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Those documents told me how to care for the scars next to my labia so that they would fade over time. They told me when to see a gynecologist and how often to get a pap smear. I had to figure that out on my own. After my sex reassignment surgery two-and-a-half years ago, my doctor ensured I could locate the essentials: clitoris, urethra, and vagina.
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How Going From A Woman To A Man Changed My Perspective (NSFW)

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How I learned to orgasm after sex reassignment surgery

Thirteen male-to-female transsexuals were investigated in an intensive interview study. The follow-up period varied between 6 and 25 years, with an average of 12 years. Surgical outcome was disappointing, and only one-third of the patients where a vaginal construction was carried out had a functioning vagina. The importance of patient cooperation postoperatively is pointed out and reasons for noncooperation are discussed.
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Long-term follow-up of "sex change" in 13 male-to-female transsexuals.

Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and, as far as possible, the function of female genitalia. Before any surgery, patients usually undergo hormone replacement therapy HRT , and, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to, including vaginoplasty , facial feminization surgery , breast augmentation , and various other procedures.
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The year-old is thrilled with the results and the pioneering surgery has given her the chance of having a sex life again. A woman has become the first transgender person in the world to undergo successful vaginal reconstructive surgery using the skin of tilapia fish. The year-old, who prefers to be identified only as Maju, underwent the procedure as her vagina began to shrink and close up following botched sex reassignment surgery.
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