Susan's Place Transgender Resources

Community Conversation => Transsexual talk => Post operative life => Topic started by: Buggy-pie on March 26, 2011, 07:31:17 AM

Title: Dilation routines
Post by: Buggy-pie on March 26, 2011, 07:31:17 AM
Hi

I am almost 7 weeks post op now and all seems ok still but am now thinking of the dilation routine once back to work fulltime.

I usually get up at 5.30am ish, leave for work about 7am and return home about 6.15pm, at this stage i am advised i should be able to dilate twice a day. This will probably mean waking up a bit earlier to have enough time but generally, i dont expect my times to be too unique in the world of working.

Whats best? Keep dilations as close to an even time apart or will it be ok with am being 5ish and pm being 7ish? Meaning 14hrs apart in the day and 10 over night.

Does the body need these at regular times or is it ok to vary the times? Currently where i am doing 3 a day i tend to do one at 7am, second at between 2pm and 3pm and the third about 9pm. I usually watch an episode of something and thats usually 43 minutes long so i tend to leave the larger stent in until the episode finishes so it could be in for around 30mins or more, i am hoping this will help me get to a time when its once a week or per day much sooner than if i only do the stated 20mins. Does this thought have much support?

And slightly off topic, i read in another post about these dilators breaking, when i mentioned this in the hospital i was politely laughed at but since reading the post i am wondering just how common breakages are?

Ta

Nat
Title: Re: Dilation routines
Post by: Sandy on March 26, 2011, 07:06:19 PM
Quote from: Buuuug on March 26, 2011, 07:31:17 AM
Hi
And slightly off topic, i read in another post about these dilators breaking, when i mentioned this in the hospital i was politely laughed at but since reading the post i am wondering just how common breakages are?

Ta

Nat

Nat:

We won't laugh at you here, we welcome all questions.  If you think about it, your dilator is a cylinder of hard solid plastic.  I suppose there are ways to damage them, such as throwing them hard or perhaps putting them in the dishwasher, but under normal use they should last for a very long time.

Most of them have care instructions that say that to clean them use mild soapy water or sanitizing gel.  Do not put them in a dishwasher or boil them as the heat or strong detergents would damage them.

So you should have no worries in that regard.

-Sandy
Title: Re: Dilation routines
Post by: K8 on March 26, 2011, 07:16:43 PM
I wouldn't worry about dialting 14 hours apart.  As you heal, you can be more flexible with the timing.  I too lost almost a half inch but it was in the beginning on the trip home when I couldn't dilate during the day.  Since then the depth has been pretty consistent.  I'm 11 months now and it finally seems to be where it will be for the rest of my life.  I'll still dilate once a day, though, until my anniversary.

I've worried about dropping a dilator and getting a nick in it that would make the surface rough, but otherwise they seem tougher than my body is.  As long as you aren't careless with them, they should last you as long as you need them.

Heal well.

- Kate
Title: Re: Dilation routines
Post by: FairyGirl on March 26, 2011, 07:43:56 PM
I think as long as you get your twice a day, a couple hours difference here and there shouldn't matter. With twice a day I would say the longer sessions are better so you're doing good on that. I lost some width rather than depth due to healing contraction, but have since gained it back as everything has softened up and settled in. My doctor's dilation schedule for the first 3 months was brutal- because of complications I had I was dilating half an hour 5 times a day for the full 3 months which was a month longer than she usually required, and which left little time for anything else!

Congratulations on your surgery and good healing!
Title: Re: Dilation routines
Post by: Dinky_Di on March 26, 2011, 11:19:24 PM
I work very odd hours and various shift lengths and like you was concerned about a regular dilation regime when returning to work.  Upon return I found as long as I fitted in two dilations during a 24 hour period all remained well.  One thing I did do though would be to make the second dilation of the day longer if it was more than about 12 hours after the first dilation.  It will be a bit of trial and error to start with to see what works best for you.  If you feel things are getting tight increase the dilation time.

Can't say I have heard of dilators breaking.  Mine are also a hard poly substance and have been knocked and dropped without problem.

Good luck, hope all goes well.
Title: Re: Dilation routines
Post by: Renate on March 27, 2011, 06:24:59 AM
Quote from: Buuuug on March 26, 2011, 07:31:17 AM
I read in another post about these dilators breaking...

You do have to be careful.

If you throw a party at your place and somebody wants to borrow one of your dilators
to break up a 50 pound block of ice, there is a very small chance that it could break.

>:-)
Title: Re: Dilation routines
Post by: Sandy on March 27, 2011, 07:19:40 AM
Quote from: Renate on March 27, 2011, 06:24:59 AM
You do have to be careful.

If you throw a party at your place and somebody wants to borrow one of your dilators
to break up a 50 pound block of ice, there is a very small chance that it could break.

>:-)
This could inspire a whole new thread!

Other uses for a dilator...

-Sandy
Title: Re: Dilation routines
Post by: blackMamba on March 27, 2011, 08:01:17 AM
When I went back to work at 9 weeks or so, I was dilating 3x a day.  Once in the morning around 6 am, once when I got home around 6 pm, and once before bed around 10 pm.  As far as I know I didn't lose any depth by following this schedule.  I have heard of lots of girls following this schedule if they work the regular daytime grind.  If the doctor recommends 3x a day, my advice is to follow as closely as you can.

As for having dilators breaking, I have never heard of this personally.  All I can say is if you do break one, we want pictures!!  :D
Title: Re: Dilation routines
Post by: Buggy-pie on March 27, 2011, 02:00:49 PM
Ha ha, well, i'm glad the breaking is an unlikely scenario! I thought they felt pretty solid and sturdy, CHx perspex that look like they could take out the odd mutant vampire or two.

I am a bit relieved about the dilating routine too.  At the end of the eight week (this time next week almost) i am supposedly able to try twice a day and if ok continue like that, if its not then remain at 3 a day for another two weeks.  Whilst i'm tempted to do only 2 a day as soon as possible i think i will try and stick with 3 a day until i have to go back to work (mid April as CHx mandatoriliy do a 12 week sign off (although i am fortunate that i am currently remote working via VPN in the mornings until i return)) unless thats a bad thing? 

I do find 3 a day a drag but i try to be optimistic and think this is the bike ride up hill bit, its for my own good, tiring but almost near 'the' end as much as this process can be and if 3 a day for some extra weeks can help me get to a better place once back to work then i can put up with the 3 a day routine. 

I'm glad so many of you had no problems with such a long interval during the day, i hadnt thought that i could just leave it in much longer in the evening session if needbe.  I had been hoping if i could get in by 6ish and do it straight away that it would have to do, although i know i would be much more uptight as my dog would want to go out, traffic jams would make me more anxious that i'll be late etc so perhaps an evening 8 or 9pm but 40 minutes or so will be fine.

I'm unsure if i have lost depth, i think its again, less swelling.  First off i was about 5 1/2, i think i am a bit less now, will have to measure again as my line has come off the stents.

I've been surprised how 'easy' its all been really except for soreness at times perhaps because of dilating, i usually feel a bit tender around the skin that rubs against the stents and it sometimes stings for a while after or during the night as i imagine i am leaking a bit and that exacerbates the tenderness.  I have taken to dabbing it once in a while and putting some talc on to help it feel less 'rubbing'.  Nothing major, just an observation at how things have been for me and been a wow really!

Nat.
Title: Re: Dilation routines
Post by: Debra on March 27, 2011, 03:09:31 PM
Yeah I'd think you'd really have to be hard on them to break them. Using them to break open ice...probably not recommended :P

I dont think the 10 hrs vs 14 hrs is going to make a huge difference. I myself have been slacking a bit on that.....if I dilate at 11pm and sleep till 10am and dilate then, that's 11 hours but then I'll dilate again at 11pm and I try to dilate in the middle around 4pm.

When I go back to work, I'm not sure what to do. I go in at 8am usually so I could dilate at 6am when I get up (takes me a while to get ready ;) and then dilate when I get home at 4pm (so that's 10 hrs?) and then again at bedtime around 9 or 10pm which is only like 6 hours. Then till morning at 6am again , it's like 8 hrs. So it's a bit of a mismatched schedule even then. 10 hrs, 6 hrs, 8 hrs.
Title: Re: Dilation routines
Post by: Buggy-pie on April 05, 2011, 02:50:55 PM
Hi,

I had my 8 week post op checkup yesterday, seemingly usual granulation to contend with, otherwise all well.

I asked Dr Thomas if there was merit in me continuing the 3x daily dilation and would it speed up progress to the 9-12mth goal of 1-2 times a week and he replied no.  To reach that point sooner i should try dropping to 2x after 8 weeks and if a problem go back to 3x and try again a month later.

He didnt explain why, he isnt the chattiest of the 2 but my idea of doing it 3x as long as possible before going back to work later this month would appear flawed!

Ah well, yesterday was 2x by default as i had to attend hospital, today seemed ok too.  The smallest was awkward at first as it had to ease the passage open but i wouldnt say anything negative other than it took a minute or so and more gel than usual, fine to move it about once open. Shall continue being a bit eeked by it for some days yet but hopefully if it was going to be bad then i would have known by now wouldnt i?

Yay if its ok, that 1 hour or so slap bang in early afternoon  was starting to be a bit frustrating as it restricted me (s'funny how we constantly change our goalposts)

Nat
Title: Re: Dilation routines
Post by: NikkiJ on April 05, 2011, 04:06:21 PM
I was doing 3x's daily since my surgery in early November '10. A few weeks ago the nurse said I could go down to once daily (Yay!), so I did. Then I noticed bleeding (not so Yay!), and the nurse advised me to go back to more frequent dilation, and see what happens after a couple weeks. There may be some granulated tissue in there, and I'll have to find someone to take a look in there.

Also, I've been feeling that it's gotten harder to get past that band of muscle about 3 inches in, and I'm bummed about that, so it's back to as many times a day as I can manage for now. I can still get my depth, though.
Title: Re: Dilation routines
Post by: Buggy-pie on April 05, 2011, 04:25:17 PM
Hi,

Could you not get a steroid cream? Thats what i have been told to use (not got it yet) after dilation to help the internal granulation.

Thats a long time at 3x to just 1x in one drop, i hope you manage to get a good balance and i hope mine gets better.  I do feel sore a lot because of this granulation apparently so am looking forward to this cream.  This was seen by some forcep device being inserted and opened then Dr peered in.

That band you mention is a pain, some days it slips right past, others its a bit of wiggling to get right angle, sometimes i am pushing and then notice its all way in already so really variable for me.  I still get anxious until its in, hopefully one day it will slip in as easy as it now pops out (originally used to worry about it being stuck but not anymore)

Nat
Title: Re: Dilation routines
Post by: Siren on April 06, 2011, 06:53:49 AM
Quote from: Buuuug on April 05, 2011, 04:25:17 PMCould you not get a steroid cream? Thats what i have been told to use (not got it yet) after dilation to help the internal granulation.

I have a little granulation too. I had it cauterised by the surgeon but that didn't work so I'll give setroid cream a try. I've not heard of it before.
I've tried Tea Tree oil which seems to help, but hasn't got rid of it.
Title: Re: Dilation routines
Post by: Buggy-pie on April 06, 2011, 06:57:30 AM
Hi Siren,

I'll let you know what its called when i get it.

I think he said Beta Steroid but i couldnt find anything direct based on that, certainly lots of medical things but nothing directly relevant, i had better results by searching on Steroid only but shall wait, shouldnt be long in the grand scheme of things.

Nat
Title: Re: Dilation routines
Post by: Siren on April 06, 2011, 07:11:55 AM
Thanks Nat, I'd be really grateful for that info. I feel like my dilation is going OK apart from this one tiny (but very sore) spot of granulation.

I also have that same tight band just near the vaginal entrance but once I'm past that things get easier.

I agree that going from 3 dilations a day to 1 is a big drop. My surgeon advised dropping from 3 to 2 and then to 1.
I'm currently on 2 a day but if I can get rid of this granulation I want to go back up to 3 a day.
Title: Re: Dilation routines
Post by: NikkiJ on April 06, 2011, 04:32:39 PM
My nurse did say that now that's it's 6 months since the surgery, I should get Premarin cream prescribed. I went to my doctor, and she suggested an Estrodial preparatin instead (which is fine with me, having recently discontinued Premarin in favor of sub-lingual estrodial pills). What she has prescribed for me is in a suppository (vaginal) form, and I will pick it up from the pharmacy this evening. The nurse had recommended it to keep the vaginal vault supple though, so I'm interested that some of you have gotten it for the granulation.

Thanks for your comments Buuuug, I had to skip my morning dilation today, as I had to get an MRI of my knee done, but I'm going to do it as so as I get home, and again before bed. I find my #3 dilator really fitting tight, and getting it out is a bit difficult. Thank goodness my surgeon's office said they didn't expect anyone to use the #4!!
Title: Re: Dilation routines
Post by: FairyGirl on April 06, 2011, 08:50:14 PM
My doctor also prescribed Estrace (pure estradiol) cream for insertion inside my vagina, actually to help the skin stay supple but tough enough to handle dilation. She also recommended using pure lanolin cream (available at Wal-Mart in the baby section for nursing mothers) around the vaginal opening for softening the skin and making it more pliable.
Title: Re: Dilation routines
Post by: NikkiJ on April 07, 2011, 10:59:51 AM
OK, well, I picked up my prescription last night, and it turned out to be Vagifem....basically an estrodial pill in an "injector" that goes in my vagina.

I'm not sure this is what my surgeon's nurse wanted, so I'm going to call her today and check it out. I'm afraid of taking too much estrodial this way. And i don't see how this is gonna make the vault "supple". This may be a fail on my doctor's part, as good as she is.
On edit, talked to my surgeon's nurse and she said the Vagifem would indeed be OK to help thicken the skin in the vagina and make it more resistant to fissures, etc. She said there are no studies on some of these things, and sometimes it becomes a situation of "try this" and if it doesn't work, to pursue something else. So I feel better.

Oh, and I had an MRI of my right knee yesterday, so I may be in for some sort of knee procedure....that's gonna make dilation fun!

Dammit.

Also on edit: I feel better today, my office is not shutting down next week, there was some risk of that.
Title: Re: Dilation routines
Post by: FairyGirl on April 07, 2011, 03:02:41 PM
I couldn't tell it helped a lot either and quit using it after a while. The lanolin cream had a better effect.

Good luck with your knee :)
Title: Re: Dilation routines
Post by: Buggy-pie on April 07, 2011, 04:40:26 PM
Still havent got my prescription yet, hopefully it will be with the GP tomorrow as i will be there for my bloods anyway, would like to get started with it now i know its recommended.

The tenderness has lessened however, perhaps by dropping to 2x a day now or coincidence.

Something i should has asked when at CHx was when do i try 1x per day?  Their literature suggests within 6- 9 months most patients are down to 1x per week, Dr Thomas said in person i should be to 1x to 2x per week within 12 months.  Pretty much the same info said in differant ways as you would expect from a team.

So, if at 8 weeks (2 months) one should try 2x per day then something fantastic has to happen to have the potential at 6 months to be at 1x per WEEK. At 3 months i could try 1x per week but then that means at start of month 4 there is only 8 weeks left to reduce it from daily to weekly!  Doesnt seem right.

I'll ask the CHx nurse their official stepping routine but am intrigued how others have stepped down to longer intervals and what the signs of success or time to try are.

Ta

Nat
Title: Re: Dilation routines
Post by: K8 on April 07, 2011, 05:30:32 PM
Bowers' routine is 3x per day for the first 3 months, 2x per day for the next 3  months, and then 1x per day until 1 year.  At 11 1/2 months I've dropped to every other day and am having no trouble.  Around 11 months all of a sudden it felt like everything was going to stay put, so I became more relaxed in the routine.  As Valerie said, if you do it less and each time is easy, then you don't need to do more.  If each time is a bit of a struggle, then don't do it any less.

It will get easier eventually. :)

- Kate
Title: Re: Dilation routines
Post by: NikkiJ on April 13, 2011, 11:39:41 AM
Quote from: FairyGirl on April 07, 2011, 03:02:41 PM
I couldn't tell it helped a lot either and quit using it after a while. The lanolin cream had a better effect.
Good luck with your knee :)
Thanks Fairy Girl! I saw my Doctor the day before yesterday, and learned I have a torn medial meniscus in my right knee. I go and see the same orthopedist that fixed my broken hand in 2004 tomorrow to see what he says about it.

My Doctor performed my first speculum exam on me, and apparently there is some granulation tissue that is probably causing friction when I dilate. She took a culture too. She's going to talk with my surgeon's nurse so they can coordinate treatment, as I'm my local doctor's first TS patient, but she's very good. It was funny, my dr. and nurse and I were in the room with the table with the stirrups, and my dr. said "So, you've done this before..." "No, this is my first time!" Nurse: "We should get T-shirts!" They get me into position: Dr "So, here's the clear speculum, I put this light inside it..." Me: "Cool!" Nurse: "Most patients aren't this thrilled!" me: "It's a rite of passage." Nurse "Are you going to Facebook it?" LOL, love my dr and staff

Title: Re: Dilation routines
Post by: Buggy-pie on April 13, 2011, 12:48:22 PM
Hi,

Ah, speculum! I nievely thought it was forceps but yes, sounds the same device as i experienced at my 8 week checkup.

Still waiting for my prescription, apparently my GP has it now so expect to collect tomorrow.  The letter writer at CHx was off last week hence the backlog.

I spoke with the nurse at CHx today (she mentioned a word like speculum bit i didnt quite get it until i read the previous post) to discuss dilating and she advised that i should try reducing the frequency every 4 weeks to see how it goes.  If its difficult at the next session then resume the previous frequency for another 4 weeks .

Apparently i should know very quick if my body cant cope, for example, at present within 24 hours.  Not too sure on this as yesterday i dilated 3x and again today, this is following an 8 day period of doing 2x  since the last 3x routine.  This might be required simply because i want this cream so the granulation soreness can go away as i hav felt more sore the last few days and a bit swollen.  Its possible if i wasnt so sore that i would have been ok to stay at 2x but i dont want to risk staying at 2x, having the cream and then finding it wasnt related and i need to go back to 3x and am back to work.

Hopefully i can let you know the name of the cream tomorrow, finally!

Nat
Title: Re: Dilation routines
Post by: missyzanta on April 13, 2011, 01:34:14 PM
I am curious.  I have been on this site since my surgery last may and all of the problems I have seen have been with other dr's besides dr. bowers.  I have had NOT A ONE problem since my surgery and I stopped dilating in OCTOBER and hadnt since until i read this post a week ago out of fear.  The dilator went RIGHT IN all the way to the bottom with no hesitation whatsoever.  I stopped dilating on a regular my 3rd mth BUT, i was having sex daily. 

I was wondering is it the Dr or is it more the patient in their dilation schedule?  Not blaming the person who started this thread but do most who are successful with dilation feel that SOME people just didnt do it properly and it isnt the dr?  Also are there any horror stories from Dr Bowers patients? I havent read any.
Title: Re: Dilation routines
Post by: Buggy-pie on April 13, 2011, 01:53:41 PM
Hi,

I wouldnt say i have reported I have had any problems with dilating (I initiated the thread), but i asked how others went about reducing their dilation frequencies.  I originally mentioned 3x a day and how it drops over time because i was reading the literature i was provided by CHx and didnt know when to judge enough time had been done at one stage before moving on to the next.

I spoke with the nurse today and she explained how everyone is differant and that the first 2 - 3 months are the most important, after that simply try reducing the freqency at 4 week intervals to find your 'happy place'.  For some this will be in months and some up to a year, guess you are one of the fortunate ones, perhaps an age consideration, and daily sex and just body type.  Foe example, in all, the whole process for me has been something as uncomfortable as a night on a big drinking session, hangovers have been far worse for me so by and large, this has been nothing.  Yet for some, this can be agony.

With regards to the negative bit i have mentioned, its a normal expectation to have some granulation.  I also try to write in degrees, ie i feel sore but at the mo i also have a couple of grazes on my inner thigh, they are worse and make me feel uncofmortable, but as the thread is anout the post op dilation process i mentioned the soreness as it may help others another time.  I have mentioned the granulation cause my Dr did to me and gave the soreness a name (granulation). i have grumbles at having to wait for the cream and am impatient now i know i can do something about this to make it go away, otherwise i just thought it was normal at this stage of healing

I dont think i have lost any depth, just the swollen parts are less swollen, i still have over 5 inches but less than 6 so am happy with that.

Hard to say about dilation routines in other patients.  It appears that the Dr's have their own routines so mine would be of relevance to CHx patients but it has been interesting see how it compares to others.  I guess i have to follow the one provided to me so that if i have any problems then i do have a 'warrenty' heh heh.

Nat
Title: Re: Dilation routines
Post by: Buggy-pie on April 14, 2011, 10:06:28 AM
Hi,

Yay, ok, have the cream and have just used it, not worked yet heh.

Its called Betamethasone Valerate cream, i have yet to read about it on the internet, my hound wants to go for a walkies.  Interestingly it says External Use only and not to put on genitals...um, well, its gone in those very same No No's heh heh.

Ta

Nat
Title: Re: Dilation routines
Post by: Buggy-pie on April 15, 2011, 07:16:21 AM
Hi,

I have used the cream 3 times so far however, with the first dilation last night about 6 hours after 1st application i noticed an improvement.  I dont know if its the granulated tissue causing swelling or dryness through failed healing or if its the cream adding to lubrication but the first insertion slid in much easier than normal.  I have been having to reapply lube whilst easing it in previously since at 2x during initial opening up of the vagina.

What i have previously thought was sloughing seems to have slowed greatly too today so i guess this was part of the discharged material so can only be better as the next few days passes.  Been hard to say whats normal as never been here before so is enlightening.

Nat
Title: Re: Dilation routines
Post by: FairyGirl on April 15, 2011, 12:08:56 PM
skin sloughing will continue for some time as the skin readjusts itself to its new environment and literally becomes inside vagina skin. I still have a bit of it going on at almost 10 months. My internal skin however has become somewhat self-lubricating at this point so that I can now insert my first dilator to full depth without applying any additional lubrication. Hopefully this is a trend ;)
Title: Re: Dilation routines
Post by: Debra on April 15, 2011, 01:11:59 PM
Quote from: missyzanta on April 13, 2011, 01:34:14 PM
Also are there any horror stories from Dr Bowers patients? I havent read any.

I've read some horror stories for every single surgeon including Dr. Bowers. It just shows how everyone's body is different and of course how each of us handles it.

I, myself went to Dr. Bowers a month ago and I had a bleeding complication on the 2nd day. She had to come in and add more stitches to staunch the bleeding. This in turn caused extra swelling such that when they took the catheter out, i couldn't pee. I had to literally hold my labia open to get it to come out. That being said, all of this has resulted in a very slow healing process for me plus I have some nasty granulation tissue on the floor of the vaginal opening. I still have swelling and in turn numbness at this point in time.

All that being said, even with my frustrations with how slow the healing process is going, Dr. Bowers has been nothing but helpful and there for me. And I'm just trying to be patient.

Quote from: FairyGirl on April 15, 2011, 12:08:56 PM
skin sloughing will continue for some time as the skin readjusts itself to its new environment and literally becomes inside vagina skin. I still have a bit of it going on at almost 10 months. My internal skin however has become somewhat self-lubricating at this point so that I can now insert my first dilator to full depth without applying any additional lubrication. Hopefully this is a trend ;)


That's just awesome! I hope that happens for me!! =)

Quote from: Buuuug on April 14, 2011, 10:06:28 AM
Hi,

Yay, ok, have the cream and have just used it, not worked yet heh.

Its called Betamethasone Valerate cream, i have yet to read about it on the internet, my hound wants to go for a walkies.  Interestingly it says External Use only and not to put on genitals...um, well, its gone in those very same No No's heh heh.

Ta

Nat

Sorry I missed where this was talked about in the thread, what is this cream for exactly?
Title: Re: Dilation routines
Post by: Buggy-pie on April 15, 2011, 02:09:32 PM
Hi Debra,

My CHx surgeon, Dr Thomas, prescribed Betamethasone Valerate cream to aid my healing of granulation tissue within the vagina.

I have to use my finger to apply it inside after each dilation (offcially 2x daily)

I have had a lot less discharge today, a bit more late pm (i noticed as i changed my pad) which is probably as the cream is wearing off but overall less than usual throughout a day.

Nat
Title: Re: Dilation routines
Post by: NikkiJ on April 19, 2011, 09:07:10 AM
Buuug, and others, I was tellling my physician about the Betamethasone Valerate cream this morning, as an alternate to the Premarin cream and she is open to that. Do you know the strength of the cream?

Much appreciated,
Nicole

P.S. I had my first internal silver nitrate treatment this a.m., and it didn't hurt at all. I'll have about 3 more of these treatments weekly.
Title: Re: Dilation routines
Post by: Buggy-pie on April 19, 2011, 09:27:30 AM
Hi Nikki,

My cream is 0.1% w/w, i apply twice a day.

The silver nitrate will produce some brown sloughing, mine lasted 24 hours i think.

Good luck!

Nat
Title: Re: Dilation routines
Post by: Siren on April 19, 2011, 09:44:18 AM
I had the Silver Nitrate treatments, hurt like **** and didn't work at all!

I have just today got the Betamethasone Valerate cream (thanks Nat!) so hopefully it will help.
Title: Re: Dilation routines
Post by: Debra on April 19, 2011, 11:21:10 AM
I'm not looking forward to Silver Nitrate =/
Title: Re: Dilation routines
Post by: Buggy-pie on April 19, 2011, 12:32:13 PM
Oh i wouldnt dread it. 

I havent had a lot treated with silver nitrate, just one line about an inch and half long but didnt hurt at all.  Dr Thomas pointed it out at the 8 week checkup, showing me with a mirror and drew along the area and that was that. 

On the way home on the train i needed the loo and noticed the brown sloughing, not entirely realizing the cause if i'm honest until later.  I recalled a bit of stinging every once in a while but had put it down to the seat i was in on the train, it felt like nothing more than a pinch or a snagged hair, nothing eeky.

Nat
Title: Re: Dilation routines
Post by: NikkiJ on April 19, 2011, 12:58:58 PM
Quote from: Buuuug on April 19, 2011, 09:27:30 AM
Hi Nikki,

My cream is 0.1% w/w, i apply twice a day.

The silver nitrate will produce some brown sloughing, mine lasted 24 hours i think.

Good luck!

Nat

Thanks Nat!
Wh
Title: Re: Dilation routines
Post by: NikkiJ on April 25, 2011, 03:28:08 PM
Just to update, the silver nitrate treatment didn't hurt a bit, and I get my second one tomorrow. The Betamethasone Cream is helping too, I'm sure. I stopped bleeding after dilation already, and dilation has become a bit easier now.

Thanks everyone!!!
Title: Re: Dilation routines
Post by: Debra on May 02, 2011, 11:48:33 AM
Quote from: NikkiJ on April 25, 2011, 03:28:08 PM
Just to update, the silver nitrate treatment didn't hurt a bit, and I get my second one tomorrow. The Betamethasone Cream is helping too, I'm sure. I stopped bleeding after dilation already, and dilation has become a bit easier now.

Thanks everyone!!!

Great thanks! Good to know =) I have my first treatment from my family doctor on Wednesday. I have a lot of granulation tissue on the lower part of the vaginal opening though. I need to ask about the Betamethasone Cream too.
Title: Re: Dilation routines
Post by: NikkiJ on May 03, 2011, 10:20:17 AM
Quote from: Debra on May 02, 2011, 11:48:33 AM
Great thanks! Good to know =) I have my first treatment from my family doctor on Wednesday. I have a lot of granulation tissue on the lower part of the vaginal opening though. I need to ask about the Betamethasone Cream too.

Hi Debra!

The second silver nitrite treatment went well, and my doctor thinks maybe only one more is in order, which is tomorrow morning. My granulation is not very far in from the opening also. She gave me a plastic syringe about three inches long and about 3/4 of an inch wide with which to inject the Betamethasone Cream with, and it's not hard to insert, and can always be lubricated.

And, in other news, I'm having knee surgery on the 17th of May. I hope that stops my pain and limping!
Title: Re: Dilation routines
Post by: wendy on May 03, 2011, 10:48:39 AM
interesting comments.........

Question:  Are there any dilators that can be inserted and allow you to work while the dilator is working?  Example:  A tampon design that would prevent tissues from shrinking or closing while you mow the grass or walk the dog or cook dinner..............Thanks.
Title: Re: Dilation routines
Post by: K8 on May 03, 2011, 10:58:54 AM
I didn't understand what granulation was.  I have a little rough patch just inside my vagina and thought it might be granulation.  My doctor looked at it and said that it is.  I thought: no big deal, it's just not smooth.  But he explained that it causes the skin to grow together.  Now that make sense to me, because it is causing the opening to be tighter.  We don't want that.  >:(

- Kate
Title: Re: Dilation routines
Post by: NikkiJ on May 03, 2011, 12:58:59 PM
Quote from: K8 on May 03, 2011, 10:58:54 AM
I didn't understand what granulation was.  I have a little rough patch just inside my vagina and thought it might be granulation.  My doctor looked at it and said that it is.  I thought: no big deal, it's just not smooth.  But he explained that it causes the skin to grow together.  Now that make sense to me, because it is causing the opening to be tighter.  We don't want that.  >:(

- Kate

No, we definitely don't want that!!!! It makes a difference!

Wendy, I heard of a local girl who went out and bought some device that she somehow managed to keep inside with panties, and did the dishes, etc with it in, so who knows, maybe it can work, but I'd be concerned about say, taking a fall that made it go in a direction you didn't want it to go and cause injury?
Title: Re: Dilation routines
Post by: Siren on May 03, 2011, 06:23:59 PM
I keep my dilator in while I do other things. I pull on some tight panties to hold it in place and go about my business.
I've got to the stage now where lying on the bed for an hour is just too boring.
Title: Re: Dilation routines
Post by: FairyGirl on May 03, 2011, 06:30:03 PM
my dilators are 8 inches long and I already paid a lot of money to NOT have a long lump in my panties anymore, so I don't think it would be practical to use those while working lol

But I have thought about that with something that maybe was just the right size... maybe some ben wa balls or something :laugh:
Title: Re: Dilation routines
Post by: Debra on May 03, 2011, 07:00:36 PM
Quote from: FairyGirl on May 03, 2011, 06:30:03 PM
my dilators are 8 inches long and I already paid a lot of money to NOT have a long lump in my panties anymore
LOL!!!

Quote from: FairyGirl on May 03, 2011, 06:30:03 PM
But I have thought about that with something that maybe was just the right size... maybe some ben wa balls or something :laugh:

Mmm I am curious about those *giggle*
Title: Re: Dilation routines
Post by: FairyGirl on May 03, 2011, 07:18:04 PM
Quote from: Debra on May 03, 2011, 07:00:36 PMMmm I am curious about those *giggle*

check out benwaballs.net  ;)
Title: Re: Dilation routines
Post by: wendy on May 04, 2011, 03:53:48 PM
Quote from: FairyGirl on May 03, 2011, 06:30:03 PM
my dilators are 8 inches long and I already paid a lot of money to NOT have a long lump in my panties anymore, so I don't think it would be practical to use those while working lol

But I have thought about that with something that maybe was just the right size... maybe some ben wa balls or something :laugh:

Tink 8 inches sounds like bragging.  Yeah ben wa balls with tight panties might give new meaning to mowing the lawn.  ;)  I was being serious now I am in la la land.  Now I am giggling.

Kate I did not know what granulation was.  Can it be reversed?

.............................

This site has amazing teachers!  I now have designed a dilator in my head with a remote control.  It will be pleasurable and functional.   Technology keeps improving.
Title: Re: Dilation routines
Post by: NikkiJ on May 05, 2011, 08:41:09 AM
You girls are making me laugh and I'm at work, shame on you!!!
;D

So, yesterday morning, I went to my doctor for my third inspection of the granulation (there's lots of examples on the internet of granulation if you need to learn more, right after SRS, I had some on the outside where the sutures were, just from the separation caused by walking, and they told me it would be a "secondary healing", and it's OK now, not much scarring to be seen.

Anyway, she didn't see any granulation left, and it's a good thing because they couldn't find their silver nitrite supply!
Dilation is better now.

I know about getting bored during dilation, I used to do it in bed and put my iTouch headphones on. Now I lean against my couch on a towel in front of the TV!
Title: Re: Dilation routines
Post by: Siren on May 05, 2011, 09:16:46 AM
Quote from: NikkiJ on May 05, 2011, 08:41:09 AMI know about getting bored during dilation, I used to do it in bed and put my iTouch headphones on. Now I lean against my couch on a towel in front of the TV!

I'd love to do it whilst watching tv. I don't think my housemate would be overly impressed though  ;D
Title: Re: Dilation routines
Post by: FairyGirl on May 05, 2011, 07:52:42 PM
Quote from: Valeriedances on May 05, 2011, 06:43:53 AM
If I happen to meet dilators 8 inches now, I am inclined to run for it. So much for fantasy...

lol the dilators are 8 inches from tip to tip, I didn't say I could take it all in! There would still be a hard pokey thing hanging out in my panties and I prefer my inny now, thank you very much. :)

Title: Re: Dilation routines
Post by: Karynm8621 on May 06, 2011, 09:53:51 AM
Actual conversation at the residence during dinner from one of the girls to another

Girl 1- what are the dots on the top of the dilators for
Girl 2- they are a measurement, the black dot is an average but if you dont have the depth, do not force it because you can really do damage and hurt yourself
Girl 1- oh I don't have that problem, mine swallows it up whole


I almost choked on my dinner, I couldn't believe what I had just heard! Some people really need to have a filter. Sorry but the whole 8" comment just brought me back to Montreal
Title: Re: Dilation routines
Post by: Sandy on May 06, 2011, 09:58:19 AM
Quote from: Karynm8621 on May 06, 2011, 09:53:51 AM
Actual conversation at the residence during dinner from one of the girls to another

...
Girl 1- oh I don't have that problem, mine swallows it up whole

...

I lose more dilators that way...  :D

-Sandy
Title: Re: Dilation routines
Post by: Karynm8621 on May 06, 2011, 10:06:01 AM
Quote from: Sandy on May 06, 2011, 09:58:19 AM
I lose more dilators that way...  :D

-Sandy

Lol, that can get to be a bit expensive
Title: Re: Dilation routines
Post by: Debra on May 06, 2011, 01:03:25 PM
Quote from: Karynm8621 on May 06, 2011, 09:53:51 AM
Girl 1- oh I don't have that problem, mine swallows it up whole

LOL!!!

That being said, I had my first silver nitrate treatment and it went ok...didn't hurt too bad. Both the doc and Marci said the Betamethazoid cream wasn't needed or whatever. But Marci did say there was some pieces that needed to be 'snipped' and that was kind of scary...so I have to go back to my family doc and have him do that and do another silver nitrate treatment again. I made sure that the family doc got in contact with marci though.....not sure I want him randomly snipping anything down there lol.

I did dilate a couple hours after the treatment and orange seemed to be too much...so I stuck with just going up to green for the next day...back to orange again today.
Title: Re: Dilation routines
Post by: Karynm8621 on May 06, 2011, 01:42:59 PM
Quote from: Valeriedances on May 06, 2011, 01:08:26 PM

I dont know if I should be jealous or not, lol. I would choke on my lunch if I heard that too, wowzer.

My wife lost it and ran out of the dining room laughing which cause the rest of us to lose it
Title: Re: Dilation routines
Post by: Debra on May 06, 2011, 02:27:35 PM
Quote from: Valeriedances on May 06, 2011, 01:08:26 PM
Your on Orange already? Gosh, isnt that Mr. Big? You moved up fast. It was 3 months before I got near that one, if I remember right.

Yeah Dr. Bowers has us go up to Orange just under a month after the procedure. I actually waited an extra week because my healing is soooo slow and Marci had suggested I wait.
Title: Re: Dilation routines
Post by: Karynm8621 on May 06, 2011, 02:41:10 PM
I ave 5 more weeks till mr orange ... It scares the heck outta me lol
Title: Re: Dilation routines
Post by: FairyGirl on May 06, 2011, 05:42:33 PM
Quote from: Valeriedances on May 06, 2011, 09:00:31 AM
I was referring to the ones with attached life support systems...  >:-). Lol, I'm bad.
omg I love those!! (https://www.susans.org/proxy.php?request=http%3A%2F%2Fwww.cosgan.de%2Fimages%2Fmidi%2Fliebe%2Fd040.gif&hash=f30a48b7aa636ea913ed4fbd52911ce4ffd788e5)
Title: Re: Dilation routines
Post by: FairyGirl on May 06, 2011, 06:59:43 PM
good luck Valerie! I've recently been enjoying one of those myself and will be again tonight too (more of a Mr. Green :D) But yeah, gotta love those organic dilators hehe
Title: Re: Dilation routines
Post by: NikkiJ on May 09, 2011, 03:21:04 PM
You know, if I just cough, if I'm not holding it, it flies out of me!

How big is the Orange you Bowers girls use? I have a set of 5, including a tapered #2, and #3 is my limit...#4 is there but no one is expected to use it per Dr. Meltzer's nurse. I have to measure them tonight.
Title: Re: Dilation routines
Post by: Debra on May 09, 2011, 03:56:17 PM
Quote from: NikkiJ on May 09, 2011, 03:21:04 PM
You know, if I just cough, if I'm not holding it, it flies out of me!

How big is the Orange you Bowers girls use? I have a set of 5, including a tapered #2, and #3 is my limit...#4 is there but no one is expected to use it per Dr. Meltzer's nurse. I have to measure them tonight.

Yeah I coughed the other day and tried to hold it in and it HURT like hell. it was like my tail bone arched up against it. eek

The orange is basically a #4 from what i understand