Our Summary

This research paper looks at the time it takes for patients to experience an orgasm after undergoing gender-affirming vaginoplasty surgery. The study observed 199 patients who had the surgery between September 2017 and August 2020. They found that the average time taken to achieve orgasm was about 180 days.

Out of the 178 patients who had been monitored for a year or more after the surgery, 86% were able to orgasm, while 14% could not. The study found that older patients were more likely to have difficulty orgasming before the surgery, whereas a history of smoking impacted the ability to orgasm after the surgery.

The researchers noted that patients who had difficulty orgasming before their surgery improved after the surgery. However, it’s not clear if stopping smoking before the surgery could improve orgasmic outcomes or if other factors related to smoking might be inhibiting the recovery of orgasmic function.

The researchers suggested possible treatments for patients who could not orgasm after the surgery, including testosterone replacement, pelvic floor physical therapy, and psychotherapy. While most patients could orgasm by their 6-month check-up, some continued to achieve this ability more than a year after surgery.

This is the first study to look at the timeline for the return of orgasmic function after gender-affirming vaginoplasty. However, the study has some limitations, such as its retrospective nature and the lack of long-term follow-up.

FAQs

  1. What is the average time it takes for patients to experience an orgasm after undergoing gender-affirming vaginoplasty surgery?
  2. What factors were found to impact the ability to orgasm after vaginoplasty surgery?
  3. What treatments were suggested for patients who could not orgasm after the surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about vaginoplasty is to be patient and give your body time to heal and adjust. It is normal for it to take some time for sexual function to return after surgery, and it may vary from person to person. It’s important to communicate any concerns or difficulties you may be experiencing with your healthcare provider so they can provide appropriate support and guidance. Don’t hesitate to ask questions and seek help if needed.

Suitable For

Patients who are typically recommended for vaginoplasty are those who are transgender women seeking gender-affirming surgery to align their physical appearance with their gender identity. This surgery is often recommended for individuals who experience gender dysphoria and desire to have a more feminine body, including a vulva and vagina.

In addition to transgender women, individuals who have congenital conditions affecting the development of their genitalia, such as Mayer-Rokitansky-Küster-Hauser syndrome, may also be recommended for vaginoplasty. These individuals may have a vaginal agenesis or other anomalies that require surgical intervention to create a functional vagina.

Overall, vaginoplasty is recommended for patients who desire to have a vagina for both functional and aesthetic reasons, and who have undergone appropriate counseling and evaluation to ensure they understand the risks and benefits of the surgery. It is important for patients considering vaginoplasty to have realistic expectations about the outcomes of the surgery and to be prepared for the physical and emotional changes that may occur during the recovery process.

Timeline

Overall, the timeline for a patient before and after vaginoplasty can vary depending on individual factors such as age, smoking history, and overall health. Before the surgery, patients may experience dysphoria related to their genitalia, difficulty achieving orgasm, and other physical or emotional challenges.

After vaginoplasty, patients typically undergo a recovery period that can last several weeks to months. They may experience discomfort, swelling, and limited mobility during this time. As the body heals, patients may gradually begin to experience changes in sensation, arousal, and orgasmic function.

In the months following surgery, patients may work with their healthcare providers to address any concerns or complications that arise. This may include hormone therapy, physical therapy, or psychotherapy to support their overall well-being and sexual health.

Ultimately, the timeline for a patient before and after vaginoplasty is individualized and can vary based on a variety of factors. It is important for patients to work closely with their healthcare providers to ensure a safe and successful recovery process.

What to Ask Your Doctor

Questions a patient should ask their doctor about vaginoplasty in relation to orgasmic function could include:

  1. What is the typical timeline for experiencing orgasm after vaginoplasty surgery?
  2. What percentage of patients experience difficulty orgasming after surgery?
  3. What factors, such as age or smoking history, can impact the ability to orgasm after surgery?
  4. Are there any specific pre-surgery interventions, such as quitting smoking, that can improve post-surgery orgasmic outcomes?
  5. What treatments or therapies are available for patients who have difficulty orgasming after surgery, such as testosterone replacement or pelvic floor physical therapy?
  6. How long should I wait before seeking additional treatment if I am still unable to orgasm after the typical recovery period?
  7. What are the potential risks or side effects associated with treatments aimed at improving orgasmic function post-surgery?
  8. Are there any long-term studies or follow-up care available to monitor and address any ongoing issues with orgasmic function after surgery?

Reference

Authors: Blasdel G, Kloer C, Parker A, Castle E, Bluebond-Langner R, Zhao LC. Journal: J Sex Med. 2022 May;19(5):781-788. doi: 10.1016/j.jsxm.2022.02.015. Epub 2022 Mar 22. PMID: 35337785