Frequently asked questions

Male to Female FAQ | Vaginoplasty

  1. Can I have children after my surgery?
  2. Which methods are used to make having biological children possible?
  3. Why must I stop taking hormones 3 weeks before and for 2 weeks after surgery?
  4. Does this surgery necessarily involve the creation of a vaginal cavity?
  5. Does the length of my penis and the size of my scrotum determine the depth of my vaginal cavity?
  6. How can I know if the skin of my penis and scrotum are sufficient to avoid a skin graft?
  7. If I am circumcised, is this a problem?
  8. Will I have to undergo electrolysis and/or laser treatments to remove the hair on my scrotum before vaginoplasty?
  9. Do I have to remove my sutures after surgery?
  10. If hair grows in my vagina after surgery, how do I remove them?
  11. Which medications will be administered to me after surgery?
  12. What is the dilation routine?
  13. Will the dosage of my feminizing hormones remain the same after surgery?
  14. How soon after surgery can I begin to simulate my clitoris?
  15. How soon after surgery can I have sexual relations with penetration?
  16. After surgery, is it possible for the vaginal cavity to tear during sexual relations with vaginal penetration?
  17. Is it possible to produce natural vaginal lubricant after surgery?
  18. Which type of lubricant should I use after my vaginoplasty?
  19. Following surgery, is it possible to remove hair from the genital region by shaving, laser, electrolysis, and/or hair removal cream?
  20. Do I need to have gynecological examinations after vaginoplasty?
  21. Should I ask my doctor to examine my prostate after vaginoplasty?
  22. Is it possible to get vaginitis after a vaginoplasty?

  • 1. Can I have children after my surgery?

    No, a vaginoplasty will not allow you to have children. The main objective of this surgery is to obtain the most natural as possible female external genitals. To have children, it would be necessary to implant internal female structures in your body like a uterus, ovaries, and egg cells, which is not possible at this time.

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  • 2. Which methods are used to make having biological children possible?

    Depending on your goals and expectations, your doctor will be able to provide you with information and resources. Discuss your options with your doctor before surgery.

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  • 3. Why must I stop taking hormones 3 weeks before and for 2 weeks after surgery?

    Feminizing hormones predisposes you to the formation of small clots. Because of the position you’ll be in during the procedure and because you will be less mobile during your recovery, taking hormones in the weeks before and after surgery increases the risk of venous thrombosis and pulmonary embolism.

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  • 4. Does this surgery necessarily involve the creation of a vaginal cavity?

    No, it is possible to have a vaginoplasty without vaginal cavity. Should you choose this option, it is always possible to create a vaginal cavity in the future.

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  • 5. Does the length of my penis and the size of my scrotum determine the depth of my vaginal cavity?

    No, it rather indicates if there is enough skin to completely cover the vaginal wall. In the event that the amount of skin present is insufficient, the surgeon will take a skin graft in the back, the buttock, or thigh in order to construct a vaginal cavity of satisfactory depth.

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  • 6. How can I know if the skin of my penis and scrotum are sufficient to avoid a skin graft?

    Skin grafts are rarely necessary. However, following your physical evaluation prior to surgery, the surgeon will determine if a skin graft is necessary or not.

    If you have had an orchiectomy before vaginoplasty surgery, a skin graft will be most likely necessary as the scrotal skin may have contracted with time and therefore be insufficient.

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  • 7. If I am circumcised, is this a problem?

    Circumcision has no effect whatsoever on surgery.

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  • 8. Will I have to undergo electrolysis and/or laser treatments to remove the hair on my scrotum before vaginoplasty?

    No, it is not necessary to have your hair removed from you scrotum because, during surgery, the surgeons will meticulously cauterize the hair from the skin that was taken from the scrotum in order to prevent hair regrowth in the vaginal cavity. Hair regrowth in the vagina is generally eliminated. Very small, non-visible hairs may not be cauterized, however, and could therefore grow back after surgery.

    *Should you still wish to proceed with permanent hair removal treatments by laser and/or electrolysis before surgery, your esthetician can inform you of the approximate number of treatments needed. Permanent hair removal treatments must be completed at least 3 months before the procedure to ensure that all hair is removed.

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  • 9. Do I have to remove my sutures after surgery?

    Two types of sutures are used. The first will be removed during your convalescence by the nursing staff at Asclépiade. The other sutures are “dissolvable stiches” and take 30 to 90 days to dissolve completely.

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  • 10. If hair grows in my vagina after surgery, how do I remove them?

    Should hair regrow in the vaginal cavity, your doctor can, one year after surgery, remove them with a long pair of tweezers during your speculum examination. If regrowth is extensive, a gynecologist can burn the hairs with a surgical cautery. This procedure is usually performed under local anesthesia.

    *GRS Montréal surgeons do not practice hair cauterization in the vaginal cavity.

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  • 11. Which medications will be administered to me after surgery?

    Following surgery, you will be prescribed medications such as antibiotics, anti-inflammatories, and medication to relieve your pain. Your medication will be adjusted and modified according to your medical situation.

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  • 12. What is the dilation routine?

    The routine includes 4 dilations per day for the first month after surgery. Afterwards, this decreases to 3, then 2, and finally, about 1 year after surgery, you will perform 1 dilation per week. It is important to know that regular dilations will be necessary for the rest of your life. Without them, the vaginal cavity will close. Vaginal dilation is one of the most important treatments after surgery. 

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  • 13. Will the dosage of my feminizing hormones remain the same after surgery?

    You will need to schedule an appointment with your endocrinologist or your hormone therapy’s prescribing physician 2 months after surgery in order to follow-up on the dosage of your medication.

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  • 14. How soon after surgery can I begin to simulate my clitoris?

    You can begin to explore the clitoral area with your fingers about 8 weeks after surgery. The nerve endings will have been affected during surgery and sensations may feel different or diminished. Take time to explore your new genitals to discover these new sensations. Nerve stimulation through touch and massage contribute to the reconnection of nerve endings, allowing you to rediscover sensations.

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  • 15. How soon after surgery can I have sexual relations with penetration?

    You should normally wait approximately 12 weeks after surgery before engaging in oral sex or sex with vaginal or anal penetration. Please note, however, that any physical effort involving the muscles that were affected by surgery may cause pain.

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  • 16. After surgery, is it possible for the vaginal cavity to tear during sexual relations with vaginal penetration?

    No, the vaginal cavity cannot tear.

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  • 17. Is it possible to produce natural vaginal lubricant after surgery?

    Yes, because the Cowper’s glands are preserved, it is possible that your vaginal cavity will lubricate naturally. These glands are responsible for the secretion of pre-ejaculatory fluid. Therefore, natural lubrication may occur during sexual arousal. The presence of pre-ejaculate varies greatly from one person to another. It is not possible to know before surgery whether there will be natural lubrication. In the absence of natural lubrication, or if natural lubrication is insufficient, you can use a water-based lubricant during sexual relations.  

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  • 18. Which type of lubricant should I use after my vaginoplasty?

    GRS Montréal surgeons strongly recommend using an unscented, alcohol-free, water-based lubricant

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  • 19. Following surgery, is it possible to remove hair from the genital region by shaving, laser, electrolysis, and/or hair removal cream?

    About 6 weeks after surgery, and if your wounds are completely healed, you can begin using a razor and hair removal cream. As for laser hair removal treatments, you must wait at least 8 weeks after surgery and ensure that your wounds have completely healed. 

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  • 20. Do I need to have gynecological examinations after vaginoplasty?

    It is recommended to have a first gynecological examination 1 year after surgery, and annually thereafter, unless your surgeon or doctor prescribes a different frequency. A speculum examination of your vaginal cavity allows for an examination of the inner wall and to verify its integrity. If an examination reveals an abnormality, your doctor can communicate at all times with the surgical team at GRS Montréal by fax or email.

    It is not recommended to use a speculum for a vaginal examination before at least 1 year after surgery, unless otherwise directed by your surgeon.  

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  • 21. Should I ask my doctor to examine my prostate after vaginoplasty?

    Because the prostate is not removed during surgery, it is important to continue with annual prostate examinations with your doctor. After surgery, the prostate will have to be examined via the vaginal cavity.

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  • 22. Is it possible to get vaginitis after a vaginoplasty?

    Yes, it is possible to get vaginitis after surgery because the condition is an inflammation caused by an infection in the vaginal cavity. The nursing staff will inform you how to prevent vaginitis as well as of its signs and symptoms so that you may be able to recognize it.

    Good vaginal hygiene contributes significantly to preventing this infection. A proper hygiene routine will be explained during your postoperative care.

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