Sexual Function At Six Months Post-Op

I've mentioned in previous posts about post operative sexual activity and function. At only 3 weeks post-op, Dr. Ting recommended I begin stimulating the clitoris, and during that first visit asked if I had an orgasm yet. I wasn't ready to play around with some things yet, even though it was safe to. At 5 months post-op, I was told by Dr. Ting that my vaginal canal had healed to the point that penetrative vaginal sex was good to go. Again, I wasn't so sure and waited before becoming both curious enough and confident enough to try things out.

The Clitoris

The surgery included the construction of the external genitalia, the vulva. That included taking parts of the penis, particularly the glans (or head, tip, etc) to create a clitoris. In a successful surgery, the clitoris should have full pleasure sensation and one should be able to experience a clitoral orgasm. For the sake of preserving nerves from damage, the clitoris is not entirely realistic in appearance, but it does work. At about 5 weeks post-op I decided to test run my clitoris and it works. Clitoral orgasm feels kinda similar to penile orgasm. You get the same sensations but without most of the pulsing feelings guys feel. All those muscles designed to shoot semen out are not there or not working the way they should anymore. For guys, imagine the same intense orgasm feeling but without that shooting/pulsing. That's basically a clitoral orgasm in a post-op transsexual. My clitoris can go a good ten minutes before reaching orgasm with the assistance of a vibrator. Manually rubbing the clitoris with lubed up fingers takes more time, and the friction can cause the clitoris to swell larger, as if attempting to become erect but unable to. The erectile tissues of the penis were removed during the surgery. The orgasms from clitoral stimulation are weaker and shorter than vaginal.

The Vagina

At five months post-op, I was told by the surgeon that I could have sex. I wasn't sure and waited a month. At just over six months post-op, I decided to test things. Dilation can still be tight and sometimes sore. I went to one of those adult porn shops to find a flexible dildo that was about the girth of the blue dilator, which is the dilator I currently use for dilation sessions. The blue dilator is approximately 3cm in diameter. As expected, I had to use the dilators to loosen up a bit first. The vaginal canal can become tightened in between dilation sessions, which are performed 2 to 3 times a day. Afterwards it was time to test out penetrative sex. The dildo was lubed up and slowly inserted. After a few minutes of very gentle and slow thrusting in and out, it felt pretty good. It took time to get used to the new feeling, especially considering how nervous I was about using something that had been surgically constructed. You get a little worried about hurting anything, but it wasn't long before I was okay with going a bit faster. It started out intended as a simple test for function's sake and to make sure there would be no bleeding or other issues, but I got carried away. I will tell you this... penile orgasm, clitoral orgasm, anal/prostate orgasm, it's all nothing. Vaginal orgasm has a power gap over the others. Holy shit. Vagina: intensely pleasurable spasming. Legs: non-functional. Body: quivering. Teeth: chattering. In between the chattering teeth and shivers of good feels was panting "holy fuck" and giggling. I'm not sure what the surgeons did in terms of internal pleasure sensation or what the dildo kept stimulating, but I found my "g-spot" and it was an orgasm I had never felt before. In terms of the design of the vagina and the position of the opening, it will take more time for it to be ready for certain sexual positions. Laying in a missionary position, legs spread, was the best position to start out. As I got used to the feeling, I attempted to sit up more and then went in a doggy position just to see. I'm not sure sex would work the same with a real penis, considering the dildo is very flexible and can fit no matter how the vaginal canal is bent. A hard penis wouldn't fit the same way, so certain sexual positions will likely be a no go, at least for a while. Despite the natural lubrication produced by the peritoneal grafted tissues, it is not enough for sex. I definitely need lube. Simple generic KY jelly works just fine.

Ejaculation

If I am aroused enough, orgasm can cause prostate fluids to be ejaculated. Because of the hormone therapy and the removal of the testicles during surgery, very little fluids actually come out and for the most part it just drools, rather than shoots. The prostate is left intact and functional during the surgery, so it continues to produce prostate fluid. It also allows for prostate stimulation, another source for sexual stimulation and orgasm. The prostate can be accessed through the vaginal canal. The fluids that do drool out are clear and watery.

Sensitivity

Prior to surgery I had suffered from premature ejaculation and hypersensitivity. If I had masturbated, I would have been capable of achieving penile orgasm in 20-30 seconds. Premature ejaculation was always a sex ruiner, because mind over matter could also induce orgasm without touching anything. The sensitivity down there was so extreme that I could somehow end up cumming while simply giving somebody else oral sex. Yes, I was the one sucking someone else off, yet I was the one cumming for no reason. It was annoying as hell how sensitive my penis was. Post-op, this is not a problem. The hypersensitivity is significantly less and serious effort is required to achieve orgasm. No more PE! During clitoral stimulation, the feeling is the same as it was when I had a penis. The head of the penis is now mostly the clitoris. Any guy who attempts to cum through only rubbing the head of his cock will know what it feels like for me. Vaginal sensation is different. I mentioned the mysterious g-spot. That feels damn good. It's located somewhere closer to the vaginal opening, below my pubic bone. It's a very different feel having that stimulated versus when I had my penis. Pushing deeper, I can feel muscle groups and other things being pushed aside as the dildo went in and out. It felt good, kinda like anal sex, but the real pleasure was derived from that g-spot. I'd say that the clitoris is definitely more sensitive to the touch than the interior, even though vaginal orgasms are far more powerful.