After female-to-male (FTM) gender confirmation surgery, which typically involves phalloplasty or metoidioplasty, individuals may experience changes in their sexual experiences and capabilities.
Here are some key considerations regarding sex after FTM surgery:
⦁ Healing and Recovery: It is important to allow sufficient time for healing and recovery after surgery before engaging in sexual activity. Your surgeon will provide specific guidelines on when it is safe to resume sexual activity and any precautions to be taken during this period.
⦁ Sensation and Pleasure: FTM surgery aims to create a neophallus or enhance the existing genital structure. The extent of sensation and pleasure experienced after surgery can vary among individuals. Some individuals may experience increased sensitivity and pleasure in the genital area, while others may have a different experience. It is important to explore and communicate with your partner to understand your own sensations and preferences.
⦁ Erectile Function: The ability to achieve and maintain an erection can vary depending on the surgical technique chosen (e.g., phalloplasty or metoidioplasty) and individual factors. For individuals who have undergone phalloplasty, erectile function can be achieved through surgical techniques or the use of penile implants. For those who have undergone metoidioplasty, increased clitoral size and enhanced erectile function are common. However, it is important to discuss potential changes in erectile function with your surgeon and understand any limitations or adjustments that may be required.
⦁ Lubrication: Depending on the surgical technique and changes in anatomy, the body’s natural lubrication may be reduced or altered. Using water-based lubricants during sexual activity can help enhance comfort and reduce friction.
⦁ Communication and Exploration: Open and honest communication with your partner(s) is crucial. Discussing desires, preferences, and any changes in sexual function can help ensure a positive and satisfying sexual experience. Exploring new sexual techniques, positions, and activities that are comfortable and pleasurable for both partners can be an important part of sexual exploration post-surgery.
It is important to keep in mind that the experience of sex and sexual satisfaction is highly individual and can vary. It may take time and patience to adapt to changes and discover what brings you pleasure and fulfillment. Seeking support from healthcare professionals experienced in transgender care or sex therapists who specialize in working with transgender individuals can also be beneficial in navigating changes in sexual experiences and addressing any concerns or challenges that may arise.