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Ok, girls take out a pen and paper and be sure to jot down notes. Test to follow.
So, I spent a delightful morning at the Gyno docs while she taught he how I might get myself out of my pruned up Vagina problem. You see, I have been a bad little girl and stopped dilating about 2 years ago, and now I don't think a rabbit could do me.
So, I got acquainted with the stirrup table and was so small that they couldn't even get a small speculum in. So, if you can picture Two interns and a doctor mulling over the problem. They finally digitally dilated me, and I must say that even in the Doctor's office I can now see how having a loving partner rod me out gently could get to be most agreeable. Sigh...
So, moving right along, she did prescribe some Estrogen creme to um soften things up and then a gradual proceedure to open my love pot back up in 6 to 12 weeks. Wow.
So, the question begs, will the Estrogen creme in my vagina get absorbed into my bawdy? In the past I have demonstrated a propensity to go barking mad if I take too much Estrogen. Will that happen with the creme?
She did say that if I get a partner, he is going to need to be very patient, gentle and loving. Wow, whoda thought?
More on the 6:00 AM News.
Gwendolyn
Comments
patient, gentle and loving partner?
If you find one, find out if he has a sister....
Does dancing and dinner count?
I don't know if he's gonna be a partner but he's taking me do dances and dinner at least once a week. :)
Gwendolyn
typical early dating for people of our faith...
If you want him to eventually be, I'll bet he's already got his head there. Well, part of it anyways... With some men you sometimes need to make hints VERY strong.
Wishing you happy dating,
Abigail Drew.
Abigail Drew.
Estrogen Absorption
Yes, it will be absorbed. You might want to talk to the doctors about balancing the cream with what you are currently taking.
Portia
Portia
Actually...
I have been prescribed vaginal estrogen creams before on several occasions... [as this is a public forum, don't ask]... and they are really just a topical ointment rather than an HRT replacement. Yes, in theory, you are right that it is absorbed... they do add a tiny bit to the total amount of estrogen in your body... but it is negligible. Personally, I could never "feel" the slightest difference. The whole point of this method of medication administration is to increase the estrogen levels *locally* in the vaginal tissues, *without* it increasing the levels significantly to the rest of the body...
As a matter of fact, I still have a couple unused tubes of the stuff around here somewhere, and a prescription for more -- I never bothered to use it all up, as it never seemed to have much of an effect on me...
What this medication is intended to do is directly stimulate the estrogen receptors in the surface it is applied to -- namely, the skin lining the vaginal wall. The purpose is to increase the self-lubrication and the elasticity of the skin... and it possibly does that, slightly. Shrug. In many ways the "neo-vagina" of a TS is quite similar to that of a "natal female". In a very few minor ways, the lining of the vagina is (microscopically) not quite the same -- the cellular structure is not quite identical. Close... but just dissimilar enough that I suspect that the benefits of the estrogen cream are overrated, for this particular application.
Shrug. It is useful for natal's, which is why it is a standard recommendation from gynaecologists when faced with this sort of problem. Among natal's, "atrophic vaginitis" [defined on Wikipedia as "an inflammation of the vagina (and the outer urinary tract) due to the thinning and shrinking of the tissues, as well as decreased lubrication"] is probably the closest "normal" medical condition to what Gwen has... and for atrophic vaginitis estrogen creams are definitely appropriate -- the condition is caused by low estrogen levels (usually due to menopause), and directly applying estrogen specifically to those tissues is the best preliminary medical treatment. For TS, where the problem actually has a slightly different medical cause? "Your mileage may vary." Worth trying, and it won't harm anything to take it -- but don't expect miracles...
That said, the stuff is, by itself, a decent lubricant... and *may* be able to stimulate at least a little natural lubrication even in those TS who are not lucky enough to "normally" self lubricate after surgery... so it will make things at least a bit "slipperier". Which is definitely to the good, given what Gwen has written about her problem, and the challenges she faces in re-starting dilation. But it will be that recommended "gradual procedure" (almost certainly a dilation program, probably the "Ingram" technique using professional medical dilators of increasing length and diameter) which will be the actual "cure" -- the estrogen is just a tool to make that a tiny bit easier.
By the way, Gwen... depending on how much experience with TS your gyno has, be careful with that "gradual procedure" -- natal vaginal tissue is significantly more "stretchy" than TS vaginal tissue... and the estrogen therapy may also have less of an effect than they are expecting. Which is to say, be careful not to overdo things, trying to progress too far, too soon. Uncomfortable is fine -- even "intensely" uncomfortable. Sharp pain is not. Smirk. "When in doubt, pull it out!" [Which is not to say give up... just make haste more slowly...]
Just my two cents worth... probably not worth even that much. [Rolling eyes].
Grin. Well, Gwen? Did I pass the test? Huh? Huh? Did I? Did I? Do I get a star sticker, pretty please?
[Giggle. Okay, when I start getting silly like this, it is obviously way passed time I go to bed... where my husband is probably getting impatient anyway. Good night, all. Sweet dreams...]
You get an A with a star!
Yes, your comments show an "in depth" understanding of the nature of the problem. :) And made one of the questions I was going to ask the Doctor unnecessary. Thank you.
Much peace
Gwendolyn
Self lubricating!
Unless the vagina is constructed from intestinal tissue it won't secret more than a little sweat and sebacious fluid, which certainly wouldn't lubricate anything. Natural vaginas are lined with mucous membrane which do produce secretions capable of lubricating sexual intercourse, sadly vaginas constructed of mainly skin from recycled scrotal/penile skin, do not.
Angharad
Actually...
Some males penile skin excretes a sort of lubrication along the shaft and particularly concentrated just before the glans, under the foreskin for uncircumcised males. On a circumcised male, these excretions tend to dry up too fast to be very noticeable, unless they are particularly... powerful, in which case you may notice a sort of itchy sticky dampness in your underclothes along with any erection... On an uncircumcised male, well, it stays sealed in the foreskin until intercourse, at which point, how exactly do you tell the male fluids from the female fluids anyways?
Now, if a male with a particularly powerful pre-sexual lubrication is an MtF transsexual and these systems are not damaged during the surgery, it is POSSIBLE, that their neo-vagina will be able to self lubricate.
Slim chances, no one ought count on or expect to be so gifted, but, it is anatomically possible.
Abigail Drew.
The Mechanics of 'Getting Wet', redux.
SNOOZE ALERT WARNING: The following non-fiction article is rather lengthy... and probably extremely boring in places -- reader descretion is advised. [At the least, go get a BIG cup of coffee to help keep you awake through this... LOL.].
More seriously... the following medical article contains (non-sexual) references and discussions about the functions of various parts of the human genitals -- please consider this article as restricted "adult" material...
Smile. I used to write sometimes "highly technical" medical articles for "another forum" for many years... and while I am trying to consciously refrain from writing that sort of thing anymore, I do still have a personal archive of all the articles that I have written... and I suppose it won't hurt me to dig up some of that old stuff, relevant to your comment. The following are quotes of myself, from assorted things I wrote about 6 years ago. Sorry if it is a bit heavy on "jargon" -- I had just taken a refresher course of medical training about that time. Some of the jargon words are defined later on, so maybe scan ahead if you are not sure what something means...
As I have married since writing that earlier piece, I will just add that I am heterosexually "active" now... and have been for going on five years now... and only very rarely have I needed to use artificial lubricants while with him.
"Your mileage may vary..."
To give context to the following... the thread it was written in reply to had previously had someone asking about self lubrication. I don't want to quote exactly what someone else posted to a private forum... but a comment had been made about the Cowper's Gland, and asking if the 'slippery liquid' they had observed might be from there, and speculating if the Cowper's glands might be acting as a functional version of the Bartholin's glands "with slightly different plumbing".
Part of my reply was as follows:
Another part of my reply, which was a quote of an even earlier article I had written:
Another reply to someone else in the same thread, who had made an erroneous statement regarding Cowper's glands that I felt needed correcting...
Another quoted passage, this time originally written to someone else entirely different in a thread about "Female ejaculation"...
Hi! Anyone still reading this thing? If so... and you are still more or less conscious... here is some more stuff, to help finish you off... ;-)
Another person had mentioned that they had heard that Schrang "and maybe others" were using some urethral lining "mucosal like tissue" to give parts of the vulva "a more natural mucosal appearance". The following is part of my reply to that. As an update since I am pretty sure Ménard is retired now, and I think Schrang may be as well... the techniques mentioned are still in use by other surgeons such as the new team at Montréal, and I believe Bowers as well... and probably many others...
ZZZZZZZZZZzzzzzzzzzzzzz. Huh? Is it over? Finally? Whee...
Sorry about this article, folks. I will try harder not to post something like this again -- I probably should have stayed out of this thread entirely. Old habits die hard...
The prolonged use of oestrogen
reduces secretions from prostate and bulbourethral glands, also the secretions are external to the vagina and as such will not lubricate the vagina.
Angharad
care to indicate a source for these claims?
Everyone else (even in scientific circles) seem to think that if anything, the excretions increase from estrogen. Male excretion levels are lower, than female ones, and the difference isn't so much in the glands themselves as what operating system the glands are running, or, the hormonal balance.
Also, as to being "external", not so much, it's inside the labial folds, it's as good as internal. Besides, there's always the fact that the skin itself SOMETIMES will lose it's protective keratinization and become much more able to let fluids from nearby glands excrete into the entire canal...
I'm not saying it'll happen for everyone, or even for very many, but it is POSSIBLE, for SOME people, to have neo-vagina's that are naturally self-lubricating.
Some, very few, very lucky women.
Abigail Drew.
I agree...
...with what you are saying, Abigail.
Smile. I actually wrote another long article about the variability of effects on different individuals from long term oestrogen therapy... the resultant variability of atrophy of various glands (including the prostate and bulbourethral)... the relevance of different surgical techniques, and how those techniques have evolved over the last couple decades... the side effects of "old school" high dosage oestrogen regimens versus combined androgen blockers and lower dosage oestrogen regimens in more recent use... the interactions other HRT components such as the use of progesterones or testosterone supplements may have on this issue (many long term TS have very low testosterone levels, far below natal females -- which can have negative side effects on both the libido and various skin and reproductive gland secretions)... the mechanics of vaginal sex, and how that can spread "external" lubrications inwards from the labial folds...
Smile. Then it slowly dawned on me, as I was still typing merrily away, that I had already written a couple thousand words in reply to a single sentence from Angharad. Talk about severe overkill... LOL.
Short version: Angharad, it may surprise you to know that I also agree with you. I have no doubt that you are stating the facts as you know them, probably based on your own experience. Shrug. But while I can see how you might have reached the conclusions you have... I think you are looking too closely at a particular case history, and missing the big picture. Humans vary a lot, and there is always a range of results from any procedure or medication treatment. You are probably being entirely honest... and I can see how the result you are indicating could happen for some individuals... possibly even a majority of individuals... but all I am saying is, this is not the case for everyone -- and certainly not for myself.
"Your mileage may vary..."
No, thank you, really.
You backed me up with a much more scientific explanation of what I was saying. Thank you.
Also, call me a geek, but I found it all rather fascinating.
Abigail Drew.
About vaginal lubrication...
Please know that my participation in this discuss is offered in the meekest and gentlest of terms. I helped my X get through nursing training, and read a lot and is my sole claim to any expertise at all.
Mine was done in Bangkok, Thailand by a Dr Kamol and was a penile inversion. I'd had an external castration about 2 years before. I was told that at the time of the surgery, the Doctor would rerout the Vas Deferens into the aft end of my faux vagina to provide lubrication, and I seem to have a constant drip from there that stains. I have no idea what so ever if his statement was correct.
I love reading discussions like this because I learn so much. :)
Please, lets all be kind to one another.
Gwendolyn
Stretching
You don't hang around on the web for long without coming across pictures of people with greatly stretched piercings. It isn't uncommon for body modification aficionados to gradually increase the size of their piercings by inserting bigger and bigger pieces of jewelry.
This isn't a new practice, either. We've all seen pictures of tribal folk with huge lip disks.
We're talking about ordinary skin, not skin that was specifically designed to be stretchy.
I think the main difference is that the body mod folks are constantly wearing their jewelry, where a stent is only inserted for a half hour or so. Perhaps you can order something softer and more flexible from one of those online companies that ship their products in a plain brown wrapper. (Not that I would know anything about such businesses. [snicker])
If I'm wrong ignore my comment
I'm going to give you a cyber-smack, HOW COULD YOU STOP DILATING!?! iT COULD HAVE BECOME SERIOUS THAT YOU WOULD HAVE NEEDED ANOTHER SURGERY. I mean what would happen if you weren't able to rid yourself of urine because of this? You could have gotten sick.
Now on the other hand I don't know all medical details invoved here but you know people get concerned about silly girls like you.
Owee, I'll be good, Cliff!
Yes, I will freely admit that it was quite stupid. :(
Well, there was no danger of the Urinary tract becoming blocked, just the closing of the Vaginal opening is quite enough problem for me, thank you.
You see the urinary orifice exits the body above the vaginal opening, so if the vaginal opening becomes blocked, one can still pass urine. The anal opening is below and posterior of the vaginal opening. All three of these openings are in close proximity to each other and e coli germs are naturally resident in one's gastrointestinal tract, so that explains to me the high need for good hygiene in the female and even more so in the post operative MtF.
http://www.3dvulva.com/
In my search for a good female anatomy illustration, I also found a video showing MtF surgery. It is couched in relatively high medical terminology, so it may be somewhat difficult to follow, but is quite graphic.
http://www.youtube.com/watch?NR=1&feature=endscreen&v=Y1vKT4...
Enjoy.
Gwendolyn
Pussy problems?
Meee-OW! D: