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CarrieLiz's GRS With Dr. Chettawut, 8/9/16

Started by Carrie Liz, August 03, 2016, 04:02:10 PM

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Carrie Liz

So, thankfully this morning when I went to the bathroom there was no blood, unlike when I'd injured my urethra a few days ago.

So I don't think I hurt myself as badly as I was afraid I did last night when I saw blood all over the dilator.

I'll have an official report once the nurses come, but for now I think I might be okay. I'm just really glad that I was relatively careful last night, stopped as soon as it started becoming uncomfortable, and it was just the smallest of the plastic dilators, so I think I minimized whatever damage I did. Fingers crossed.
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Carrie Liz

#161
Big super-happy surprise, and best possible news!!!

The nurse decided to take the catheter out a day early! I'm FREE!!! YAHOO!!! :D

(The catheter coming out hurt a little bit more than the surgical drains coming out, but it peaked at about a 6/10 in pain and only lasted for a couple of seconds, so it really wasn't a big deal. It wasn't much more painful than getting blood drawn at the doctor's office, which on my scale is about a 4/10 for about the same duration of time.)

Also, here's the best possible news. Not only did I not hurt anything when I dilated with the #1 last night, (she said there was no injury at all,) I have a new #0 dilator, and it's not a freaking wax candle! It's an official clear plastic one just like the other ones, which means no melting and bending, no latex glove on the outside to worry about, so a BIG yay on that! I can dilate without so much hassle now!

(Apparently they just got the new dilators in from the manufacturer yesterday, and everyone is getting one today.)



I dilated with the new clear plastic #0 as soon as the nurse left, and I think a bit of my panic about how tight it felt with the #1 last night was a bit just because of the material, not so much because of size or stretching. It feels different dilating with something that has no "give" to it whatsoever versus the wax one which does have a bit of "give." The plastic one felt a bit tight at first, but then went in with no problems, and once it actually was in it felt a LOT better, because unlike the wax, you don't have to worry about it breaking or bending or touching it the wrong way and making the latex glove break or fall off, you can just put your finger on the end of it and you're done, no worry, it's just there and you set the timer. So it feels a bit heavier, it feels more like it's pushing and stretching with no "give," but at the same time it's much less of a mental hassle to use, so definitely happy about that.

But basically, yay! I'm finally officially free, officially done, no more pee bag, no more tape all over my pubis, no more catheter bopping my oversensitive urethra and clitoris every 10 seconds, I'm finally DONE!!!!!!!! YES!!!!!!!!!!! :D :D :D

Also, I've been cleared to leave the hotel. I can go wherever I want now. (As long as I'm careful and don't over-exert myself.)


First pee in 2 weeks probably won't happen until later tonight, it will take a while for my bladder to fill up enough, but I guess I'll update once it happens? I dunno, whatever. I'm just happy, and I can finally feel completely done with every single surgical-tools part of surgery and just focus on recovering my strength now. I feel so happy! :)
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deanna7506

That is good news! thanks for all the posts and details. may you have a speedy recovery

Deanna
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Carrie Liz

#163
Welp, pee happened. And it basically went absolutely everywhere. Not even close to a solid stream. It was a wild mess of dribbling, spraying, and whatever else it felt like doing. It got all over everything, all over my vagina (in fact it actually felt like it was spraying backward into it,) dribbled almost all the way back into the butt area, all over the labia, it was just a big mess. And honestly I couldn't even feel it coming out of the urethra like I used to be able to because of the lack of a single stream. This basically felt like I let the typical "pee" muscles loose and then it just started dribbling out everywhere as I applied gentle internal pressure without much of a sensation that it was coming out at all, it was just going everywhere

Not a big deal, none of it got on the toilet, just all over my genital area, and while I am hoping it eventually solidifies into a single stream, it wasn't a bit deal. I'm just going to be using a lot of toilet paper for a while because I'm going to be cleaning my entire genital area off every single time I pee for quite a while.

I'm really happy that I can finally pee on my own again, though. One of the annoying things about the catheter is that you feel like you constantly have to pee while it's in, it constantly feels like your bladder is full because of the internal weight/pressure of the inflated bulb, but now FINALLY I actually felt relief from that feeling. So it was a big "Aaaahhhhhhh..." feeling once everything was finally empty, and things are definitely back to feeling normal now, and that is GREAT.

Also, getting the catheter out has virtually eliminated the phantom sensations I was speaking of a couple days ago. Things feel normal now. I lay in bed and everything is just comfy and cozy and nice and non-moving and non-external, and it feels AMAZING, and I'm really enjoying my nice relaxing day now. :)

Every single surgical thing that comes out improves the feeling by a significant margin. Now I'm at the point where if this is how I always feel, even if the pressure and swelling don't go down any more, I'd be very very happy with how things feel now. So a significant portion of that "pressure on the clitoris" feeling that was I was complaining about bothering me was actually because of the catheter. I could constantly feel this feeling of pressure on my clitoris before, and I was actually kind of worried that that was going to be a permanent thing, that it was caused by most of the clitoris being internal. But I was wrong. It was just the catheter. It's completely gone now. I don't feel that pressure when I'm laying on my side now, and I'm not constantly consciously aware of the feeling of my clitoris any more. I don't feel it unless something actually touches it. And that feels REALLY good!

Now it really does feel like how cis women describe having a vagina. "Having a vagina is like having a nose. Unless you're actually thinking about it or unless it's causing you pain, you don't even notice it's there." (Whereas cis guys describe having a penis as "it's like having a live fish in your pants, and sometimes it flops around," which is EXACTLY the feeling I was looking so much forward to being rid of. Now that feeling really is 100% gone.)

So yeah, I'm back to being super-happy and super-elated now. Things are back to feeling 100% exactly like I'd always wished/imagined they would feel like. Beautiful motionless don't-even-feel-it-unless-you-want-to serenity. :) I still feel a bit of swelling pressure when I stand up, but that's about it now.
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IWentWithChet

Quote from: Carrie Liz on August 23, 2016, 12:38:24 AM
Welp, pee happened. And it basically went absolutely everywhere. Not even close to a solid stream. It was a wild mess of dribbling, spraying, and whatever else it felt like doing. It got all over everything, all over my vagina, dribbled almost all the way back into the butt area, all over the labia, it was just a big mess. And honestly I couldn't even feel it coming out of the urethra like I used to be able to because of the lack of a single stream. This basically felt like I let the typical "pee" muscles loose and then it just started dribbling out everywhere as I applied gentle internal pressure without much of a sensation that it was coming out at all, it was just going everywhere

Mwahahaha. Finally my SRS experience had an advantage over yours! Just kidding haha.

But yeah - that not feeling it come out is probably the main difference imho in terms of peeing. Like the peeing sensation is such a nonevent that you kinda build up as something that's gonna feel SUPER WEIRD when you do it the first time. Then it feels mostly like nothing.

That said, that near lack of feeling can... Be an issue. When I was on the plane, since the toilet bowls have no water, it actually was kinda hard for me to learn when the peeing started and stopped! The stream hitting the water is a nice audio cue.



On a side-note - I'm still fascinated by the #0. Did the nurse or Dr. Chett explain why you're starting on that dilator vs the #1? They had me start from the #1 and go from there - I never even knew a #0 existed until your diary. I'd be fascinated to know why, if it isn't too much to ask.
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Carrie Liz

Quote from: IWentWithChet on August 23, 2016, 03:04:03 AM
On a side-note - I'm still fascinated by the #0. Did the nurse or Dr. Chett explain why you're starting on that dilator vs the #1? They had me start from the #1 and go from there - I never even knew a #0 existed until your diary. I'd be fascinated to know why, if it isn't too much to ask.

Nope, no explanation. But the way the nurse put it, it seemed like a lot of people were also on the #0, my next-door neighbor from Australia was started on the #0 too (until she got impatient and scaled herself up to the #2 without asking, popping a couple of stitches along the way,) so my best guess is that they started you on #1 because of your shorter recovery time before you had to leave Thailand. I think the #0 is the common practice. (Again, I'm staying over a full week longer than you did, so is my neighbor, and that's the only variable I can think of.)
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annquance

Hi, I've been following your thread with great interest as I am having my srs with Dr Chett at the end of March next year. I came out and had ffs and ba with him this year. Please keep the thread going as it is giving so much useful information. I am so happy for you and glad everything is going well xx
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Tess2016

A friend of mine had her SRS in the Philippines. Bit dodgy and very cheap, but she seems happy until she peed.. She is still peeing all over the place.. The first time she peed without the tube in, it shot out over the top of the seat.. She is still having issues after 6 months.. I think she is thinking about having some corrective surgery.. Perhaps she should have had it done in Thailand. I do not hear so many issues about peeing so I am sure its not a common issue..

Tess..
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Dena

My peeing was pretty messy for a few months after surgery because the remaining swelling resulted in a stream that shot mostly forward out of the stool. I was able to correct it by leaning forward but as the final swelling faded, the stream moved downward and I no longer have to lean forward. Urine samples require I hold the container well under my bottom and sometimes it's a bit difficult finding the stream. One of the minor advantages of having more control.
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Jenna Marie

According to my wife, having pee sometimes trickle over your butt or go "forwards" is also just a fact of having labia. :) Sometimes they get stuck together or something and redirect the stream...  I had the same "it got everywhere" thing for a couple weeks until the swelling went down, and still occasionally thereafter for months; it's more or less a stream now, but once in a while, yeah, it dribbles (not sprays) somewhere unexpected. 

I actually l can feel myself peeing, btw, but it's feedback from the bladder and not the urethra now.
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AnonyMs

Quote from: Tess2016 on August 24, 2016, 05:29:02 AM
A friend of mine had her SRS in the Philippines.

That's the first time I've ever heard of SRS in the Philippines. How would anybody ever find out about it?
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jujubes1986

Quote from: AnonyMs on August 24, 2016, 11:07:56 AM
That's the first time I've ever heard of SRS in the Philippines. How would anybody ever find out about it?

I didn't even know they did SRS in PH





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Carrie Liz

Yesterday I officially ventured outside for the first time since surgery.

I knew I had to take it easy, both the nurses and a French trans woman who's also staying in the same hotel told me that I probably wasn't going to be able to be up for very long. I've managed going down to breakfast without much discomfort a couple of times now, I usually only started getting tired after about 30 minutes so when I did that, so the walk that I planned was intentionally a quick easy one, just a quick 40-minute walk back and forth from the food court at Seacon Square. And my mom was right next to me in case I started feeling faint or anything.



So, first of all, WOW, what a freaking difference being post-op feels in terms of walking around in a big public place which would usually cause me so much dysphoria, so much self-consciousness, that I'd be fighting against my internal self-hatred voices the entire time I was out. For me (again, this is just me, I don't want to preach this as universal truth,) walking around in my typical attire of athletic shorts and a mono-colored t-shirt is SO much less of a mental challenge than before. It's weird. I've been full-time for over 2 years. I've been to the mall a ton of times. But I just never felt comfortable before. There was always something, and I couldn't put my finger on what, that constantly made me feel like I was putting on an act... this sort of self-monitoring pressure of "I have to be careful, if I move the wrong way or something slips or if I speak the wrong way or act the wrong way, people will know I'm trans and all stare at me." I constantly felt like I had a target painted on my forehead, and I had to dress and act as feminine as possible and as nonchalant as possible to avoid being detected. I always felt like I was someone who was trying to "pass" as a woman rather than someone who actually is a woman.

I suspected that my genitals might have something to do with that, because I noticed that I was constantly aware of them whenever I was walking around, and I was constantly self-conscious about "what happens if something slips? And how can I be absolutely sure that nobody can tell? Is there some way that they can see? Is there something about the tuck pushing my pubis forward too much that makes it obvious that I'm a trans girl who's tucked rather than a cis girl who actually has a vagina?" And just feeling my genitals moving around down there, the fact that there was this pressured stretched lump between my legs constantly, I believed that that feeling maybe had something to do with my inability to relax in public, and this constant feeling that I was hiding something which undermined my confidence and made me feel like I had to "pass" and had to make myself as nonchalant as possible.

That feeling was COMPLETELY gone as we were walking through Seacon Square. The lack of being able to feel my own genitals constantly freed my mind to focus on other things... the way my tshirt hugged my feminine curves, the way the athletic shorts showed my butt, how my entire lower body felt feminine. Things like that. The end result is that I didn't feel like I was hiding or trying to "pass" anymore. I was more aware of the external parts of my body which were showing, parts that definitely were feminine. And I was actually able to imagine myself walking around in a skirt, walking around wearing other feminine things, and for the first time imagining those things felt "right" to me, the feeling clicked, it felt like it would be correct for me to wear those things, where before SRS wearing ANYTHING feminine made me feel like I was about 2 inches tall and terrified and feeling like I didn't deserve to wear it, made me terrified of showing off my body.

So, well, for me at least, I can tell that surgery really is going to be my "I'm not expecting this to happen but it might" near-best-case scenario, where it removes a lot of my anxieties about wearing feminine clothes, a lot of my anxieties about "passing," and a lot of my feelings of inadequacy and like "I don't feel like I deserve this." Having a body that doesn't make you constantly aware that it's different than how your brain is programmed to feel, for me, has made a BIG difference already. And I mean, I was still a bit conscious of whether people were staring at me or not, but it's different... I was constantly worried about people staring at me before, and whenever someone did I felt unsafe. I didn't feel that way this time. I didn't feel like the judgments of the world were weighing down on me as much.

I hope this feeling doesn't fade, and holds on by the time I get back to America and go shopping, because I have had the hardest time shopping for anything. My entire wardrobe is basically single-colored t-shirts and sweaters, jeans, athletic shorts, and a few pairs of suit pants and cardigans for nice occasions. I was still seriously struggling with having the confidence to wear anything else than that, because, again, I just constantly felt vulnerable, constantly felt like the eyes of the world were staring at me in a judgmental "haha" way every time I wore something that I wasn't absolutely sure was "safe." I went through an entire mental battle just to get myself to the point where I could wear a tank top in public this summer, and I was crying and fighting myself the whole way. And it was only by wearing those things multiple times and slowly calming my mind down with "it's okay, you've worn it before and nobody stared at you, just calm down," that I finally started becoming comfortable enough. I have trouble wearing anything pretty. I have trouble wearing any bright feminine colors because I'm afraid they make me stand out too much. My most commonly-worn colors were gray, black, tan, dark green, and dark purple. All colors that were very "safe" and nonchalant. And I was constantly jealous of every girl around me wearing bright feminine colors, cute patterns, body-expressing and self-expression-expressing clothes that made her feel beautiful. So clothing, and self-expression in general, were still big battles that I was going through. But maybe now that my body finally feels right, that I finally don't feel that constant sense that I'm hiding something and feeling vulnerable and trying to disappear to hide it, maybe I can finally go shopping for things that I actually like, things that make me feel pretty, instead of things that are "safe" and make me feel suitably well-hidden. Maybe I'll even finally wear a skirt and show off those legs that everyone tells me are so beautiful but that I felt too vulnerable to wear.

Fingers crossed. I'll know once I get back home and once I've ventured out in public a few more times.



In terms of stamina, I did pretty well.

Most people had told me that stamina was their biggest problem with walking around immediately after surgery. If you're out too long, they said, if you exert yourself too much, you'll suddenly reach a maximum capacity and start feeling weak and light-headed.

I had no problems with that.

The problem that I had was that the feeling of pressure and swelling in the surgical site slowly built up the longer I was standing. (Specifically pressure/swelling concentrated around the stitches which are on the bottom of the pubis and the sides of the outer labia.) It was very much okay for the first 25 minutes or so, but then the feeling of pressure and swelling started, and it got greater as we were walking home, and I needed to lay down for about 10 minutes once we got back just to disperse that swelling pressure. But that was the only issue I had. I took it easy, so I really didn't get to the point where I was testing my stamina. I probably could have gone another half-hour or so stamina-wise without being too tired if it weren't for the swelling.

I do feel like I'm going to take it easy today, just to give everything a chance to settle back down, give the pressure and circulation a chance to rest and recover. I don't want to push myself too much. But so far so good on my ability to walk. The 40-minute walk felt just about right, just enough that it gave me a chance to get up and move around, but not so much that I felt like I was pushing it. I got home right as my body was starting to tell me "okay, we probably could use some time to lay down now."

So a good first day out, and our prospects of being able to go on some more (short) sightseeing tours, hopefully to the Jim Thompson House and the Ancient City, before we leave next Saturday are looking good.




Yesterday the nurse seemed really excited because I was healing so well, she showed me the color of my discharge on the long wooden q-tips that they use to prod and examine everything and said "see? This is exactly the color that we want to see! You are doing so good! You are looking beautiful!" And she excitedly patted me on the insides of the knee and actually seemed really excited about it.

So I can definitely say that I've had a very good recovery all things considered, even with the few minor issues I've had. I already feel my strength coming back more and more each day, and there's been less and less discharge (and clearer) in my sanitary pads every time I change them, so things are going well!

The very last moderately-unpleasant feelings that I'm still dealing with is the persistent feeling of swelling pressure around the scar line, and the fact that I still have a double-bump look going appearance-wise because my pubis is still swollen. Clitoral hypersensitivity is mostly gone, no more burning urethral sensation at all, dilating's still pretty easy (we'll see how it goes once I have to scale up dilators to include the #1 starting on Saturday,) and yeah, I do still kind of spray all over my backside when I pee, but aside from that, everything's great!
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Carrie Liz

Peeing is still kinda funny.

The first few times I did it, there was actually this weird disconnect. Because for my entire life, pee has come out in the place that I now associate with where my clitoris is. That's just where pee came out of. So it was strange to be pushing in one place and expecting it to come out of a certain place, and yet it came dribbling out the back. It actually kinda felt like I was peeing into a barrier of skin, and then the pee was dribbling off the bottom of that barrier. It was weird. It didn't feel anything like I'd always imagined it feeling, where you could feel it coming out of a spout down on your underside. I actually stopped mid-pee a couple times because the feeling of it dribbling down across the back of my vagina surprised me so much. There was also one time while I still had the catheter in where after wiping my butt I instinctively folded the toilet paper up and reached up front to wipe pee off next, but then realized "oh wait, that's not how it works anymore," but my muscle memory had gotten the better of me while I wasn't paying attention.

Now, though, it's more normal. It doesn't surprise me anymore, and my brain is already re-wiring to expect the pee to come out from there, so it doesn't feel like I'm peeing forward into a wall of skin anymore, it feels more like I'm peeing down.

I'd surmise most of the "newness" of surgery as being like that. At first it's a bit strange, (well, some of it was strange, other parts of it felt exactly like I'd always been expecting them to from the very beginning,) but your brain adjusts to where everything is and where its new location is pretty quickly and it just becomes what you're expecting to happen.

It definitely varies from person to person, though.

I was actually kinda surprised, as I've mentioned before, I was fully expecting surgery to feel completely natural for me because I'd had phantom sensations beforehand, and felt like I had a very good sense of what everything was going to feel like. And I was right about some things. Having a vagina felt exactly like I'd always imagined. Putting my hand down over the top of my flat pubis felt exactly like I'd always imagined. My mental image of what I look like in the mirror has already adjusted itself so that looking at pictures of myself pre-op feels VERY weird, looks wrong, looks like "that's not me." But in the end, I did have phantom sensations afterward. I had phantom pains from the scrotal skin. And the clitoris does feel a bit different from what I was expecting. So there's been many times where I still felt like I had a penis even though it's not there anymore, and I had to reach down to reassure myself "no, it's still not there, just a clitoris." Sometimes these feelings are there, other times they're not, and I'm not sure why, but again, I wasn't expecting to feel phantom sensations at all, but I have.

There's still this strange feeling I have sometimes where it's almost like the entire penis is still there but it's just tucked under the skin very well, and it almost feels like it might pop back out again if I move the wrong way.

Last night, probably because of that feeling, I had yet ANOTHER dream where in the dream I still had a penis and I was crying and freaking out about my surgery being botched, the penis is still there, it came popping back out, they retained the ENTIRE glans when making the clitoris and it still looked and felt completely like a penis, and I was SO freaking relieved when I woke up and everything was back in the right place, and my clitoris was just a normal clitoris again.

Basically, my brain's taken a while to adjust. And there definitely is a feeling of "change" and "difference" for me even though all of those "changes" and "differences" are things that make me REALLY happy that they feel changed and different, and the "phantom" effects are often distressing because I never wanted those parts in the first place and now they feel like they're haunting me and won't go away.

But it is still an adjustment in terms of feelings.

And I do want to say, this morning my mom was talking to another trans girl, one who's here supporting a friend who came for GRS, and she was scared because apparently that friend has locked herself up in her room and is having a really hard time healing from surgery because she's saying "I feel like half of myself is gone."

For me it's been sunshine and roses and just dealing with a few occasional residual effects and feelings that I wasn't expecting. For another person, she's having a breakdown because she feels a very definite sense of absence and change from surgery. It's a big deal. How you react to the changes varies from person to person, feeling completely natural for one but like a sudden unexpected "none of this feels familiar" for another. So, well, again, just putting some truth out there. Your experience will vary.
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Carrie Liz

#174
By the way, there's currently 4 people here for SRS with Chettawut from what I can tell. And it's been fun to hear their own unique takes on the level of care.

To me, the level of care here seems exceptional. From my perspective as an American, the nurses and doctor clearly care a lot, are very knowledgeable, want to make absolutely sure every single day that they're checking on you to make sure the healing is going well, they answer whatever questions you have, I thought it was amazing that a nurse actually slept in my room with me the first night just to make sure I was okay, basically I couldn't be happier with the level of care. Plus it was amazing to me that the initial surgical recovery kit and the paperwork and revisions were included in the cost of the surgery, that I didn't have to pay for any of those nickel-and-dime kinds of expenses for the required medications and initial supply of dilators and lube and the certification form and everything. And I think it's so great that a nurse comes every single day to check on your recovery, that is not something that I'm used to and I thought it showed that they really care about their patients.

The one girl from Australia thinks that the level of care at Chett's is really subpar, she's used to the Australian medical system where the patient is actively involved in the decision-making process and actively involved in their own treatment. She finds it frustrating that she can't really make requests, can't really decide for herself how she feels and when things are right (she completely skipped the #0 dilator, by the way, because she felt it was "too small, training wheels," and skipped straight ahead to the #2 dilator, popping stitches and enraging the nurses in the process,) and she doesn't like that she's basically expected to just trust the surgeon's and the nurses' expertise and listen to what they tell you, and they scold you if you don't. And she said that the social climate here is rubbish, that she feels like Chett basically dumps you in a hotel, tells you not to leave, and says "good luck," while Suporn makes an active effort to get you meeting the other girls who are there and really fostering a sense of community and support. (Which she feels like is the main difference between Suporn and Chett, aside from the official certified name "Chonburi Flap" which Suporn acts like he has exclusive rights to but really Chett does the same thing just without the name patent.) She was also appalled that she had to pay for refills on lube and refills on the (optional after the initial dose runs out) strong opioid painkillers out of her own pocket.

There's a French woman who says that the level of care is fantastic, she's really happy.

And then there's another American, she had surgery the day after me, and she's the one who's currently having the freakout about "half of myself feels gone."



So yeah, just illustrating different experiences from different people.
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Tess2016

Not sure.. The doctor she said she went to was a bit backdoor'ish and refused to provide any details.. My friend Mia went to see two so they are there.. Just not advertising.. She was desperate and had very little money so she just went for it.. I read a post on the internet about the Philippines SRS too.. She found out via two local transgender ladies the Dr. who did SRS on them.. My friend was teaching in the Philippines at the end of last year.  I read there were surgeons in China too..

Tess..

Quote from: AnonyMs on August 24, 2016, 11:07:56 AM
That's the first time I've ever heard of SRS in the Philippines. How would anybody ever find out about it?
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Tess2016

Is seems you can.. I have read heaps about it for a long time.. But you need to be careful.. There are backdoor operators, like my friend Mia went to see..  http://immersivemedical.com/sex-change-operation_philippines_2.html


Tess..

Quote from: jujubes1986 on August 24, 2016, 12:10:33 PM
I didn't even know they did SRS in PH
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Tess2016

Yes, Thai's seem to really good at this.. "To me, the level of care here seems exceptional." We had to go to a hospital last time we were in Thailand.. We were treated very very well.. They are not backward either. They have some awesome medical people.. That is one of the main reasons why i have decided on Thailand for my SRS... I am sure most of the top SRS surgeons would have the same level of care..

Tess...
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Shelly Maree

Carrie,  Please keep going with your updates. I am really enjoying every moment of them. It brings back so many memories and some things that are also so different. It is so good to read how well you are doing both in medical recovery and also the important one of physically and mentally. It is so obvious that you were ready for this and you definatley believed that you need it done. It is now time for you to move foward with your life and make the most of living how you have dreamt.

I loved hearing how you feel so excited about no more dangly thing there, I found it amazing how free things felt down there with nothing there anymore, although as you are now learning there is actually more there than there ever was, just it is now internal and feels great.

Dilation will take up a lot of time, but it only gets easier and as months turn into years, it will become far less frequent and not an issue at all. You will get to know your lady bits and you can tell how often you will need to dilate after time.

Yeah the peeing thing did take a bit of getting used to, especially with the mess and feeling it. Goods news for me my stream adjusted approx 6-8 weeks ( I think) and now I feel it is what I woud call normal. I do at times sometimes have the odd spray or drips towards my backside, but very rarely and not enough to bother about. It is now natural and easy and the best part that I am still delighted about, is when you finish and pull your panties up, you just pull them up with nothing there to worry about. I was like you I could not stop thinking about "it" being gone. I would constantly touch my pubic region with delight. You will also be amazed at how comfortable panties  are now they are fitting a correctly shaped body.

Moving on I have had so much confidence installed mentally. All the things I couldn't do before hand, like lying on a massage table just in bra and panties. I now love wearing leggings/tights and how they feel so comfortable against your lady bits, trips to the beautician, and even just getting ready to go out, standing in front of the mirror putting on a bit of make up or doing my hair feels right.

I look foward to your updates and please keep them coming as you progress into the best years of your life. This is actually where your dreams have come true (even though it was hard work to get there). I wish all the best and thanks again for the reading

regards
Shelly
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Carrie Liz

Quick trachea shave healing / voice update...

Things have REALLY improved over the last few days.

I think I mentioned, I had a hard lump right along the incision line for a long time immediately after surgery, and I was actually kinda afraid "is this going to go away? Because honestly this sticks out just as much as the thyroid cartilage did." And then there was my biggest fear of all, that my voice wasn't ever going to recover its former range and strength. Because my voice has been very slow to heal. The pitch was noticeably lower, and I had lost a lot of my upper singing range immediately after surgery.

Now finally the scar lump is starting to subside, things are getting flatter and much better looking there, (although the scar itself is still a bit red, so it's obvious that it's a scar. I'm hoping that the redness fades before I have to go back to work in 5 weeks so that I don't have to constantly answer questions about it.) And most importantly of all, my voice is recovering its full strength. About 2 days ago my full range started coming back. I couldn't sing in my falsetto range at all since surgery, but now that's coming back. And I started being able to sing my usual karaoke songs, from Karen Carpenter and Stevie Nicks, without trouble again. Now I'm only missing the very top 1 or 2 notes, and my speaking voice feels about 90% recovered. For the first couple of weeks after surgery, to my own ears I sounded like a boy again when I spoke. Now I'm finally starting to sound like a girl to my own ears again.

So yeah, vocal recovery takes a long time, but it is recovering. It's healed enough now that I could go back to work and nobody would be able to hear the difference. And I was REALLY scared about that, so it's a big relief to have everything working there again. I was really scared that I was permanently going to lose vocal strength or range, as I've heard can happen with a trachea shave. (And Dr. Chett was definitely aggressive with it. I don't feel any of that protruding v-shaped bone bump left there at the top at all, and I think he might have taken off the bump on the bottom too, because I don't feel it anymore either. Just the round middle-throat lump that even cis women have.

My last concern with the trachea shave is the scar, everything else is basically healed enough to make me happy now.
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