question.)

I knew that some women tear a membrane during child birth and get that stapled up.  I just did not know which one it was.  That sucks that it is that one.  That makes for a nice looking vagina.
Title: Re: SRS
Post by: Muffin on December 04, 2010, 02:28:16 AM
Quote from: sarahla on December 04, 2010, 01:29:07 AM
Question:  Is it possible for transwomen to get stimulated (come?) through vaginal stimulation? 
I've read info that states we end up with more nerve ending inside so in fact we have a greater chance of orgasm through penetration, though... no doubt varying with technique and all the other variables :P
Quote from: sarahla on December 04, 2010, 01:29:07 AM
I knew that some women tear a membrane during child birth and get that stapled up.  I just did not know which one it was.  That sucks that it is that one.  That makes for a nice looking vagina.
Frenulum labiorum pudendi (http://en.wikipedia.org/wiki/Frenulum_labiorum_pudendi) I've read that a lot of surgeons can't construct it because it just gets ripped open from dilation which needs to be done too soon after for it to heal. I have heard of some US surgeons being able to do it and others that can do it as part of a revision.
Title: Re: SRS
Post by: Flan on December 04, 2010, 02:44:26 AM
Quote from: Muffin on December 04, 2010, 02:28:16 AM
I've read that a lot of surgeons can't construct it because it just gets ripped open from dilation which needs to be done too soon after for it to heal. I have heard of some US surgeons being able to do it and others that can do it as part of a revision.
Or simply from lack of materials (since most surgeon's priorities are in fabrication of vaginal depth, not vulva aesthetics). In general, it's done as part of labiaplasty because if it was done during initial surgery, it would be more stitches then skin (leading to difficulty dilating and maybe tissue death).
Title: Re: SRS
Post by: Meshi on December 04, 2010, 03:25:32 AM
Also known as bulbourethral glands, the small pea-shaped structures take their name from the British anatomist William Cowper, who provided an early description of the glands. The cowpers gland is an exocrine gland, which means that it secretes its product into ducts — in this case, the male urethra. This is the opposite of the function of an endocrine gland, which secretes hormones directly into the bloodstream.

The cowpers gland plays an important role in sexual intercourse. When a man becomes sexually aroused, the cowpers gland begins to secrete pre-ejaculate fluid. This fluid is a clear lubricating mucus that is similar in composition to semen.

Amounts of pre-ejaculate produced varies greatly — some men produce a lot of pre-ejaculate fluid, while some cannot produce any at all. Producing too much or too little pre-ejaculate fluid generally is not a cause for great concern. More pre-ejaculate fluid typically is produced when a man has not been sexually active for a long period of time. The cowpers glands themselves shrink gradually as men age, resulting in lower levels of pre-ejaculate secretion.

Pre-ejaculate fluid created by the cowpers gland has three functions. The first function is to neutralize the acid levels in the urethra so that sperm can pass through it. Sperm do not thrive in acidic environments, and the urethra often contains traces of acidic urine. Likewise, pre-ejaculate fluid deposited in the vagina during intercourse can help to lessen the vagina's naturally high acidity, thus increasing the longevity of the sperm.

The second function of pre-ejaculate fluid is to remove any foreign material from the urethra before intercourse. A final function is to provide lubrication for sexual intercourse. The Bartholin's glands in women also provide a mucoid substance that aids in lubrication.
Title: Re: SRS
Post by: Northern Jane on December 04, 2010, 05:08:37 AM
Quote from: sarahla on December 04, 2010, 01:29:07 AM
Another concern is that of a lack of g-spot and self lubrication, although some trans women do self lubricate.  That might be because some surgeons transplant a gland that secretes liquid.

The Cowper's gland remains in place and (in some cases at least) remains active after surgery. Quite handy acctually  ;D

QuoteQuestion:  Is it possible for transwomen to get stimulated (come?) through vaginal stimulation?  Yes, I know that many women cannot reach orgasm that way but many can.

Certainly! I have never had a clitoral orgasm - they are all vaginal and G-spot.

Quote... so that what a transoman feels is similar to what a natal woman feels?  (Okay, I know.  There is no way to answer that question.)

Actually there is a way to answer it. I have had a few very close women friends over the years and we have discussed the feelings during intercourse. From the cis women I have talked to, feeling is centred around the vaginal opening and they have little to no feeling inside aside from pressure or fullness. Personally, the sensitivity extends through the entire depth and breadth of the vagina - again, quite handy!  :o

QuoteThat sucks that it is that one.  That makes for a nice looking vagina.

I believe what people are referring to is the vestibule (http://en.wikipedia.org/wiki/Vulval_vestibule (http://en.wikipedia.org/wiki/Vulval_vestibule)) which tends to be deeper and more pronounced in genetic females. Of course this isn't a big deal unless a person plans on making a living by exposing themselves publicly LOL!
Title: Re: SRS
Post by: Cruelladeville on December 04, 2010, 11:28:44 AM
Dr Suporn in Thailand doesn't like doing 2nd stage vaginal makeovers....I know because I consulted with his clinic re this, during May.

He's expensive too, and he pushes you right back on a timeline as he puts his own SRS FFS work first... so I was looking at the end of 2011 earliest!!

And if he's not really keen to do it, and will only do so if he personally sees you... then that would put me off for starters, which is why I opted instead for Meltzer in Scottsdale... during August.

Who was more than happy (a) to enter into serious dialogue with me (without a visit first) and (b) work with me on getting a great result, when I flew out there from the UK.

Even within 6 weeks post revision I was once more orgasmic.... and the result is much, much better aesthetically than how Michael Royle left me in 1992 when I had my original Op.

Though initially I was not too pretty due to the massive swelling, purple bruising and hundreds of neat sutures needed....so it was a time of high-stress for sure.

But as I can now orgasm from either external play or internal probing and my overall shape is far more realistic than previous, and the sound of my peeing is more girlie like, due to a deeply buried urethra....just atop my vaginal opening....

I'm more than happy now with all that's transpired... and I'm still in stealth mode with my b/f.....

But results do vary for every single one of us.... there's sadly no guaranteed result.

And no one questioned me previously..... so your fear of a non CIS result can be self—held rather than one of working reality...?

Most chaps are happy with a place to nestle that's warm-n-wet.... to put in bluntly...

And I would imagine most of us can do that admirably....

If the Dr is even half-competent.....lol
Title: Re: SRS
Post by: sarahla on December 07, 2010, 12:18:24 AM
Hi Cruelladeville,

Thanks for the response.  How is it that your boyfriend did not notice the change from before and after, not to mention the swelling and all the other stuff since then.

Also, is not the lack of any self lubrication a tip-off?  As I understand things, most TS women do not self lubricate line a CIS gendered woman, although some women with some SRS physicians claim that they do, because the doctor kept whatever gland is responsible.  Sadly, I do not remember the doctors name which does that or if that is just a case by case result or every one.

Does your boyfriend not notice the scar lines?

Yes, I am the first to say that I am like Alice, looking from outside the looking glass trying to imagine what it is like on the inside.

It is funny how much depends on whether one has an innie or an outie.  That piece of anatomy and the corresponding internals are so small and not easily visible and yet are responsible for so much, even something as simple as peeing.

How was peeing different before than now?  You said that your peeing was not female like before, but your first surgeon gave you a female urethral, so I am not following.  I am definitely curious on the details of "more girlie like".  Interesting.

I am glad that you are happy with his results.
Title: Re: SRS
Post by: sarahla on December 07, 2010, 12:37:29 AM
Michelle Hayden:  Wow!  Thanks for answering the question and with great detail.  :-)

Northern Jane:
Hopefully, I will remember this topic, when the time comes to talk with a surgeon when that will be.  I have to ask about that as that is important.

Quote
Certainly! I have never had a clitoral orgasm - they are all vaginal and G-spot.
The g-spot is the wrinkly skin about an inch or two inside the vagina at the top part.  It is the underside of the clitoris / gland.  I was reading about it.  Women have that, but how can a trans woman have that, as that structure does not exist.  Surgeons, even Dr. Suporn, uses penile inversion.  Do they actually construct a g-spot?

How is it that you could never have a clitoral orgasm?  It is nice to hear that they are vaginal.

If you do not mind me asking, who was your surgeon?

yeah, I understand about "only if making a living publically," but it is still nice to have a good looking vulva.

I have heard the same thing when asking a CIS gendered woman that they do not feel the penis on the inside of their vagina, only the fullness and pressure.  They feel it at the opening.  Maybe trans women have an advantage.

Is it possible for the cowpers gland in 40+ women to lubricate sufficiently for intercourse?

By the way, I really do not think it a good idea to be in stealth mode with a boyfriend and hide it.  He might be transphobic and get angry if he finds out later.  I have heard bad stories.

Thanks all!
Title: Re: SRS
Post by: Cruelladeville on December 07, 2010, 03:54:11 AM
In answer to yer questions....

*How is it that your boyfriend did not notice the change from before and after*

I don't live with him.... our usual routine is weekends together....

And I spent a full month is the US after my labiaplasty....and also due to my lipo I got to wear a full body corset.... I had three to rotate, which for best results need to be worn for 6 weeks....so I wasn't in a position to have sex for over 8 weeks...or so.

He also knew I was having a girlie gyno op....and knew it was invasive, and as he loves me, and was used to his ex wife being in childbirth, knows full-well things can and do change. So he's handled me with extreme care since.

(He's a father of multiple children so well used to sensible adult compromise)

So he has no reasons to doubt me and why should he? And as to why I live in stealth that's not for you or any others to judge.... and I would suggest you wait and see what you think once your reach a stage where you pass (consistently) so well that no one ever doubts you?

I don't have any scar lines as Toby's handiwork in my case is ab/fab, or covered by hairlines.... I heal fast too, always have... which I hope will sit well with me come my FFS come Jan.

I've always had no issue with self lubrication – ever.... this hasn't changed, though currently my female ejaculation has abated.... but that's not a worry so much for me... as it wasn't an every time deal..... and it may well come back....lol

So men don't like it....anyways....

As to peeing....

I had a left-side internal scar issue from the original 1992 surgery that was affecting my urethral line, Toby picked it up immediately on examining me.... and said that it was way to long.... and he could reposition the opening deep down where it needs to be....

And voiding for me now has the high-pitched hiss, which it didn't before.....

Finally, many men are not gynaecologists, and not all are porn addicts spending hour upon hour watching and picking over in detail ladies slits bits. Some prefer to 'do' rather than watch...

And my b/f's an accountant not a doctor.....but I'll tell yer one thing more....he really appreciates the fact that I've got my fab hip-to-waist ratio back....and am much more curvier now on my return from my tweaks...in the USA.

So I've benefited in that way too, already....in that he's been far more hands on when I stand in front of him in the kitchen, than before I went away....

My vagina's also tighter too, but still very flexible.... so another bonus there....lol

But then I'd had one for over 18 years, so didn't need to dilate immediately....which was a bonus....in the immediate after-care phase...while in Arizona.

And good luck with your personal journey too, if you do go for it.

Title: Re: SRS
Post by: pretty pauline on December 07, 2010, 06:02:09 PM
Quote from: Cruelladeville on December 04, 2010, 11:28:44 AM

Most chaps are happy with a place to nestle that's warm-n-wet.... to put in bluntly...

And I would imagine most of us can do that admirably....

Very well put Cruelladeville, thats always been my experience, guys are salves to the pussy, when I broke up with my first boyfriend I started dating another guy who had no idea I was trans, I remember having a little scaring at the time but he never commented on it, guys are like that, they don't pick over the details on a ladies girly bits, if the guy is a gentleman he won't go there.
Finally I was dating my Husband for over a year and he'd no idea I was trans, he knows my history now but overall Im still living in stealth, just an ordinary housewife.
I wish you the best on your journey to womanhood Sarahla, its a very rewarding experience.
Pauline

I
Title: Re: SRS
Post by: JennX on December 07, 2010, 07:50:13 PM
Quote from: sarahla on December 07, 2010, 12:37:29 AM

By the way, I really do not think it a good idea to be in stealth mode with a boyfriend and hide it.  He might be transphobic and get angry if he finds out later.  I have heard bad stories.

Thanks all!

Let me just say, I really disagree with this statement. I've lived in "stealth" (I really hate that word btw, it makes me think of fighter jets :laugh:) for the last several years. I date quite often, and I only even consider bringing up my anatomy & history until the third date (minimum) AND if AND only if, I see a future with the guy in question. Its really no one's business but my own. Say if a male were sterile, had a vasectomy or a female had a hysterectomy or other cosmetic or reconstructive procedure, I doubt they'd bring it up on the first or second date? It just doesn't happen.

I've heard some horror stories too, but most stem from lack of good judgement and exercising caution than anything else. Also the ease at which you "pass" and level of comfort and confidence you have and exude will also shape your opinion. And as with all things, your mileage may vary.
:)
Title: Re: SRS
Post by: pretty pauline on December 08, 2010, 05:23:30 PM
Quote from: JennX on December 07, 2010, 07:50:13 PM
Let me just say, I really disagree with this statement. I've lived in "stealth" (I really hate that word btw, it makes me think of fighter jets :laugh:) for the last several years. I date quite often, and I only even consider bringing up my anatomy & history until the third date (minimum) AND if AND only if, I see a future with the guy in question. Its really no one's business but my own. Say if a male were sterile, had a vasectomy or a female had a hysterectomy or other cosmetic or reconstructive procedure, I doubt they'd bring it up on the first or second date? It just doesn't happen.

I've heard some horror stories too, but most stem from lack of good judgement and exercising caution than anything else. Also the ease at which you "pass" and level of comfort and confidence you have and exude will also shape your opinion. And as with all things, your mileage may vary.
:)

I have to say I agree with everything you say there JennX, but stealth is very much an individual choice, everybody's circumstances are completely different, since I joined Susans I posted about ''stealth'' many times, when I see a thread on ''stealth'' its just a case of ''here we go again'' anyway heres just yet another link where I posted on it before https://www.susans.org/forums/index.php/topic,70287.msg494196.html#msg494196 (https://www.susans.org/forums/index.php/topic,70287.msg494196.html#msg494196)  maybe I should change my user name to ''stealth pauline''
Title: Re: SRS
Post by: Northern Jane on December 08, 2010, 05:49:51 PM
Quote from: sarahla on December 07, 2010, 12:37:29 AMThe g-spot is the wrinkly skin about an inch or two inside the vagina at the top part.  It is the underside of the clitoris / gland...... Do they actually construct a g-spot?

Check out "Female prostate" on http://en.wikipedia.org/wiki/G-Spot (http://en.wikipedia.org/wiki/G-Spot) - I think that will provide your answer.

It is not "constructed". I had surgery with Dr. Biber in 1974 and I did NOT have a G-spot until many years later. I think it developed as my anatomy settled into a more normal female form.

QuoteHow is it that you could never have a clitoral orgasm?

It beats me! It feels GREAT to have the clitoris stimulated but not as erogenous as stimulating the labia minor, vaginal opening, and nothing else is even close to G-spot stimulation.

QuoteIs it possible for the cowpers gland in 40+ women to lubricate sufficiently for intercourse?

I don't know but something provides lubrication even decades after surgery.