Patients treated with a skin graft most often wear a vaginal dilator for 3 months after surgery. It is removed for voiding, bowel movements, showering and sex. After 3 months, you mostly wear the dilator only at night for about 6 months. Vaginal stenosis, or a tightening of the vagina, is the major drawback of this method.
Only 1 operation is needed with bowel vaginoplasty. You will be seen 3 weeks after surgery and again in 3 months. You may have a tightening of the vagina. If this occurs, dilation will be performed while you are under anesthesia. Using a dilator at home is not needed.
Patients have many questions about life after treatment.
When can I have sex?
Though you should talk to your health care provider before having sex, it is often ok to start 4 to 6 weeks after treatment. Lubrication will likely be needed since the skin will not make the same substances as normal vaginal tissue. Lubrication after bowel vaginoplasty is less of a problem.
Can I have a normal sex life?
Since much of sexual pleasure comes from stimulation of the clitoris (the female erectile structure), and not the vagina, you should enjoy normal sensations and a good sex life. Since the changes are internal, no one will be able to tell that you have had treatment.
Will I be able to have children?
Your anatomy will be the biggest factor in whether you will be able to have children. It is very likely that you will be able to become pregnant if your uterus, ovaries and fallopian tubes are normal. It is unlikely that you will be able to go through pregnancy by yourself if your uterus is tiny or absent. But if your ovaries are healthy, you can work with fertility specialists on in vitro fertilization using a surrogate mother.