Dilation is a necessary part of the recovery process after neovagina surgery. It involves inserting a dilator into the neovagina to help keep it open and prevent scar tissue from forming.

The frequency and duration of dilation will vary depending on the individual and the type of surgery that was performed. However, most people will need to dilate for several months after surgery, and some may need to continue dilating for years.

Dilation can be uncomfortable at first, but it should become easier with time. It is important to use a dilator that is the correct size for you. Dilators come in a variety of sizes, so you may need to try a few different ones to find the right fit.

It is also important to be gentle when dilating. Do not force the dilator in, and stop if you experience any pain.

Here are some tips for dilating your neovagina:

• Use a water-based lubricant to make the process more comfortable.
• Start with a small dilator and gradually increase the size as your neovagina heals.
• Dilate for 10-15 minutes, three to four times a day.
• If you experience any pain, stop dilating and consult with your doctor.

Dilation is an important part of maintaining your neovagina after surgery. By following these tips, you can help ensure that your neovagina heals properly and remains functional.

Here are some additional resources that you may find helpful:

• The World Professional Association for Transgender Health (WPATH) website: https://www.wpath.org/
• The National Center for Transgender Equality (NCTE) website: https://transequality.org/
• The Human Rights Campaign (HRC) website: https://www.hrc.org/

Dilating the neovagina is an essential part of post-operative care after undergoing male-to-female (MTF) gender confirmation surgery, specifically vaginoplasty. Dilating helps maintain and increase the depth and flexibility of the neovagina. It prevents the vaginal canal from narrowing or closing, allowing for sexual activity and comfortable use of the vagina.

Here are some key points to know about dilating the neovagina:

1. Timing: Your surgeon will provide specific instructions on when to start dilating after surgery. It typically begins a few weeks after surgery once the initial healing has taken place. The exact timing may vary based on the individual’s healing progress and the surgeon’s recommendations.
2. Dilators: Dilators are cylindrical medical devices that come in different sizes. They are designed to gradually stretch and expand the neovaginal tissue. Your surgeon or healthcare provider will guide you on the appropriate size and type of dilators to use.
3. Technique: The dilation process usually involves applying a water-based lubricant to the dilator and gently inserting it into the neovagina. You will gradually work your way up to larger dilators over time, as recommended by your healthcare provider. The dilators are typically left in place for a certain duration, usually ranging from 10 to 30 minutes.
4. Frequency: In the initial stages, dilating may need to be performed multiple times a day. Over time, the frequency may decrease, but it is generally recommended to continue dilating at least once a day for several months or as advised by your healthcare provider.
5. Gradual Progression: The goal of dilation is to gradually increase the depth and flexibility of the neovagina. It’s important to follow the guidance of your healthcare provider regarding the duration and frequency of dilation, as well as the progression to larger dilator sizes. Pushing too quickly or forcefully can lead to complications, so it’s crucial to be patient and allow your body to adapt gradually.
6. Maintenance: After the initial months of regular dilation, ongoing maintenance dilation may be required, although the frequency may decrease. Your healthcare provider will guide you on the recommended maintenance schedule to ensure the long-term health and functionality of the neovagina.