Dr. Mehrdad Baghaee – advanced plastic and aesthetic surgeon
gender reassignment operations from male to female in Iran
There are several ways to enter a world with female organs. The medical world helps people to experience another life with different options. Among the methods of gender reassignment to become a woman are the following:
- Vaginoplasty in Iran
- valvuloplasty in Iran
- Orchidectomy in Iran
- Breastfeeding in Iran
- Harvesting apples in Iran
- Sound surgery in Iran
- Feminization of body and face in Iran
- Corrective surgeries in Iran
What is vaginoplasty?
In vaginoplasty, surgeons try to remove the skin inside and outside the vagina by removing the skin and tissues of a man’s genitals. In this act, the gender change of a man to a woman:
Surgeons use the skin of the testicles and penis to make the inner and outer edges of the vagina.
In vaginoplasty, a new urethra is created for a person to be able to urinate with the shape of a female organ.
Surgeons use the skin of the foreskin to make a cervix for the patient.
What are the procedures for vaginoplasty?
In most vaginoplasty surgeons, surgeons can create a vaginal canal (inner wall of the vagina) through a skin graft. To do this, the skin of the testicle is usually used for skin grafting. If the skin of the testicle is not available for male to female sex reassignment, it is possible to use the skin around the abdomen. Removing the skin on both sides of the abdomen does not leave a noticeable scar.
To create a vaginal canal, doctors must create a space between the rectum (rectum) and the bladder. After the skin graft is performed, a vaginal bandage or sponge is inserted into the vaginal canal for 5 days. These substances put pressure on the new skin graft and, with their help, the newly formed tissues around the vaginal tissue are brought closer to normal.
What is the connection between vaginoplasty and orgasm?
Many people who apply for male-to-female gender reassignment surgery are concerned about orgasm. They want to know if they can experience orgasm or orgasm after the procedure. The answer is that it is possible to reach orgasm after surgery. Surgeons use the skin of a man’s penis to make a clitoris. This new part of the body has a feeling, and by stimulating it, it will still be possible for the person performing the orgasm to reach orgasm.
Many people who apply for male-to-female gender reassignment surgery are concerned about orgasm. They want to know if they can experience orgasm or orgasm after the procedure. The answer is that it is possible to reach orgasm after surgery. Surgeons use the skin of a man’s penis to make a clitoris. This new part of the body has a feeling, and by stimulating it, it will still be possible for the person performing the orgasm to reach orgasm.
How many days after vaginoplasty are you discharged from the hospital?
Most patients stay in the hospital for about 5 days after vaginoplasty and most stay in bed. Rest causes the skin graft to grow around the vaginal tissue. Surgeons use a compressive bandage on the outside of the vagina. After removing the outer and inner bands of the vagina, most people recover and are discharged from the hospital.
It is also possible to open the vagina two weeks after the male-to-female gender reassignment operation. Doctors give patients a vaginal dilator to use 2-3 times a day for six months after surgery.
What are the necessary preparations for vaginoplasty?
Before the vaginoplasty operation, the patient must make the necessary preparations. for example:
Before the sex change operation, the hair of the male genital area should be removed by electrolysis, because the skin of these areas is to be used to build the vaginal canal. If hair grows inside the vagina, the possibility of health problems will increase. Therefore, the hair on the skin of the penis should be removed.
If a person is a smoker, he should make an effort to quit smoking before the operation. Smoking regular cigarettes or e-cigarettes or any other nicotine-containing substance reduces blood flow to the genital area and delays postoperative recovery. If the person has just smoked, they will have a urine test to determine if it is possible for them to quit completely. It takes a month for nicotine to be completely removed from the body.
Weight loss will be followed by fatigue and constant tiredness. It is better for obese people to lose weight before this operation. Weight loss will be followed by fatigue and constant tiredness.
Remember that vaginoplasty or valvuloplasty is not possible for everyone and can be performed depending on the shape and weight of each person. It is recommended to use physiotherapy before and after vaginoplasty
What is valvuloplasty.
Vulvoplasty (vulvoplasty) is another procedure to change the sex of a man into a woman, in which the outer part of the vagina or vulva is made with the help of the skin of the male genital area. In this operation, all the outer parts of the vagina are formed. The steps of this surgery are similar to vaginoplasty:
With the help of the head and parts of a man’s penis, it is possible to make a clitoris.
The outer and inner edges of the female genitals are made with the skin of a man’s testicles and penis.
In this operation, the urethra is also made for the person.
Vaginal opening is also possible with the help of valvoplasty.
The difference between valvoplasty and vaginoplasty is as follows:
In vaginoplasty, a vaginal canal is made.
In valvoplasty, all parts of the vagina are made except the canal.
How many days after valvoplasty are you discharged from the hospital?
Usually after valvoplasty, the patient is hospitalized for up to 3 days and the patient is bandaged in a special way to prevent postoperative inflammation. Most patients stay in bed until the bandage has healed. After removing the bandage, which is usually 3 days after surgery, the person is discharged from the hospital.
Usually after valvoplasty, the patient is hospitalized for up to 3 days and the patient is bandaged in a special way to prevent postoperative inflammation. Most patients stay in bed until the bandage has healed. After removing the bandage, which is usually 3 days after surgery, the person is discharged from the hospital.
Is valvoplasty better or vaginoplasty?
Postoperative recovery from valvuloplasty is faster and easier than vaginoplasty. For example, you no longer need to use a vaginal dilator for complete recovery. Complications and problems after valvuloplasty will be less. One of the major problems after vaginoplasty is anal injury. In some cases, such a problem can cause cavities between the rectum and the vagina. But if you use valvoplasty instead of vaginoplasty, such cavities are much less likely to occur.
Valvoplasty is also a better option for people who do not want to have sex. Of course, after both operations, it will be possible for people to reach orgasm through the clitoris that is made.
What is an orchiectomy?
Many people prefer to start the orchiectomy with an orchiectomy. In this operation, the individual’s testicles are removed. It also helps regulate the body’s sex hormones, because after the testicles are removed, the level of the male hormone, or testosterone, drops to almost zero. As the level of this hormone decreases, estrogen levels also decrease. Decreasing the level of estrogen in the body prevents various diseases and prevents blood clotting.
Hormones play an important role in the body. Therefore, it is important to talk to your doctor about the status of your hormones before surgery and to monitor their levels. It is essential to be aware of the trend of hormonal fluctuations and changes after and before the operation of gender reassignment.
What are the procedures for orchiectomy?
Orchidectomy is very simple and is performed under general or local anesthesia. In this operation, the surgeon begins by making a 2.5 cm incision in the middle of the testicle. Then the menu cord or the male reproductive system is closed and strong stitches are sewn around it to prevent bleeding.
After this stage, the menu rope is cut and the testicles are removed. Closing the gap created in the testicle is also done with sutures that can be absorbed in the body and disappear spontaneously. This operation takes about 20 minutes in the operating room. The person undergoes general surgery and therefore will not feel any pain during the procedure.
It is also possible to perform this operation in urology clinics and the time required to complete the process in the clinics is about 20 minutes. If local anesthesia is used instead of general anesthesia, the patient will need to take sedatives and must be taken home after discharge.
Local anesthesia causes the skin of the testicle and the scalp to swell. So no pain is felt. However, some patients experience some pain when injecting anesthesia, which is not very serious.
How is recovery after orchiectomy?
Slight bruising may be seen in the scrotum after orchiectomy. These problems are mostly caused by internal bleeding of the scrotum. This collection of blood is called hematoma in medicine. Of course, keep in mind that only 5% of people get a hematoma after surgery. As with any surgery, the area being operated on can be a little irritated and painful. Of course, this is rare in the case of orchiectomy.
Slight bruising may be seen in the scrotum after orchiectomy. These problems are mostly caused by internal bleeding of the scrotum. This collection of blood is called hematoma in medicine. Of course, keep in mind that only 5% of people get a hematoma after surgery. As with any surgery, the area being operated on can be a little irritated and painful. Of course, this is rare in the case of orchiectomy.
What are the pre-operative preparations for transgender men?
People who want to undergo gender reassignment should have the following conditions:
The person who is going to have an orchidectomy must have a medical record and have a gender disorder.
This person must have full capacity to make decisions and not regret his decision.
If there are mental or physical problems, each of these should be monitored about the patient.
The person must be of legal age.
There is a need for a 12-month hormone therapy course before surgery. Of course, in case the person has hormone prohibition or does not want to do so, it will be omitted.
Valvoplasty and vaginoplasty also require conditions similar to orchidectomy, and in addition to the above, in order to achieve the desired sexual identity, a person must live with his future sexual identity for about a year and experience life as a woman before the operation. Do not have a crisis.
It should be noted that after the operation, the person acquires a new identity and sexual organs. So the psychological preparation for this change must be fully formed in him. Therefore, before the operation, there is a need to consult a counselor and psychologists. The operation also requires a psychologist’s confirmation letter, which states the following:
The person is examined for mental illness and the results are announced in a letter.
The general personality traits of the patient are examined and announced.
The duration and methods of counseling and the counselor or psychologist’s interaction with the patient are stated in the letter.
The certainty of the patient’s request and his consent to perform the male-to-female gender reassignment operation is confirmed.
What are the other methods of changing the gender of a man to a woman?
There are other methods for gender reassignment that we will mention below:
- Breast augmentation surgery: By having a breast augmentation, a person who undergoes gender reassignment becomes more feminine and his or her sexual identity becomes more formed.
- Removing the apple of the throat: With this surgery, a completely male organ is removed from the person’s appearance and in another step, it becomes closer to having a feminine appearance.
- Voice surgery: It is also possible to have surgery to get a woman with a female voice.
- Feminization of the body and face: There are a variety of surgeries that help a person look more feminine.
Corrective surgeries can also help make a woman’s limbs look more like a woman’s. For example:
- Reconstructive vaginoplasty;
- Valvoplasty reconstruction;
- Labiaplasty;
- Clitoral repair;
- Repair and heal genital wounds.
There are a variety of procedures for changing the gender of a man to a woman, which can be performed with the knowledge of each and in consultation with a doctor.
Dr. Mehrdad Baghaee – advanced plastic and aesthetic surgeon
