Consider THIS Before Vaginoplasty!

Dr. Z shares what's most important to consider prior to getting vaginoplasty—something that will help eliminate or reduce the biggest complication she sees trans women struggle with post-vaginoplasty: vaginal stenosis (when vaginal canal starts to close up and shrink).

The overlooked factor: Making sure you set up your life and circumstances to allow you to dilate as frequently as your doctor requires—often three times a day (sometimes more, sometimes less) for a window of time post-surgery (one month, three months, six months, depending on type and doctor).

Why it's overlooked: People think, "Of course I'll dilate, not a big deal." What they don't realize: how long dilation actually takes, and that you need space for it.

The reality check: If you work from home, easier. But what if you have to go back to work post-surgery? Where will you dilate? Is there a private bathroom (not a stall)? Where can you lie down? What if you work in customer service or food service on your feet? What if you can't take medical leave?

In this video, Dr. Z addresses:

Why people tell themselves "I'll catch up when I get home" or "I'll dilate extra on weekends" (recovery doesn't work like that—there's a reason doctors say three times daily). Why vaginal stenosis is a real thing you don't want (losing depth, canal closing). Why the post-surgery window is crucial (like having a baby—essential beginning window for development). How do different vaginoplasty types (penile inversion, non-penile inversion, peritoneal pull-through, sigmoid colon) affect dilation setup considerations?

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