Dilation is an important part of post-op care for transgender women who have undergone vaginoplasty. Dilation helps to keep the vagina open and prevents it from shrinking or closing. It also helps to increase the depth and width of the vagina.

Dilation is usually started a few days after surgery. The frequency and duration of dilation will vary depending on the surgeon’s instructions. However, it is typically recommended to dilate three times a day for 10-15 minutes each time.
Dilator kits are available from most medical supply stores. The dilators are typically made of silicone or plastic. They come in a variety of sizes, so you can start with a small dilator and gradually work your way up to a larger size.

It is important to use a water-based lubricant when dilating. This will help to prevent the dilator from causing any pain or discomfort. You should also wash your hands and the dilators thoroughly before and after each dilation session.

Dilation can be uncomfortable at first, but it usually gets easier with time. If you experience any pain, you should stop dilating and consult with your surgeon.

Here are some tips for successful dilation:
⦁ Find a comfortable position. You may want to lie on your back or your side.
⦁ Use a water-based lubricant.
⦁ Start with a small dilator and gradually work your way up to a larger size.
⦁ Dilate for 10-15 minutes each time.
⦁ Be patient. It may take some time to get used to dilating.
If you follow these tips, dilation should be a manageable part of your post-op care. If you have any questions or concerns, be sure to talk to your surgeon.

Here are some additional resources that you may find helpful:
⦁ The World Professional Association for Transgender Health (WPATH) Standards of Care: https://www.wpath.org/publications/soc
⦁ The National Center for Transgender Equality (NCTE): https://transequality.org/
⦁ The Trans Lifeline: https://www.translifeline.org/

After undergoing male-to-female (MTF) gender-affirming genital surgery, a common post-operative practice for maintaining the health and functionality of the neovagina is dilation. Dilation involves the regular use of a dilator to prevent the neo-vaginal cavity from narrowing or closing. It helps to keep the newly formed vagina open, flexible, and capable of sexual activity.

The specific dilation routine, including the frequency and duration, can vary depending on the surgeon’s instructions and the individual’s healing progress. Typically, dilation is initially performed multiple times a day for shorter durations and gradually reduces in frequency and duration over time.

Here are some general guidelines for post-op MTF dilation:
⦁ Timing: Dilation usually begins within a few days to a week after surgery, once the surgeon gives the green light.
⦁ Gradual progression: Initially, smaller-sized dilators are used and gradually progressed to larger sizes as the healing progresses. It’s important to follow the specific instructions provided by your surgeon.
⦁ Lubrication: A water-based lubricant should be used to ease the insertion of the dilator and reduce discomfort.
⦁ Hygiene: Prior to dilation, it is important to wash your hands thoroughly. Cleaning the dilator before and after use with mild soap and water is also recommended.
⦁ Relaxation and comfort: Find a comfortable and private space where you can relax during dilation. Some individuals find it helpful to practice deep breathing or use relaxation techniques to reduce any discomfort or anxiety.
⦁ Duration and frequency: Initially, dilation sessions may last for about 10-15 minutes and gradually increase in duration. The frequency can range from several times a day to a few times a week, depending on the specific instructions from your surgeon.
⦁ Maintenance: As healing progresses, the frequency of dilation may reduce, but it is important to continue a maintenance schedule to keep the neo-vagina functional. Your surgeon will provide guidance on the long-term dilation routine.

It’s crucial to follow the instructions provided by your surgeon regarding dilation, as each individual’s healing process may vary. Regular follow-up appointments with your surgeon are essential to monitor your progress and address any concerns or questions you may have during the post-operative recovery period.