The importance of patient cooperation postoperatively is pointed out and reasons for noncooperation are discussed. The patient, an infantry soldier who identifies as a woman, had already begun a course of treatment for gender reassignment. Lubrication is needed when having sex and occasional douching is advised so that bacteria do not start to grow and give off odors.
More than half of these castrated and estrogen-treated former males experienced orgasm, but only one-third were judged as having a fair or good sexual adjustment after sex reassignment. Repentance was chosen as the most crucial single outcome variable. Plastic surgery , since it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required. In extreme cases of shortage of skin, or when a vaginoplasty has failed, a vaginal lining can be created from skin grafts from the thighs or hips, or a section of colon may be grafted in colovaginoplasty. Surgeons vary considerably in their techniques and skills, patients' skin varies in elasticity and healing ability which is affected by age, nutrition, physical activity and smoking , any previous surgery in the area can impact results, and surgery can be complicated by problems such as infections, blood loss, or nerve damage. She was the subject of four surgeries: Because of the risk of vaginal stenosis the narrowing or loss of flexibility of the vagina ,   any current technique of vaginoplasty requires some long-term maintenance of volume vaginal dilation , by the patient, using medical graduated dilators to keep the vagina open. Some surgeons have techniques to ensure continued depth, but extended periods without dilation will still often result in reduced diameter vaginal stenosis to some degree, which would require stretching again, either gradually, or, in extreme cases, under anaesthetic. Supporters of colovaginoplasty state that this method is better than use of skin grafts for the reason that colon is already mucosal, whereas skin is not. History[ edit ] Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in One striking finding is that overall sexual adjustment is often unchanged by genital surgery. Surgeon's requirements, procedures, and recommendations vary enormously in the days before and after, and the months following, these procedures. The follow-up period varied between 6 and 25 years, with an average of 12 years. In this study, one-third of the patients were very active sexually both before and after radical genital surgery. Surgical outcome was disappointing, and only one-third of the patients where a vaginal construction was carried out had a functioning vagina. A clitoris fully supplied with nerve endings innervated can be formed from part of the glans of the penis. Other related procedures[ edit ]. Psychosocial adjustment showed a slight improvement after surgery. With current procedures, trans women do not have ovaries or uteri. This relatively minor surgery, which is usually performed only under local anaesthetic, is called labiaplasty. The importance of patient cooperation postoperatively is pointed out and reasons for noncooperation are discussed. Long-term follow-up of "sex change" in 13 male-to-female transsexuals. She transitioned and had surgery in the mids, and successfully fought to have transgender people recognized in their new sex. This means that they are unable to bear children or menstruate until a uterus transplant is performed, and that they will need to remain on hormone therapy after their surgery to maintain female hormonal status. The patient, an infantry soldier who identifies as a woman, had already begun a course of treatment for gender reassignment.
Video about male to femail sex change:
This Video Shows How Male to Female Sex Reassignment Surgery Really Works Women's Health
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