This is the sixth post in a series about my experience with having bottom surgery. The other parts are: Are You Excited?, I Got Sliced All The Fuck Up!, Recovery Update, 16 weeks post-surgery update, and Six Months.
As usual, proceed with caution. Total TMI-city ahead.
Holy crap! It’s been a year since my surgery! It feels like eternity and like it just yesterday at the same time.
I know I tend to get wordy af on this blog, but I honestly don’t know how much there is to say about this that I haven’t said already. The last six months since my last update have been fairly uneventful in Vaginaville.
Back in early September (seven months post-op), I was finally able to start dilating once a day. This was about a month later than originally planned, but I had to wear for the granulation and tear inside to fully heal before I could step down from twice daily. It was a long time dealing with that hell. With that out of the way, dilating was a lot easier and less painful. I was slowly able to switch back to using my largest dilator for the whole twenty minutes. Over the next few months, it became a lot easier to get my dilators in, which cut down on the amount of time dilation takes. Now I can get set up, dilate, and clean up in just over a half hour.
The swelling has, of course, gone down a lot since six months ago, but it still looks and feels a lot more swollen than I’d expect at this point. More on this in just a second, though.
Peeing is still a mess. If it comes out in a stream, it shoots forward instead of down. Mostly it just sprays everywhere and my whole bottom gets a pee shower. Ew. The worst part of this is it means I have to sit on the seat to pee, no hovering over a gross toilet or in a porta-potty. Double ew.
Yesterday, I had my one-year followup appointment. My appointment was with a new PA in my surgeon’s office, but she came across as extremely knowledgeable, competent, and assuring. She told me everything has healed perfectly and it looks really great down there. I asked about the swelling and she said everything looks normal and most of that is still just scar tissue and gave me some stuff to put on it to help reduce that. She also told me the way urine comes out when I pee is “an unfortunate side-effect of the anatomy” and some people are just like that. Kind of a bummer, but I’m still just happy everything is completely healed properly.
When it comes to dilation, I’m in the clear to experiment with doing it less than daily. She told me it could just be twice a week, once every two weeks, or might still need to be daily. This is very individual and I’ll need to figure out what works for me. By early December, I had started to feel comfortable that I’d be okay to dilate less frequently, but I wanted to wait it out until my appointment before trying it. With the long healing process I had, I’d rather be safe than sorry. The only day I’ve missed in the last year was last Saturday because of the hecticness of the Women’s March and dilating the next day was no problem at all. So I’m hoping and looking forward to freeing up my mornings more for running before work with less rushing.
While I’m mentioning last Saturday’s Women’s March, I should also note that was the first time I tried to pop a squat outside to pee—look, it was crazy and the porta-potty lines were long, okay? I tried my best to squat down and angle myself as well as I could, but I still peed all over my jeans. It was not a good situation. Ugh.
Mostly, life has been back to normal. Beyond the peeing situation, I don’t have to worry much about things. Our Disney trip a few weeks ago was the first time I had to deal with dilating without a completely private place to hole up in, as we were sharing a hotel room with a friend. It wasn’t as bad as I thought it would be and I was able to make it work with minimum hassle.
I wear bikinis and leggings and running tights without any worry of anything anymore. I don’t have to worry about hiding anything. It’s a nice bit of freedom. I spend a lot of time thinking about how happy I am to have proper genitals. Putting on a pair of jeans that really just fits for the first time was an oddly amazing feeling. Things just sort of feel right. I feel much more like me. And I feel more like a woman. Genitals don’t make gender, but they can affect how at home your feel in your body and identity.
Last summer, I had my hormone levels checked. I had expected a small rise in my testosterone to a more normal female level. This did not happen, though. My level was exactly the same as it had been while on testosterone blockers prior to surgery. However, the ultimate outcome I had hoped for from that—better running performance—did happen. The side effects from Spironolactone (the blocker) are no longer a part of my life with the exception of still having to pee all the time.
Beyond all this, most of what else I have to share about my experience was included in my post about the Women’s March, so check that out. Otherwise, I think this will by my last update about my surgery. Ultimately, I feel happy and empowered beyond what I expected was possible.
Happy birthday, Vagina! ❤️