Dilation is an important part of the aftercare for gender reassignment surgery (GRS) for transgender women who have undergone vaginoplasty. Dilation helps to keep the vagina open and prevent it from shrinking or closing.

The frequency and duration of dilation will vary depending on the surgeon’s instructions, but it is typically recommended to dilate two to three times per day for 15-20 minutes each time. Dilators come in a variety of sizes, and it is important to start with the smallest size and gradually work your way up to the largest size.

Dilation can be uncomfortable at first, but it should not be painful. If you experience any pain, stop dilating and consult with your surgeon.

Here are some tips for dilation:
⦁ Use a water-based lubricant to make the process easier.
⦁ Start with the smallest dilator and gradually work your way up to the largest size.
⦁ Dilate in a comfortable position, such as lying down or sitting on the edge of the bed.
⦁ Take your time and be gentle.
⦁ If you experience any pain, stop dilating and consult with your surgeon.

Dilation is an important part of the aftercare for vaginoplasty, and it is essential to follow your surgeon’s instructions to ensure that your vagina heals properly.

Here are some additional resources about dilation after GRS:
⦁ The Gender Affirming Health Program: https://transcare.ucsf.edu/guidelines/vaginoplasty
⦁ The London Transgender Clinic: https://www.thelondontransgenderclinic.uk/general/how-does-dilation-work-after-gender-confirmation-surgery/
⦁ The Trans Lifeline: https://www.translifeline.org/

⦁ Gender reassignment surgery (also known as gender confirmation surgery or sex reassignment surgery) for transgender individuals may involve dilation as part of the post-operative care for certain procedures.

⦁ Dilation is a process that involves regularly inserting and expanding a dilator into the surgically created vaginal canal or neovagina to prevent stenosis (narrowing) and maintain the desired depth and width of the vaginal canal. The purpose of dilation is to promote healing and prevent the formation of scar tissue.

⦁ The frequency and duration of dilation can vary depending on individual factors, surgical techniques used, and the recommendations of the surgical team. Initially, dilation may be required several times a day, gradually reducing over time. Typically, the initial phase of frequent dilation is followed by a gradual tapering-off process.

⦁ It’s important to follow the post-operative care instructions provided by the surgical team, as they will provide specific guidance on the recommended dilation schedule, duration, and technique. They will also advise on the appropriate use of lubricants, the gradual increase in dilator size over time, and any other necessary precautions or instructions.

⦁ Regular follow-up appointments with the surgical team are crucial to monitor healing progress and address any concerns or complications that may arise. The surgical team will provide guidance on the expected timeline for dilation and the gradual reduction of frequency over time.

⦁ It’s important to note that dilation may be required for some specific procedures, such as vaginoplasty for transgender women, but may not be necessary for other gender confirmation surgeries, such as phalloplasty for transgender men. The specific post-operative care requirements will vary depending on the procedure performed.

⦁ If you are considering or have undergone gender reassignment surgery, it’s important to consult with qualified healthcare professionals who specialize in transgender healthcare. They can provide accurate information, guidance, and support regarding the post-operative care, including dilation, based on your specific procedure and individual needs.