Parenting and Family Resources, LGBT2SQ Communities
Post-Operative period in the hospital Catheter and Tube drains: Tube drains and the urinary catheter will be left in place for 5 days when you wake up you will feel tube drain and the urine catheter that will be left in place for 5 day.
You will feel like to urinate because of bladder irritation by the catheter. Do not worry because the urine can gradually pass through the catheter. On the 3rd day you will be easy to move around. We will start to train bladder by clamping urine catheter every 4 hours to keep bladder muscle tone and function normal to reduce the problem of urination. After the catheter is removed, you will be able to urinate by yourself while sitting. Pain: After you recover from the anesthesia you may feel pain but it is minimal and usually lasts for the first day and will gradually subside.
You will receive IV fluid and some potent antibiotics. IV morphine for pain alltime in the first day. On the 2nd day the pain will be much subside and oral analgesia can now relieve pain. But if it is still very painful, you can ask for intermittent morphine injection. Food: Upon waking up you will be able to have drinks and soft meal in the first few days and you will start regular meals after you are able to have bowel movement.
Do not have fruit, vegetable or fiber-rich food to avoid passing stool. Anyway, if you have to pass the stool it can be done but you have to carefully clean the anal area because it is very close to the surgical wound. On the 3rd day, the day that we start bladder training, you can get up and walk around inside the room or sit in bedside sofa. Vaginal stent: The vaginal packing will be left in place for 5 days. On the 5th day, vaginal packing, tube drain, and catheter will be removed in the same time in order to keep it clean and free from infection.
The post operative period will require a 6 day stay in the hospital. After the vaginal packing is removed you will be able to walk and leave the hospital. You will also require an additional days to recuperate and be ready for travel. You are recommended to stay at a hotel close by our clinic and taken care of by our nursing team until you leave Thailand. After the packing removal, there might be some bleeding from vagina and urethral opening. We advise you to stretch your leg, close your knees together and stay still for 30 minutes, the bleeding will stop spontaneously.
If it is not stopped, pressure compression by gauze can help to stop bleeding. After packing removal the nurse will help you to go to the toilet to take the first shower and start to urinate. At the first time to void with all bladder power because it is swelling around the urethral opening. To pass the urine to this area you need more power than normal voiding.
If you can void, you can move to the nearby hotel. If you can not pass the urine you have to stay in the hospital and might need catheter retaining for another week. If you already move to the hotel and have problems urinating, you should come back to the hospital or call our hotline number to give you advice and replace another catheter by our nurses. If you can pass urine, you can leave the hospital.
This is the checklist of stuff that we will provide to you to take to the hotel. Appointment card we will make appointment on 7th day after operation or the 2nd day after discharge from the hospital for partial stitch off, exam the vaginal cavity and start dilation.
On this day please bring a small dilator and a piece of napkin with you to the clinic 10th day after operation to check the operation wound 14th day for vaginal examination and total stitch off final check on the day before you leave Bangkok Namecard of our staff and hospital in case of emergency problem of wound care or urination problem—do not hesitate to call us to help you, or in case you get loss during travel around you can call us Donut ring to sit on.
It will make you more comfortable not to sit on surgical wounds. We will provide you a registered mobile phone. So we provide in case that you want to receive call from your friend or emergency situation to call our staffs.
So do not use for international call. Anyway, if you want to extend your calling time you can buy the card at any shop. Insert the douche to full depth, squeeze, and hold tightly the container. While holding tightly the container, extract the douche Keep the wound dry and apply Betadine solution with cotton balls and apply Kemicitine ointment with a cotton applicator. If there is some bleeding, press or apply pressure with a dry cotton ball to the site for 15 minutes.
During the first weeks after surgery, feminine knapkins tampons should be changed several times per day due to normal vaginal bleeding during recovery. After one month of SRS operation you will be required to start applying Premarin cream to your neo-vagina. Apply two times a day to soften your neo-vagina. This would generally take around six months. Before being discharged from the hospital to your hotel, the nurse will teach you how to take care of your vagina and prescribe some more medications.
The stiches will be removed after 7- 10 days. And you will be able to return home. Dilation, During recovery in 3 rd day hotel, the patient must follow patient instructions, including: Dilating is the most important thing you can do to ensure the success of your surgery.
If the patient does not dilate responsibly, this can result in the shortening of depth and width of the newly made vagina because of the scar contracture. Failure to dilate properly can result in serious injury. You will be instructed to gently dilate into the right direction after the vaginal packing is removed. Dilation can be painful for the first weeks, but is essential for developing maximum depth and ensuring post operative functioning of the neovagina.
Insertion the dilator Before starting, relax the muscles and Semiflex your knee. A condom is placed over the dilator, apply KY-jelly and insert slowly and keep it in for about minutes, finally clean as previously directed and apply the antibiotics ointment over the stitching and any area of fresh wound.
Start with the smallest dilator and progress to the larger diameter provided. Do not skip dilation even if it is painful. Failure to do it may result in partial or total collapse. Rinse out the lubricant after dilation and apply an antibiotic ointment or Betadine solution until the wound is completely healed. One month after SRS operation you will be required to start applying Premarin cream to your neo-vagina.
This generally lasts around six months. Intercourse: After the 4th week post operative, you should be able to engage in neo-vaginal intercourse. The neo-vagina will need some form of lubrication.
In general, patients may have sexual intercourse after they successfully dilate the neo-vagina to the last size of the vaginal dilators. Sex partners should wear condom and apply lubricant inside vaginal cavity during neovaginal intercourse in the 1st month to prevent trauma effect from inadequate lubricant.
After 1 month intercourse can be done without condom but lubricant still has to be used. Return to female hormones: Patients can resume taking oral female hormones in 2 month after surgery but the need for female hormones is less than prior to surgery. Medical certificate: You will receive documents certify you have successfully undergone sex reassignment surgery.
Insurance and Legal issues Insurance carriers may specifically exclude transsexual treatment as they do aesthetic surgery. Legal name change and birth certificate amendments are accomplished according to the laws of the particular state or country.
Patient can return to female hormones as before surgery after two months. You should consult your endocrinologist to re-adjust the dosage. A sudden change in hormone levels, for some individuals, may result in the fluctuation of emotion.
Side Effects Unable to urinate, it can occur sometime after removing the urine catheter, due to the swollen stump at the opening of the shortened urethra which will need the urine catheter to be retained of a few more days, eventually you will be able to urine normally. Bleeding; You may experience oozing blood around the gauze dressing the first day after surgery due to bleeding thru the stump of urethral opening, may require repacking or suturing.
Guide to paying for gender reassignment surgery
Antibiotics are NOT needed for the common colds, as colds are caused by a virus. Find out more at NHS Choices. For a GP, please book an appointment online , or contact reception on to make an appointment.
Routine appointments within weeks. Contraception and family planning appointments are available at various times every day. For a GP or a Practice Nurse, please book an appointment online , or contact reception on to make an appointment. Dementia Screening Advice: Please contact reception on to make an appointment. For a Practice Nurse, please contact reception on to make an appointment. Diabetes Monitoring Who do I see: Nurse Practitioner Advice: Routine annual clinic appointments reminders will be sent to all our patients with diabetes.
Reception staff will direct you to the most appropriate health care professional. For the surgery, please contact reception on to make an appointment. Dizziness Who do I see: GP Advice: Please book an appointment online , or contact reception on to make an appointment.
Contact reception on to make an appointment. Also please check the following information on NHS Choices. Earache Who do I see: GP Advice: Please book an appointment online , or contact reception on to make an appointment.
For a GP, please book an appointment online or contact reception on to make an appointment. Find out more information. Advice: Search for your nearest community pharmacist , or for your nearest opticians.
Fit Note Sick Note Who do I see: Self certify first 7 days, then routine GP appointment Advice: For a GP, please book an appointment online , or contact reception for advice on whether to make an appointment if necessary. Routine appointments are usually within weeks. If you have been discharged from hospital, your hospital team will issue any fit notes for the entire period of your recovery.
Please contact the ward staff even after discharge. Schools do not usually request a GP letter to confirm absence, this can be written by a parent or guardian.
Flu Vaccine Who do I see: Practice Nurse Advice: If you are over 65 or in a at risk category , please book an appointment online , or contact reception on to make an appointment. Completion of forms, certificates and medicals are not covered under the NHS. Payment for reports must accompany the request or appointment booking i. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery.
Allow up to 28 days for the process to be completed, you will be contacted by phone when your form is ready for collection. Please note we do not sign passport forms. You can also telephone for any non-urgent medical issues or you can search for your nearest community pharmacist.
Male to Female Surgery
I have a sizeso most of the time, I would have to order from special stores, or places that custom-make shoes for drag queens.
Sex Change (SRS)
You can do clothing swaps with other trans people, go thrifting or ask friends if they have old clothes they want to get rid of that match your new gender presentation. Clothing and makeup, despite how expensive they can be, have brought the most joy to Evelyn. The most expensive part of her transition, she says, has been hair removal. While electrolysis is more expensive and takes a longer time, it permanently removes hair.
Laser is faster and cheaper but not permanent. Although surgeries and other medical necessities have certainly helped Sasha transition, some of the most affirming purchases she has made in the last few years are accessories that help her feel gender euphoric. The costs can vary depending on where you live. See related: Major issuers slow to adopt Mastercard True Name card Social costs The costs of transitioning are also not simply financial.
Trans people who choose to live openly often face discrimination, rejection and even violence. Black trans women and trans women of color face these dangers the most. The risk of being fired from a job, bullied or harassed at work or having to move to an entirely new community because of transphobia is also high.
The home for big data in biology
The pieces of clothing that Alex has invested in that have made her feel like her truest self include crop tops and big pants, neutral blushes and lipstick and skin tints. Other options to pay for the numerous costs listed above include: Personal loan from a credit union: Although credit unions provide virtually all of the same services and products as banks, their goal is to enable members to borrow at the lowest possible cost.
Home equity line of credit: A HELOC is a variable-rate home equity product that works like a credit card — you have access to a credit line that you can draw from and pay back as needed.
Air Travel Tips for Transgender People Nothing on this webpage is meant, or should be interpreted to mean, that transgender people or anyone else should attempt to circumvent security or deceive security personnel in any way. It is meant only to provide tips to transgender people who may otherwise be subjected to unfair or embarrassing selective scrutiny or treatment.
Who You Are: Identification Issues All passengers 18 years of age or older are required to provide proof of identity at check-in and at the security checkpoint. Passengers without proper ID may be denied boarding.
If you cannot or if you are still concerned about ID issues, consider carrying an explanatory note from a physician or therapist explaining why you may not look like the picture on your ID.
Flight Bookings We do not provide a flight booking service for journeys to Thailand. There are many local agency base in your country, which lower cost or you may search a booking flight via website.
Sexual Re-assignment Surgery (SRS) in Middletown, NJ
Because we believe no one can work best in all kinds. Therefore, at PAI, Dr. Preecha Tiewtranon, MD has had highly selective qualify doctors who match for each type of procedure, FFS, SRS, body contouring as well as anaesthesiologist and team of operating theatre nurses. A: I was lucky that my mother has a doctor friend, who happens to be a great surgeon. She recommended me to a doctor at PAI. The best thing was their greatest cares. Q: What came before the operation?
A: You must consult with psychologist and see if you was truly ready to get it done. Q: How did you feel after SRS surgery? A: I woke up feeling vey blurry. There were tubes everywhere.
The saline drip was inserted into my left hand and the pulse rate meter on the right. There was also a tube attached into the bulging part of my new female sex organ to take the blood out of my body. I was also new to the whole female peeing thing so, they had another tube inserted into my urethra to ease me into the process.
On the third day after surgery, my body got used to the new organ and I was ready to pee on my own. Q: How do you feel now? A: I have more confidence, and feel more like myself. People keep telling me that my body shape really changed and looks more feminine in every way. In terms of sex, I have the same feeling as any women.
Q: I was wondering if you have any combination packages that would involve SRS surgery and a facial feminization surgery? A: Yes. Q: Do you make labia major and minor?
Paying for Transgender Surgeries
A: The labia majors and minors are created. Q: Do we have orgasm in this surgery technique? A: We cannot guarantee,because even natural female do not all have orgasm. Q: What does vagina looks like after surgery?
Do any one can recognize with this vagina that we were a boy before?