How sexuality changes after gender reassignment surgery? How trans women feel and orgasm differently and how to develop new sexual sensations

In this issue, we will discuss sexuality after gender reassignment surgery (SRS/sexual reassignment surgery).

I feel so much better!" "I feel better than before!" "I can have orgasms in a row more easily!" etc.
Some transgender women are very satisfied, while others

I feel different," "I don't know what an orgasm is anymore," "I don't feel as good as I used to."
Some transgender women are troubled by this.

But it is neither a failure nor an anomaly.
Sexuality and orgasm are not determined by "organs" alone, but are reconstructed through neural and cerebral learning.

In this article.
Changes in sexual sensation after gender reassignment surgery
Differences between male and female orgasms.
Ideas for those who are less likely to feel it after surgery
How to grow a new sexuality.
What it means to learn about dry orgasm before surgery
This section describes the following

How sexuality changes after gender reassignment surgery

Why we feel differently (nerves, brain, hormones)

Techniques vary, but in most gender reassignment surgeries, the nerves of the penis are preserved and repositioned, and the clitoris is formed.
Pleasure and orgasm are not only organs themselves, but also sensations that are integrated in the brainIt is.

For a while after the surgery,
Nerves on the way to recovery
...unlearned sexual map of the brain
Hormonal environmental changes
overlap,Feeling unstable or difficult to understandIt is easy to become
This is a "transitional" reaction that many people experience.

Common patterns of sexual change

After gender reassignment surgery, some people experience the following changes
Ejaculatory endpoint orgasm is impossible and sexual desire is not relieved.
...takes a long time to orgasm.
Waves of pleasure are shallow and peaks are difficult to identify.
... the whole body feels vaguely better than locally.
...sexual arousal and orgasm do not coincide.
It can be said that these are not "stopped feeling" but are in the process of beginning to feel in a different circuit than they have in the past.

Differences between male and female orgasm

Characteristics of the male orgasm

Prostate reflex is central
Pleasure tends to be concentrated in one point.
Strongly associated with ejaculation
Peaks in a relatively short period of time

Characteristics of the feminine orgasm

Rhythm type, wavy
Sensation of whole body interlocking
May be multiple and persistent
"heightened and lingering" rather than "emitted."

Are orgasms after gender reassignment surgery masculine? Feminine?

It is both and neither.
Often feminine, but not completely identical.
It is more realistic to assume that there is no "this will always happen" and that a person's unique orgasm will form.

How do you feel about postoperative orgasms?
Preoperative sexual experience
...Tendency of the brain to learn sexuality.
Sense of security and psychological state
The results are also affected by the

The clitoris (clitoral nucleus) repositions part of the glans.
The neurovascular bundle (within the red dotted line), including the left and right dorsal penile nerves responsible for sensation at the glans, is preserved for the clitoris, and much of the area is removed, which changes the quality of sensation.
Sharpness Decreasing trend
Depth and breadth Tendency to increase

The vagina is formed by the scrotal epidermis, penile epidermis, and intestines.
The vagina does not have the same concentration of high-density pleasure nerves as the clitoris, so it is more of a pleasure from simple nerve stimulation,
The sexual feeling is largely established by the sense of happiness and security brought to the brain by the experience of being "accepted as a woman" and "being satisfied from the inside.
Stimulation of the prostate by insertion of the male genitalia, vibrations, etc. can be felt from the vagina. (The distance between the prostate and the artificial vagina is greater than that of the anus, so stimulation and sensation tend to be more gradual.)

People who have difficulty having orgasms.

Even if it is difficult to have an orgasm after the surgery,
That does not mean "broken" or "failed".

Rather,
...the brain has not yet learned the new body.
...Tension is winning out over relief.
This is often the case.

Postoperative pain and memories of major ration pain may suddenly become easier to feel as the memory of the pain fades.

Impatience and anxiety increase the sympathetic nervous system and keep sexual feelings away.

Common NG behaviors

...Continued strong stimulation
Comparing with others
...evaluated solely on the presence or absence of orgasm.
Sexuality has a "the harder you try, the further away you get" nature.

The idea of cultivating new sexuality

Sexuality is not "discovery" but "learning"

Sexuality is not something that is perfected from the beginning,
Safety, Pleasure, RepetitionThe brain learns by

The parts of the body that did not feel anything in childhood grow into sexual zones as a result of growth and experience.

Many women who are born with a clitoral orgasm can also experience a "clitoral orgasm" relatively easily.
Vaginal orgasm" and "Portio orgasm" are rare, and can be experienced only by cultivating the sexual orgasm zone.

The same could be said of both "trans women" and "born-again women" in terms of nurturing their sexuality.

Examples of sexual points that tend to grow after surgery

Clitoral perimeter
Perineum
Lower abdomen and lower back
Back, neck, nipples
Don't just stick to penetration stimulation or clitoral stimulation,
Perspectives to reconstruct the sensations of the whole bodyis important.

What it means to learn dry orgasm from the time of the male body

Why is preoperative training effective?

Dry orgasms and prostate orgasms and mesmerism are,
Cultivate a "brain-driven orgasmic circuit" that is not dependent on ejaculation.

This is postoperative,Even if there is no longer ejaculation.
Foundation for easy relearning of orgasmwill be.

Why experienced dry orgasms are advantageous postoperatively

...accustomed to wavy orgasms.
I understand that orgasm does not = release.
I can pay attention to my whole body sensations.
As a result, they tend to adapt easily to new sexual sensations after surgery.

If it is the male body, there are ways to train dry orgasm and prostate orgasm by using the illusion,
It is faster to get used to it in a male body if possible.
(For dry orgasm in the male bodythis way (direction close to the speaker or towards the speaker))

Relationship between Artificial Vagina, Dilation and Sexuality

Dilation pain and conditioned reflexes

Dilation is a medical procedure,
This experience is easily associated with pain, tension, and a sense of obligation.

He said the memory of it is strong,
Artificial vaginal insertion = pain, stress, vigilance
This can cause a conditioned reflex to

Possibility of relearning as sexual sensation

Separate situations for medical and sexual acts (e.g., bath for dilation, bed for sexual acts).
Stimulate the vagina at the same time when you feel it in other parts of the body.
etc.

Summary｜Sexuality "is not perfected after surgery."

Gender reassignment surgery is not the goal,
It is the starting point where body and brain meet anew.
People who can feel it quickly.
People who take their time.
Both are normal.

Sexuality is not something that can be recovered,
What will grow in the futureThe following is a list of the most common problems with the "C" in the "C" column.

At your own pace,
It is important to rebuild a relationship with one's body.

*This article is intended to provide general information and is not a substitute for medical judgment or treatment. For individual problems, we recommend consultation with a medical specialist or counselor.