Clitoritis two

My body just seems to be built this way but I think I beat it after ~2 years of trying

2024.05.20 19:16 spvcevce My body just seems to be built this way but I think I beat it after ~2 years of trying

Here's my story in case it's helpful to anyone else. I believe it's a hypermobility related case.
I've been with my partner for like 10 years, since high school, and I always thought sex hurt because I just didn't love him enough or something. I did my best to research what was going on but I didn't know about vaginismus. In 2022 a good obgyn gave me a physical therapy referral after she could barely get in there for a pap smear.
The physical therapist showed me how to relax my muscles using stretches and breathing that I'll post at the end if anyone can't afford physical therapy. After I finally noticed the sensation of not tightening, I realized that I had memories of unclenching my muscles once in a while throughout my whole life, like when listening to a slow song or at story time in first grade, so I must have been clenching my whole life.
I had a lot of rapid improvement through using a pelvic wand to find trigger points and relax, stretches and breathing 3x a day, and my physical therapist using her hands to test the muscles and help me practice breathing through relaxing them once a month. For the first year, any of that would make my pelvic floor feel so low in my body that it felt like it was going to fall out of me.
I had had a rough sex life up until this point, but I didn't think my vaginismus was caused by trauma. My PT recommended therapy just in case it was trauma. I tried therapy and SSRIs for a couple of months but no dice. Finally during my last session before I unfortunately had to switch insurance and couldn't go anymore, I asked about hypermobility. The PT tested me for it and said I definitely have it. She showed me some strengthening exercises (it's just glute and stomach workouts and as you come back you breathe out while tensing your glutes, stomach, and pelvic floor) because hypermobility means that your ligaments are weak so some muscles have to work too hard to make up for it. She said the exercises would strengthen the right muscles so my pelvic floor wouldn't have to work so hard. Since I haven't gotten to go back due to insurance after that session, I've just been assuming that my pelvic floor is just tightening to hold me up all day since my ligaments are bad? I'm not a professional so I don't know the EXACT reason but I'm hoping this post can still help someone who felt like they would have vaginismus forever too.
I don't do the strengthening exercises as often as I should but I do use the pelvic wand every day because while my PT had her fingers in me, she told me that the muscles are clamping down on a clitoral nerve.This has been life changing information for me lol. I never knew when I wanted sex in the last 10 years because I'd never felt in the mood before relaxing those muscles and probably releasing the nerve? Whenever I do my stretches I can feel my clit tingling like it finally got blood or something. Not sure if that happens to anyone else at all but man if it does, try stretching before sex.
After two years of all of this, I can finally have completely pain free sex! I seriously never thought it would happen for me. Here's a list of everything I did:
Stretching 3x a day:
-put your feet together; lay on your back, so your leg are spread out but knees bent; take slow deep breaths and think about your pelvic floor moving down like an elevator on every breath in. 5 minutes when you first start out
-on your back, hold your knees like a baby and think about pelvic floor while breathing etc. 5 minutes
-sit on your knees with your legs spread out a little (in a way that you can go into child's pose next) so that you can do deep breaths and think about your pelvic floor going down between your legs. 5 minutes
-lay on back, knees up, put one foot on the other knee to stretch your hips. Breathe through it and then alternate
-yoga pigeon pose. Breathe and alternate
Pelvic wand:
-most people use dilators in this sub, but for my muscle problem, it's helpful to do trigger point massages
-i have the intimate rose pelvic wand and I lube it up, try to find a painful part in the muscles, press on it just lightly enough to feel it, and breathe through pushing on it harder slowly until the pain goes away
Strengthening exercises:
-if you have hypermobility too you gotta do this more than me lmao I'm slacking
-lunges while holding a weight, breathing in as you go down, and clenching your stomach, glutes, and pelvic floor on the way up
-squats, same thing
-laying on your back and doing the breathing thing from the lunges as you lift your hips in the air, then see how many breaths you can take while keeping everything clenched
-do that again but on all fours and see if you can lift one hand and the other foot in the air same time
Sex:
-doing my stretches first made me realize when I actually want it
-i get on that dick slowly, take deep breaths, and stretch out on it before moving. Take your time and don't worry about him getting impatient
-i never keep going if I get that feeling like something's ripping in there. That just creates bad associations and will make vaginismus worse
submitted by spvcevce to vaginismus [link] [comments]


2024.05.13 09:07 CookieOatMilk Clitoral hood only affected?

Hi everyone I am actually on verge of breaking here. šŸ˜¢ Has anybody experienced something similar to me?!
Iā€™ll keep it brief but I started experiencing swelling/itching of my clitoral hood back in January. Went to a sexual health clinic and saw someone there who luckily specialised in LS. She visually confirmed LS and gave me steroid cream. Few weeks after this, I developed a cyst on my hood which I had to go to hospital for to see a different gyno. This was SO ITCHY. She removed the cyst and took a punch biopsy of inner labia to confirm LS last month. Results of the cyst just showed inflammation. Results of the biopsy said POSSIBLE LS.
Iā€™ve given my results to the original specialist I saw back in January and Iā€™m waiting to hear back from her. I thought the swelling of the hood would go down after the cyst removal but it didnā€™t so I went back to the specialist before I got the results as she was very knowledgeable. She gave me antibiotics for the swelling (which I had once in Feb and they were the only thing that helped get rid of the swelling) and zerobase. She told me to continue with the steroid cream too.
Antibiotics helped again and everything went back to normal. I was so happy as Iā€™ve been suffering with intense itching and uncomfortableness for 5 months now. Some days itā€™s okay and not inflamed, but most days it is itchy and inflamed. Itā€™s been fine for a couple weeks now but today Iā€™m experiencing swelling and inflammation AGAIN! Itā€™s literally nowhere besides from the clitoral hood. Itā€™s not as inflamed as it usually is but itā€™s still a bit inflamed. I wore underwear on Saturday but loose underwear and Iā€™m thinking this could have flared it up but I donā€™t know.
The specialist said she has no doubt I have LS and I trust her knowledge. She said the swelling could be caused by build up under my hood and the LS itself. She said the steroid cream will help the itching but I have to be consistent. I have been using it every day since I last saw her over two weeks ago. But still the swelling has come back.
Iā€™m honestly so scared itā€™s going to go back the way it was before the antibiotics. It was so swollen and I was just constantly in discomfort. I just want to cry and breakdown because itā€™s been every day now and I just want to feel normal again and I donā€™t think I ever will because it seems to be a mystery of why this is happening. Nothing is relieving it besides antibiotics when it gets really bad. šŸ˜”šŸ˜”šŸ˜”
My mental health is suffering so much with this. Iā€™m sick of waking up every morning feeling itching or irritation. And I donā€™t know whatā€™s causing it or how to fix it. If someone has been through the same please help šŸ’”
submitted by CookieOatMilk to lichensclerosus [link] [comments]


2024.05.11 16:38 cornyears For female detrans or desisters: how did genital dysphoria affected your life after detransition?

It's the second post I've made in two days but I'm quite desperate.
let's get to dating and the experiences you've had (especially with men, because at least among women I imagine things are different).
Has your dysphoria been a problem in approaching others?
My situation is that my PiV intolerance has improved but not completely. I can't always have satisfying sexual intercourses, I generally avoid them, and I feel mental discomfort afterwards. Clitoral growth has helped me a lot.
I also wonder how you took the other person's appreciation for your feminine features. Does it switched after detransition?
submitted by cornyears to detrans [link] [comments]


2024.05.09 16:44 Professional_Buy2921 Wonder Woman Confess Your Desires

After I cam back from Mexico, sick and traumatized I started making a porn to do casting calls for. I was exploring fetishes. I was learning to take my power back, I was living up to the title of my Book Memoires de Sarita- OD'd on Pleasure. It was a good distraction from the physical suffering and helped me to work through some personal things. Here is the memoir I wrote during that time period.

Wonder Woman- Confess Your Desires

I am a poly switch unicorn adventurer, curious, imaginative, entrepreneurial, nice, and turned on by mental stimulation, threesomes and my nipples being played with during a clitoral stimulation. No anal and no cum in the face, except on rare occasions. Cum below the neck and only the tongue and finger in the ass. ok, I make porn, I am writing a book, and a movie, and have a school in Puerto Escondido Mexico with a mezcal, working towards having a sustainable ranch with swingers in MĆ©xico and here in Washington State USA, where we can make an Airbnb and have events where I can bathe nude in the sun! I would like a sailboat to go between the ranches with swingers, always with cameras rolling. I would like to make the ranch with swingers who are into either cam shows, selling on snapchat and only fans and making porn, or all of the above and go live 24/7 with subscriptions. We all support each other and share knowledge, helping each other to succeed. I need a website and I would like to have someone who can help me with, along with my hacker problem. I would also like to make an app. google saritapleasure, sarah lauer foster is my Facebook. saritahippie is my Instagram. Next weekend I am practicing for my Wonder Woman shoot and learning some DOMness. Are there any areas you can help me with?
Wonder Woman- Confess your desires!
It takes place on the top of a hill on the shores of Sweden.
The opening scene is of two couples fucking each other as the guys luggage is sitting there. Its an emotional good bye fuck, Lots of ā€œIll miss you and worry about youā€ as they fuck and say good bye. It's two swinger couples who live together. After the men head down to their Viking ships, the women comfort each other's sadness from the men leaving.
They move it inside to the bed and they hear the young neighbor peeping in the curtain, but they continue, no bother. And then they hear some noise, and go outside, and three burglars are robbing their farm now that they saw the men leaving. So the youngest most bashful character will be thrown in the house as he is peeking in the window, and the other three are lassoed by 3 three lassos and forced to enter on their knees where swinger sister and I tie them up.
Make them confess the crime and then confess their desires. I bring out my girlfriend to have some fun with them in a boobless red and gold halter top, see through white g string and tall sexy black Viking style boots.
After the young neighbor and 3 robbers cum after they confess their desires, Wonder Woman puts the truth lasso on her swinger sister. And she looks bashful and says with her eyes, ā€œI desire you.ā€ and they start making out. When her husband comes back because he forgot something., he disciplines me and interrogates the guys still tied up. He is playing the mad jealous guy, but then he is getting turned on by the guys lusting after his wife and the control that I had over the situation. He wants me to spank this guy, but my hand is getting sore so I have him spank him and put his head in my lap, shoving my underwear in his mouth when he is too loud. My husband loves an excuse to discipline me, and so he has them all get on their knees and picks a fruit and vegetable to put in their mouths, has me get on all fours in front of it and sit on it.
so it's no sex for the robbers, only the Viking husband. but they will get a poke a lick and the fruit or veggie in the mouth for my vagina to fuck, etc.
The Viking husband asks them if they are ok when he comes in and gets mad. I am saying,ā€ they robbed me, baby aren't you proud of me?ā€
Viking Husband starts asking the guys if it was fun being dominated by his wife and some say yes and some are thinking about it and nodding yes and then no.
He says, ā€œSay, ya, she has been teasing you and won't let her touch her, ja, poor things. here,ā€ and take me up to them but telling them, 1 ok, you are allowed 1 poke, the next, one lick of my nipple, and the other POKE in my arse.
He disciplines them for fucking with his farm and his wife, by giving them instructions for how to drive me wild, but its their punishment tease with me, tied and vulnerable. They can only do as my husband says. I am blindfolded with the spreaders. He can have them do things super gently with feathers, toothpicks, gently touching with the end of their fingertips. let them stick a finger in once but only once in and out, one in my mouth, one in my vagina and one in my butt.
Then when they look anxious for more, he gets mad at them for robbing his farm and says ā€œI am mad at all of you,ā€ have them get in a circle around me and make me back into the fruits and veggies in their mouth. Asking ā€œis this what you were really after.ā€ when i am finished with the 4 of them with the fruits and veggies in their mouths while i back into it. ā€œWell, if you ever come anywhere near here again, or see that pussy again, your in big troubleā€
After getting their confessions he is getting all of the details out of them, unties me and makes mad passionate love to me. When he cums, he has the big Viking ties u, lick the cum from my pussy.
fade to black!

submitted by Professional_Buy2921 to MemoiresdeSarita [link] [comments]


2024.05.08 10:14 ThaiTransgenderSurg Unveiling the Surgical Mastery of Dr. Theerapong Poonyakariyagorn: A Pioneering Force in Plastic Surgery

Unveiling the Surgical Mastery of Dr. Theerapong Poonyakariyagorn: A Pioneering Force in Plastic Surgery

https://preview.redd.it/a4rbjjugv5zc1.jpg?width=1566&format=pjpg&auto=webp&s=e8097ffd76650b0a8a101d73df5613b8858661ab
With an unwavering commitment to excellence and an eye for aesthetic perfection, Dr. Theerapong Poonyakariyagorn has carved a niche for himself as a preeminent figure in the realm of plastic surgery. As the chief plastic surgeon at Interplast Clinic in Bangkok, his journey spans over two decades, marked by an unrelenting pursuit of surgical finesse and an innate ability to transform visions into reality.

A Prestigious Educational Foundation

Dr. Theerapong's pursuit of knowledge began at the prestigious Chulalongkorn University, where he earned his Doctor of Medicine degree in 1992. This prestigious institution laid the groundwork for his future endeavors, instilling in him a deep reverence for the medical sciences and a steadfast dedication to his craft.

Residency and Specialty Training: Honing the Art of Plastic Surgery

Following his medical education, Dr. Theerapong embarked on a rigorous journey of residency training, immersing himself in the intricate world of plastic and reconstructive surgery. From 1998 to 2000, he honed his skills at the Division of Plastic and Reconstructive Surgery at the renowned King Chulalongkorn Memorial Hospital, where he acquired invaluable hands-on experience and mastered the nuances of this intricate surgical discipline.

International Exposure: Expanding Horizons

Driven by an insatiable thirst for knowledge, Dr. Theerapong sought out opportunities to broaden his horizons and stay abreast of the latest advancements in his field. He actively participated in numerous international conferences, seminars, and workshops, including:
  • The China Conference of Plastic Surgeons in 2002
  • The OSAP Meeting in Shanghai, China, in 2006
  • The Art of Rhinoplasty in San Francisco, USA, in 2006
  • The Cutting Edge of Aesthetic Surgery Symposium in New York, USA, in 2011
  • The International Society of Aesthetic Plastic Surgery (ISAPS) conference in Rio de Janeiro, Brazil, in 2014
These global exposures not only expanded his knowledge base but also provided him with invaluable opportunities to exchange ideas and collaborate with renowned experts from around the world.

Certifications and Memberships: A Testament to Expertise

Dr. Theerapong's dedication to his craft is further exemplified by the prestigious certifications and memberships he holds. He is certified by the Society of Aesthetic Plastic Surgeons of Thailand and is an active member of the International Society of Aesthetic Plastic Surgery (ISAPS), the leading international body of board-certified plastic surgeons.

Surgical Prowess: A Repertoire of Transformative Procedures

With a repertoire that encompasses a wide array of transformative procedures, Dr. Theerapong has established himself as a master in the art of aesthetic enhancement. His areas of expertise include:

Facial Rejuvenation

  • Facelift
  • Neck Lift
  • Facial Fat Transfer
  • Facial Fat Liposuction
  • Forehead Augmentation
  • Jaw Augmentation
  • Cheekbone Augmentation and Reduction
  • Ear Correction

Eye Rejuvenation

  • Lower Blepharoplasty (Eyelid Surgery)
  • Upper Blepharoplasty
  • Tear Trough Surgery

Nasal Reshaping

  • Rhinoplasty
  • Alarplasty

Lip Enhancement

  • Lip Reduction
  • Lip Augmentation
  • Lip Lift Surgery

Chin Contouring

  • Chin Augmentation
  • Chin Liposuction

Breast Procedures

  • Breast Augmentation Surgery
  • Breast Lift
  • Breast Reduction
  • Breast Capsulectomy
  • Breast Implant Removal
  • Nipple Reduction
  • Areola Reduction

Body Contouring

  • Liposuction
  • Abdominoplasty (Tummy Tuck)
  • Belt Lipectomy
  • Fleur-de-Lis Abdominoplasty
  • Reverse Abdominoplasty
  • Bra-Line Back Lift
  • Sexy Line Surgery
  • Arm Lift
  • Thigh Lift

Buttock Enhancement

  • Butt Lift
  • Butt Augmentation

Women's Intimate Surgery

  • Labia Reduction
  • Hymenoplasty
  • Clitoral Hood Reduction

Men's Cosmetic Surgery

  • Penis Enlargement
  • Premature Ejaculation Treatment
  • Male Breast Reduction
  • Six-Pack Surgery
  • Penis Curvature Correction
  • Frenuloplasty
  • Orchidectomy
  • Scrotal Lift
  • Pectoral Etching
  • Penis Lengthening
  • Pectoral Implants
  • Testicular Implant

Gender Affirmation Surgery

  • MTF Sigmoid Colon Vaginoplasty
  • Revised Sigmoid Colon Vaginoplasty
  • Peritoneal Pull-Through Vaginoplasty
  • Scrotal Skin Grafting Technique
  • Labiaplasty
  • FTM Mastectomy

Non-Surgical Treatments

  • Botulinum Toxin (Botox) Injections
  • Dermal Fillers
With each procedure, Dr. Theerapong's meticulous attention to detail and artistic vision culminate in natural-looking, harmonious results that enhance his patients' confidence and overall well-being.

A Commitment to Continuous Learning and Growth

Dr. Theerapong's dedication to his craft extends beyond the operating room. He actively participates in various international conferences, seminars, and workshops, ensuring that he remains at the forefront of the latest advancements and techniques in plastic surgery. Some of his recent engagements include:
  • The BBB 2016 - Bottis' Best Breast in Salo, Italy
  • The BBF 2017 - Bottis' Best Face Interactive Facial Rejuvenation Course in Salo, Italy
  • The International Society of Aesthetic Plastic Surgery (ISAPS) conference in Kyoto, Japan, in 2016
  • The Forum of Adipose Tissue And Stem Cell Congress in Bangkok, Thailand, in 2017
  • The Innovations And Challenges In Plastic And Aesthetic Surgery conference in Bangkok, Thailand, in 2017
  • The International Society of Aesthetic Plastic Surgery (ISAPS) conference in Florida, USA, in 2018
By actively participating in these events, Dr. Theerapong not only stays abreast of the latest techniques and advancements but also contributes to the collective knowledge and progress of the plastic surgery community.

A Holistic Approach to Patient Care

Dr. Theerapong's practice is built on a foundation of compassion, trust, and a deep understanding of his patients' unique needs and aspirations. He takes the time to listen to each individual's concerns, carefully evaluating their goals, and tailoring his approach to achieve the most natural and harmonious results possible.
Recognizing the importance of a comprehensive support system, Dr. Theerapong and his team at Interplast Clinic provide personalized guidance and resources to their patients throughout their surgical journey. This includes:
  • Detailed pre-operative consultations and evaluations
  • Comprehensive surgical planning and preparation
  • Meticulous surgical execution with a focus on safety and precision
  • Attentive post-operative care and follow-up
  • Nutritional and lifestyle guidance for optimal healing and long-term well-being
By fostering an environment of trust, transparency, and open communication, Dr. Theerapong ensures that his patients feel empowered, informed, and supported every step of the way.

A Legacy of Excellence and Artistry

With over 20 years of experience and a portfolio boasting more than 20,000 successful cosmetic surgery cases, Dr. Theerapong Poonyakariyagorn has solidified his reputation as a true master of his craft. His unwavering dedication to excellence, coupled with his artistic vision and technical prowess, has earned him the respect and admiration of patients and peers alike.
As he continues to push the boundaries of aesthetic enhancement, Dr. Theerapong remains steadfast in his commitment to providing exceptional care, achieving transformative results, and empowering individuals to embrace their unique beauty with confidence and self-assurance.
For more information you can contact us on Whatsapp, Line, Viber, or Telegram: 065 884 9928
Email: thailandtransgendersurgery@gmail.com, bangkokmedicalhealthwellness@gmail.com
Website: https://thailandtransgendersurgery.com and https://bangkokthailandplasticsurgery.com

submitted by ThaiTransgenderSurg to bangkokthaisurgery [link] [comments]


2024.05.06 13:03 confessthestress The BURNING, has it ever gone away for anyone for good?

I need some encouragement here. I just took 10 days of doxi + 1.5g of azi, and 5 days later = metronidazole 2g for a coinfection (gardnerella).
I also took 12 days of polygynax for another coinfection (strep).
Day after Azithromycin, I had a TERRIBLE flare of symptoms. Two days later, ALL my symptoms were GONE... for three days.
For the past few days, they've been back.
I have some urgency to pee, and itching. my main symptom tho is burning on my clitoral hood and outer labia, as well as vaginal opening. My vagina also feels swollen to the touch. No weird or smelly discharge, no lesions or anything I can see.
I'm to retest on Friday to see if there were any changes in my viral load, and then do a TOC EO May.
I've been so hopeful. I've been posting my journey here as it has been happening. I'm taking probiotics, using suppositories and vagitories, including boric acid and baking soda baths. It seemed to be working. I was at 80%. And now, as soon as I'm off antibiotics, I'm bad again.
I'm so scared that means the antibiotics didn't work, or I should have taken more of them. Why would my symptoms come back only a few days later? Wouldn't the progress be slower? Did this bug repopulate overnight?
Are there any stories of people specifically having the BURNING come and go before eventually going away for good?
Is this expected? Normal?
For those of you who had the burn, did you ever have pain free sex again? I hadn't had sex since March 15. I'm in a new relationship. I got this from a ONS early february :(
I'm so scared that my sex life is over for good. I'm only 27...
submitted by confessthestress to Ureaplasma [link] [comments]


2024.05.04 15:17 The_trans_kid Consultation with the Lubos clinic

So, I had my consultation with the Lubos clinic yesterday. I think the wait time was about 6 months but I had to have it rescheduled ,so about 8 months ish. I had my consultation with Dr. Merz. Ideally I would've wanted it with Oliver Markovsky but I figured this would work just as well. Me and my support person are from Denmark so there's roughly a 10-12 hour drive from Denmark to Munich so we turned it into a road trip which was really nice.
We slept at a hotel in Pasing the day before and went to the clinic. It took a second to find the clinic, it's on a corner in the city and looks pretty nice. They got this wood floor and wide stairs with wide steps, overall a nice building. My appointment was at 9am and when we got there we had to fill out some consent forms, you know some basic stuff like that they're allowed to read your medical stuff etc. Around 9:30am I got to talk to the Dr. Merz. Firstly he asked me some basic questions about where i live, if i'm right or left handed, insurance etc. Then showed me this presentation with pictures and went over the basic steps of it all.
Typically the first surgery would consist of making the ā€œKlitpenā€ as they call it and UL (Similar to metoidioplasty) as well as removing everything inside (hysterectomy, v-nectomy etc.) Altho I don't want v-nectomy or hysto, just ovaries removed. Altho he recommended I get my fallopian tubes removed as well because of cancer risks and such.
Plus/minus fallopian tubes doesn't make a whole lot of difference to me. Then in the second surgery would be where they take the skin graft itself, from the arm (RFF) or thigh (ALT) I asked and they only do those two methods, and yes they only do these two methods. And then he describes something I don't think I've heard before. Theyā€™d more or less invert the Klitpen and have it re-emerge higher up than it was previously located.
The doc was impressed at how fast I understood that btw, he said it took him longer to understand how that works, which ofc made me kinda happy ā˜ŗļø Ive been researching this stuff for what, almost 4 years at this point. But the best way I can describe it is after the Klitpen has been inverted and re-emerges higher up that's when they connect everything together with the graft as well as UL.
To my understanding doing UL with the klitpen first makes this whole inversion process easier (I think?) When they connect everything they do a nerve hook-up with the clitoral nerve and this other nerve called v. ilioinguinal nerve.
After that the third surgery is glansplasty and scrotoplasty. I asked about VY scrotoplasty vs Bifid and Dr. Merz said they do whichever fits my anatomy best. Basically if they can tell one would work better than the other they'll do whichever is best for the individual. On one hand I really want bifid scrotoplasty but it's also somewhat comforting to know if that wouldn't give me a good outcome that they wouldn't do that just because I said so. But he did say I could make requests, so if I really want bifid they'll see what they can do.
The fourth surgery is the erectile implant, and like Dr. Liedl at Planegg they recommended the pump over the rod but it sounded like they could do either. He also mentioned a Belgian study that showed the pump usually breaks after ~5 years rather than 10 years as they used to think. So it is something I'd need replaced. I asked him loads of questions and I wrote down as much as possible.
I asked about the expected size and he said the graft they take is ~15 cm or 16 cm but that usually most end up with ~12 cm because there's some hormone in the skin that makes it shrink. But he also said cis German men have about 13 cm on average so I wouldn't stand out. In terms of the diameter the expected size is 3,5cm so ~10.9cm circumference.
The waiting time from you show up with the indication letter ( which is all they need to proceed ) is about 6 months. They do accept if someone wanted/could pay out of pocket but but it seemed very much like they'd prefer Insurance. As for costs, I got an email from them a couple hours after leaving the clinic detailing everything in terms of costs. Altho in german ( I'm not that good at German yet so I don't understand it ) but I can read the numbers.
The first surgery aka the Klitpen comes to about ā‚¬15,5k. The second surgery is ā‚¬30,7k aka the creation of the phallus itself. the third surgery is ā‚¬10,5k and the fourth surgery aka the erectile implant is ā‚¬16,2k. So all costs would be around ~ā‚¬73k total. I got my support person to translate some of the basics and it says those are the average prices and that it can change based off of the person. So for example if you have complications it can easily get more expensive.
It also said self-paying folks need to have the money up-front for each surgery. So not the full 73k but for each individual surgery. Also that when you don't have insurance certain stuff will be different. I also asked him about UL and grafts and how they usually take some part of the vaginal canal and use it for UL, which he confirmed they did.
But he said if I wanna keep my vaginal canal then they generally wouldn't do that and using the minora instead was fine. He also confirmed that after the surgeries and such penetration might not be possible and that they could do a surgery to try to open it up a bit if that's something I'd want but that even with the surgery to open it up more it's not a guarantee.
In terms of post-OP sensation he said that in the phallus there would always be most sensation where the klitpen was burried. ( we also briefly talked about the term ā€œburriedā€ he thought it sounded so tragic lol ) in terms of where the skin graft, he explained after they've taken the skin from the arm they'll take a strip of skin from the stomach and put over the donor site ( that's what I believe its called anyway)
Then they'll sew stuff together and basically to my understanding you'd loose some belly from it. The scar you'd get from the skin they take from the belly would be a line on the belly in a place where your swim trunks would cover them according to Dr. Merz. Personally I'm okay with that. I've been considering getting a tattoo in that area anyway.
As for recovery time, I didnt get a clear answer cause he said it'd be in the email ( it wasn't ) but from what I remember I think he said you might expect to stay in the hospital for up to a week or two depending on which surgery you get. On one of the slides he showed it said there's about 6-12 months between each surgery ( so if there's 4 surgeries total excluding compilation that means it takes between 2-4 years from first surgery till you're finished )
I also asked about medical tattooing and he said that's not something they do or cover, and he believed insurance wouldn't cover it either. He didn't know any clinics to go to etc. all he could say is that you should probably wait 1-2 years before getting medical tattooing (on your phallus).
Dr. Merz also said they do about 140-150 phalloplasties per year and showed some statistics and damn it looked good. In terms of satisfaction most gave it an 8, 9 or 10 (in that order) and there was no one who gave it a score under 4. In terms of sensation ~40% of people had 20-50% sensation and ~35% had 50% or more.
In terms of satisfaction with orgasm ~30% gave it a 10, ~17% gave it an 8 and ~16% gave it a 9. Very few gave anything below that. In terms of problems with peeing almost 60% never had issues with peeing and less than 15% had occasionally and even less percentage of people had it often.
I think that's all the info. I'll make an edit if there's anything I remember.
After the consultation I only had to pay ā‚¬50 because I asked for some papers but I don't think the consultation itself cost anything? If it does I haven't been billed yet at least. That's all for now. Hope it's helpful to y'all. I also wrote a post about how it was to go and see Dr. Liedl at Planegg if you wanna read that, link to it here
If there's anything I didn't cover that you'd want to know, feel free to ask, I'll try to answer as well as I can.
submitted by The_trans_kid to germantrans [link] [comments]


2024.05.04 15:14 The_trans_kid Consultation with the Lubos clinic (Germany) [FTM specific]

So, I had my consultation with the Lubos clinic yesterday. I think the wait time was about 6 months but I had to have it rescheduled ,so about 8 months ish. I had my consultation with Dr. Merz. Ideally I would've wanted it with Oliver Markovsky but I figured this would work just as well. Me and my support person are from Denmark so there's roughly a 10-12 hour drive from Denmark to Munich so we turned it into a road trip which was really nice.
We slept at a hotel in Pasing the day before and went to the clinic. It took a second to find the clinic, it's on a corner in the city and looks pretty nice. They got this wood floor and wide stairs with wide steps, overall a nice building. My appointment was at 9am and when we got there we had to fill out some consent forms, you know some basic stuff like that they're allowed to read your medical stuff etc. Around 9:30am I got to talk to the Dr. Merz. Firstly he asked me some basic questions about where i live, if i'm right or left handed, insurance etc. Then showed me this presentation with pictures and went over the basic steps of it all.
Typically the first surgery would consist of making the ā€œKlitpenā€ as they call it and UL (Similar to metoidioplasty) as well as removing everything inside (hysterectomy, v-nectomy etc.) Altho I don't want v-nectomy or hysto, just ovaries removed. Altho he recommended I get my fallopian tubes removed as well because of cancer risks and such.
Plus/minus fallopian tubes doesn't make a whole lot of difference to me. Then in the second surgery would be where they take the skin graft itself, from the arm (RFF) or thigh (ALT) I asked and they only do those two methods, and yes they only do these two methods. And then he describes something I don't think I've heard before. Theyā€™d more or less invert the Klitpen and have it re-emerge higher up than it was previously located.
The doc was impressed at how fast I understood that btw, he said it took him longer to understand how that works, which ofc made me kinda happy ā˜ŗļø Ive been researching this stuff for what, almost 4 years at this point. But the best way I can describe it is after the Klitpen has been inverted and re-emerges higher up that's when they connect everything together with the graft as well as UL.
To my understanding doing UL with the klitpen first makes this whole inversion process easier (I think?) When they connect everything they do a nerve hook-up with the clitoral nerve and this other nerve called v. ilioinguinal nerve.
After that the third surgery is glansplasty and scrotoplasty. I asked about VY scrotoplasty vs Bifid and Dr. Merz said they do whichever fits my anatomy best. Basically if they can tell one would work better than the other they'll do whichever is best for the individual. On one hand I really want bifid scrotoplasty but it's also somewhat comforting to know if that wouldn't give me a good outcome that they wouldn't do that just because I said so. But he did say I could make requests, so if I really want bifid they'll see what they can do.
The fourth surgery is the erectile implant, and like Dr. Liedl at Planegg they recommended the pump over the rod but it sounded like they could do either. He also mentioned a Belgian study that showed the pump usually breaks after ~5 years rather than 10 years as they used to think. So it is something I'd need replaced. I asked him loads of questions and I wrote down as much as possible.
I asked about the expected size and he said the graft they take is ~15 cm or 16 cm but that usually most end up with ~12 cm because there's some hormone in the skin that makes it shrink. But he also said cis German men have about 13 cm on average so I wouldn't stand out. In terms of the diameter the expected size is 3,5cm so ~10.9cm circumference.
The waiting time from you show up with the indication letter ( which is all they need to proceed ) is about 6 months. They do accept if someone wanted/could pay out of pocket but but it seemed very much like they'd prefer Insurance. As for costs, I got an email from them a couple hours after leaving the clinic detailing everything in terms of costs. Altho in german ( I'm not that good at German yet so I don't understand it ) but I can read the numbers.
The first surgery aka the Klitpen comes to about ā‚¬15,5k. The second surgery is ā‚¬30,7k aka the creation of the phallus itself. the third surgery is ā‚¬10,5k and the fourth surgery aka the erectile implant is ā‚¬16,2k. So all costs would be around ~ā‚¬73k total. I got my support person to translate some of the basics and it says those are the average prices and that it can change based off of the person. So for example if you have complications it can easily get more expensive.
It also said self-paying folks need to have the money up-front for each surgery. So not the full 73k but for each individual surgery. Also that when you don't have insurance certain stuff will be different. I also asked him about UL and grafts and how they usually take some part of the vaginal canal and use it for UL, which he confirmed they did.
But he said if I wanna keep my vaginal canal then they generally wouldn't do that and using the minora instead was fine. He also confirmed that after the surgeries and such penetration might not be possible and that they could do a surgery to try to open it up a bit if that's something I'd want but that even with the surgery to open it up more it's not a guarantee.
In terms of post-OP sensation he said that in the phallus there would always be most sensation where the klitpen was burried. ( we also briefly talked about the term ā€œburriedā€ he thought it sounded so tragic lol ) in terms of where the skin graft, he explained after they've taken the skin from the arm they'll take a strip of skin from the stomach and put over the donor site ( that's what I believe its called anyway)
Then they'll sew stuff together and basically to my understanding you'd loose some belly from it. The scar you'd get from the skin they take from the belly would be a line on the belly in a place where your swim trunks would cover them according to Dr. Merz. Personally I'm okay with that. I've been considering getting a tattoo in that area anyway.
As for recovery time, I didnt get a clear answer cause he said it'd be in the email ( it wasn't ) but from what I remember I think he said you might expect to stay in the hospital for up to a week or two depending on which surgery you get. On one of the slides he showed it said there's about 6-12 months between each surgery ( so if there's 4 surgeries total excluding compilation that means it takes between 2-4 years from first surgery till you're finished )
I also asked about medical tattooing and he said that's not something they do or cover, and he believed insurance wouldn't cover it either. He didn't know any clinics to go to etc. all he could say is that you should probably wait 1-2 years before getting medical tattooing (on your phallus).
Dr. Merz also said they do about 140-150 phalloplasties per year and showed some statistics and damn it looked good. In terms of satisfaction most gave it an 8, 9 or 10 (in that order) and there was no one who gave it a score under 4. In terms of sensation ~40% of people had 20-50% sensation and ~35% had 50% or more.
In terms of satisfaction with orgasm ~30% gave it a 10, ~17% gave it an 8 and ~16% gave it a 9. Very few gave anything below that. In terms of problems with peeing almost 60% never had issues with peeing and less than 15% had occasionally and even less percentage of people had it often.
I think that's all the info. I'll make an edit if there's anything I remember.
After the consultation I only had to pay ā‚¬50 because I asked for some papers but I don't think the consultation itself cost anything? If it does I haven't been billed yet at least. That's all for now. Hope it's helpful to y'all. I also wrote a post about how it was to go and see Dr. Liedl at Planegg if you wanna read that, link to it here
If there's anything I didn't cover that you'd want to know, feel free to ask, I'll try to answer as well as I can.
submitted by The_trans_kid to transnord [link] [comments]


2024.05.02 02:24 KheMysteryx Cysts on Labia Minora?

Iā€™m literally looking for anyone else that may be going through the same thing as me. Iā€™m 30, soon to be 31. As a teenager, around ā€œthat time of the monthā€, sometimes Iā€™d get a pea sized lump ā€œdown thereā€, but it would eventually subside and I wouldnā€™t get another one for maybe 6-8 months. However, this past year, it has been nonstop. It seems like it doesnā€™t matter where Iā€™m at, in my cycle, I KEEP cysts. Sometimes there are multipleā€”on my labia minora, on my clitoral hood, etc. They swell and become large and painful, they itch and it is super uncomfortable sitting, walking, anything! I went to the gynecologist last month about it. The LPN just KNEW it was HSV (Herpes). I was poked and prodded, swabbed for HSV and they sent a swab off to be cultured for a possible bacterial infection as well. At my follow up, I was informed that I was HSV negative, and that the bacterial swab showed normal flora and no infection. However, I was put on cephalexen for 7 days. A few days later, I had a dermatology appointment for perioral dermatitis, where I was prescribed Doxycycline Hyclate (oral) for a month. Between these two medications, EVERYTHING down there cleared up. I couldnā€™t believe it.. I was pain free, no itching, I could go back to shaving without being scared of nicking something, and I felt comfortable during sexā€”being fingered and touched, in general.
Fast forward a month, after about a month of relief, here we are again.. a large, painful cyst on my labia minora. I just got off the phone with Teladoc, and theyā€™re prescribing me Doxycyline to take again. My concern, is that doxy is an antibiotic. I cannot take this long term. Has anyone been diagnosed with Fordyce adenitis (what I believe it to be), and if so, what type of treatment are you on for it?
This is getting out of hand. I just want the cysts to go away and never come back. Iā€™ve switched to Dove gentle cleanser, I donā€™t use baby wipes down there, and I even stopped using my vibrator.
Thanks in advance. šŸ™ƒ
submitted by KheMysteryx to Healthyhooha [link] [comments]


2024.04.29 19:22 rockyblasphm I know itā€™s unlikely, gonna test tonight after work so I calm down but thatā€™s another 5.5 hrs

Super TMI but this is the ā€˜do I have a cumpetā€™ sub.
Last time we did anything that could result in a child was April 8th.
Iā€™m on birth control and Iā€™ll admit, Iā€™m not like, the Micheal Jordan of taking my birth control. Iā€™m mainly on it to skip periods which usually only kinda works for me? I believe may have successfully skipped a single period this way. Theyā€™re usually shortish and extremely heavy (two days of spotting, one normal/lite, one where I can bleed through 1 normal flow tampon per hour, false stop, then a normal flow last huzzah)
Anyways around the 11th - 27th I experienced ??? Old blood discharge and extremely light and occasional bright pink spots but never a full period or anything heavy enough to warrant busting out a pad? This has finally stopped. I did also stop taking the birth control, and to my surprise wasnā€™t hit with a mega-Godzilla-period like I was the last time I stopped taking my birth control after using it to skip.
Iā€™ve also had these weird urethral flutters but when I tried to google it, google made me feel like I was having a unique experience since all I found was stuff about painful bladder spasms that make you pee yourself. These didnā€™t hurt or even feel unpleasant, just jarring. Like they werenā€™t clitoral throbs or anything like that, and i didnā€™t pee myself when they happened? I donā€™t know.
Plus more frequent headaches, aches in general, and I had some nausea this morning but not enough to really raise the alarms over yknow?
Anyways thank you to anyone who reads this Iā€™ve been anxious and scared for a bit and I finally had the courage to talk about it with my partner this morning and he think weā€™re fine but Iā€™m still feeling so scared.
submitted by rockyblasphm to amipregnant [link] [comments]


2024.04.27 07:04 Dead-fog-666 Rant/blood thickeners?

I feel like I'm being punished. After multiple miscarriages, my hopes aren't broken but now after two months of trying and not conceiving, (no misscarages in this month, so 2 months after last miscarriage was over) I got my period and IT NEVER STOPPED. ive been bleeding and cramping and bleeding for literally 2 months straight. I am so tired of this, I can't even have sex for fun, let alone to make a baby. God I want to be able to have an orgasm so bad but every time I do (clitoral stimulation or if I end up caving and having sex) It's fallowed by pain and cramping and heavier bleeding the next day. Like just when u think it's gunna taper off and stop, it comes back with a bright red fiary vengeance! I went to my ob, and she hasn't done any tests on me yet, and prescribed me blood thickeners. I haven't taken them because honestly the thought of any of those side effects or complications she mentioned scare me, plus they are HUGE and chalky and I'm totally gunna choke. Plus, how you gunna prescribe me something to stop the bleeding when YOU DONT KNOW WHY IM BLEEDING? I just want this to stop. Idk man. This sucks. I'm tired of bleeding. I want my life back. I want to not be in pain, I want to be able to have sex, I want to be able to make a baby.
submitted by Dead-fog-666 to tryingtoconceive [link] [comments]


2024.04.26 19:44 MotherPerception Vaginal pain after taking aderall?

I(24) just started my first dose of adderall of 10mg and on day two. I noticed a cramp-like ache in my lower abdomen last night, but didnā€™t think much of it as my period is a couple days away. Then today the cramp feeling came back and I felt like I was bleeding so I checked and not even a faint spot of red showed as I wiped and now Iā€™m starting to have sharp pains in my clitoral area. On a scale of one to 10 itā€™s like a 7 and it comes and goes. I donā€™t think I have a yeast infection or uti as I havenā€™t had sex or I donā€™t wear tight clothes and avoid uncomfy underwear. Cotton only. I donā€™t use any fragrance products that donā€™t belong down there either Has any other ladies on adderall experienced something similar to this?
submitted by MotherPerception to adhdwomen [link] [comments]


2024.04.23 17:52 justmeasking5678 Healing process of PID?

Age: 31 Gender: female Weight: 55 kg Height: 165 cm
I was diagnosed with PID 2,5 weeks ago after having weird symptoms for 14 days. The cause was not an STD. Did several swabs within those weeks and everything came back negative. The OBGYN said that my IUD made the infection worse probably but that I had just bad luck getting this and I did nothing wrong. Got prescribed an antibiotics course of 14 days (doxicyclin and flagyl) which ended last thursday. In two days I will go back to the OBGYN (she wanted to see me because she was a bit worried), she told me there might be a possibility that sheā€™s gonna take the IUD out. The symptoms got a lot better with the antibiotics but I still have mild pain in my uterus every other day. Is this normal or does this mean the infection is not healed yet? Some days I still have an urgency to pee more, while on other days it seems like itā€™s gone.
Of course my bf and I didnā€™t have sex for the past three weeks, I want to wait for the doctors approval, and I was wondering if there where people who had PID and when they were able to have sex again and if it hurt? Iā€™m just worried Iā€™m gonna have lasting effects from it. I did masturbate (only clitoral) which felt completely ok in the moment but the day after I got cramping in my lower abdomen again. Is this normal? It almost feels like my pelvic muscles are too tight. Itā€™s really hard to distinguish where the pain is coming from exactly. Did I do something wrong with masturbating?
Does anyone have experience with the healing process of PID? I know I can ask the OBGYN in two days but I canā€™t stop worrying that I will never be normal again and have problems in my sex life for a long time, or have problems conceiving.
submitted by justmeasking5678 to AskDocs [link] [comments]


2024.04.23 17:50 justmeasking5678 Healing process of PID?

I was diagnosed with PID 2,5 weeks ago after having weird UTI symptoms for 14 days. The cause was not a STD. Did several swabs within those weeks and everything came back negative. The OBGYN said that my IUD made the infection worse probably but that I had just bad luck getting this and I did nothing wrong. Got prescribed an antibiotics course of 14 days (doxicyclin and flagyl) which ended last thursday. In two days I will go back to the OBGYN, she told me there might be a possibility that sheā€™s gonna take the IUD out. The symptoms got a lot better with the antibiotics but I still have mild pain in my uterus every other day. Is this normal or does this mean the infection is not healed yet? Some days I still have an urgency to pee more, while on other days it seems like itā€™s gone.
Of course my bf and I didnā€™t have sex for the past three weeks or so, I want to wait for the doctors approval, and I was wondering if there where people who had PID and when they were able to have sex again and if it hurt? Iā€™m just worried Iā€™m gonna have lasting effects from it. I did masturbate (only clitoral) which felt completely ok in the moment but the day after I got cramping in my lower abdomen again. Is this normal? It almost feels like my pelvic muscles are too tight. Itā€™s really hard to distinguish where the pain is coming from exactly.
Does anyone have experience with the healing process of PID? I know I can ask the OBGYN in two days but I canā€™t stop worrying that I will never be normal again and have problems in my sex life for a long time, or have problems conceiving.
submitted by justmeasking5678 to WomensHealth [link] [comments]


2024.04.23 17:47 justmeasking5678 How long for PID symptoms to go away

I was diagnosed with PID 2,5 weeks ago after having weird symptoms for 14 days. The cause was not a STD. Did several swabs within those weeks and everything came back negative. The OBGYN said that my IUD made the infection worse probably but that I had just bad luck getting this and I did nothing wrong. Got prescribed an antibiotics course of 14 days (doxicyclin and flagyl) which ended last thursday. In two days I will go back to the OBGYN, she told me there might be a possibility that sheā€™s gonna take the IUD out. The symptoms got a lot better with the antibiotics but I still have mild pain in my uterus every other day. Is this normal or does this mean the infection is not healed yet? Some days I still have an urgency to pee more, while on other days it seems like itā€™s gone.
Of course my bf and I didnā€™t have sex for the past three weeks or so, I want to wait for the doctors approval, and I was wondering if there where people who had PID and when they were able to have sex again and if it hurt? Iā€™m just worried Iā€™m gonna have lasting effects from it. I did masturbate (only clitoral) which felt completely ok in the moment but the day after I got cramping in my lower abdomen again. Is this normal? It almost feels like my pelvic muscles are too tight. Itā€™s really hard to distinguish where the pain is coming from exactly.
Does anyone have experience with the healing process of PID? I know I can ask the OBGYN in two days but I canā€™t stop worrying that I will never be normal again and have problems in my sex life for a long time, or have problems conceiving.
submitted by justmeasking5678 to Healthyhooha [link] [comments]


2024.04.23 03:44 dharmawheelies Vagina suddenly loose and numb with no expiation

Explanation* sorry, was crying haha
Hey friends,
I (32F) am in total despair over this.
About four months ago during sex with someone I still see, I noticed that I didnā€™t feel my vaginaā€™s usual resistance when he entered me. I then realized I felt mostly numb internally too. Not exactly nothing, but noticeably dulled sensations and very little pleasure. It hasnā€™t gotten any better and he eventually admitted he can definitely feel that Iā€™m ā€œlooserā€ than when we had first started sleeping together two months earlier.
It hasnā€™t improved and itā€™s all I can think about. That Iā€™m undesirable and this is the end of my own sexual pleasure. I feel embarrassed, unattractive. My self-esteem is in the pits and I hesitate to have sex and am self-conscious the entire time I do. I know that I have value far beyond this, but itā€™s a major loss. Iā€™m sharing some facts below in case anyone might have some guidance or advice about how to fix this. Iā€™d be grateful as Iā€™m at my wits end.
Iā€™m devastated and donā€™t know what to do or try next. Any insights are appreciated and to anyone else who may be experiencing this, youā€™re not alone. There must be hope.
Thanks, big hug <3
submitted by dharmawheelies to Healthyhooha [link] [comments]


2024.04.22 09:27 Infamous-Guest-5088 i canā€™t orgasm/c*m

Hey (F) here and if you saw the title, i cannot ā€œfinishā€. i have had 4ish partners in my life. i like everyone. Iā€™ve done stuff with two girls, and three boys. All of them were pretty good experiences. Iā€™m also currently in a relationship if that matters. My current boyfriend now is absolutely amazing. All of my partners i was able to get pleasure out of but never able to finish.. i thought one time i squirted but i think it was just pee:/. which is embarrassing on my end. i have multiple toys one being a dildo (7.8in), and a vibrator with an internal piece built in. iā€™m a huge fan of clitoral stimulati on but when itā€™s happening i have to stop myself or my partner because it feels too good and iā€™m getting too loud. i as well have that experience with doggy style. i know im going be too loud so i make him stop.. maybe those two things are what i just need to do and let it out? but i physically cant itā€™s not that it hurts it just feels too good, i dont know if anyone can relate to that. iā€™ve heard itā€™s weird i cant finish if i can still feel really good pleasure. i was on meds for awhile but even before that i still couldnā€™t cum. recently i have just gotten off them just in case but thereā€™s no luck. i also know itā€™s definitely not a mental thing because when iā€™m having inter course or touching myself iā€™m not focused on it and i donā€™t stress it. but me having a partner now iā€™m tired of not being able to. i donā€™t want him to think heā€™s doing something wrong because trust me heā€™s not but what is wrong with me. i think im just broken forever and i have to deal with and accept it.
submitted by Infamous-Guest-5088 to sexeducation [link] [comments]


2024.04.22 09:27 Infamous-Guest-5088 I canā€™t orgasm/c*m

Hey (F) here and if you saw the title, i cannot ā€œfinishā€. i have had 4ish partners in my life. i like everyone. Iā€™ve done stuff with two girls, and three boys. All of them were pretty good experiences. Iā€™m also currently in a relationship if that matters. My current boyfriend now is absolutely amazing. All of my partners i was able to get pleasure out of but never able to finish.. i thought one time i squirted but i think it was just pee:/. which is embarrassing on my end. i have multiple toys one being a dildo (7.8in), and a vibrator with an internal piece built in. iā€™m a huge fan of clitoral stimulati on but when itā€™s happening i have to stop myself or my partner because it feels too good and iā€™m getting too loud. i as well have that experience with doggy style. i know im going be too loud so i make him stop.. maybe those two things are what i just need to do and let it out? but i physically cant itā€™s not that it hurts it just feels too good, i dont know if anyone can relate to that. iā€™ve heard itā€™s weird i cant finish if i can still feel really good pleasure. i was on meds for awhile but even before that i still couldnā€™t cum. recently i have just gotten off them just in case but thereā€™s no luck. i also know itā€™s definitely not a mental thing because when iā€™m having inter course or touching myself iā€™m not focused on it and i donā€™t stress it. but me having a partner now iā€™m tired of not being able to. i donā€™t want him to think heā€™s doing something wrong because trust me heā€™s not but what is wrong with me. i think im just broken forever and i have to deal with and accept it.
submitted by Infamous-Guest-5088 to sexadvise [link] [comments]


2024.04.06 21:03 AstralCryptid420 I went from severe to mild PSSD in 7 months

I quit 10mg of Prozac on July 26th after taking it for six weeks. Cold turkey because it gave me mania, I was on it for OCD. On August 28th, my genitals went completely numb, my whole groin felt anesthetized, and I had no access to my emotions. I had complete anhedonia and severe panic attacks. I couldn't empathize with others and I felt completely disconnected from friends and family, even my adorable two year old niece. I had DP/DR really bad and the numbness extended to other parts of my body, mostly my thighs and toes. My clit would not get hard at all and it had a weird texture. It was very pale and retracted. I was drier than the Atacama desert. I never had complete anorgasmia, but my orgasms were next to nothing, I couldn't feel them at all and I could only have one with a vibrator in one position. No libido, just the urge to keep "fap checking" as you say. Weed wasn't fun anymore, but I could still feel high. My brain felt like a block of wood and my memory was shot. It was almost like I had amnesia. Aphantasia.
The OCD was gone, but at what cost?
I never had sexual dysfunction, anhedonia, or emotional blunting in my life. I was a horny little pleasure machine who didn't like to kill stuff in video games because it made me feel bad.
I had an incredible, yet brief window in September from smoking weed while drinking a full up of coffee. Ever since I did that, I got windows. (DO NOT DO THIS, THIS HAS CRASHED PEOPLE SEVERELY) This has kept me going. I get windows that are two weeks long after I menstruate that were mostly about sensation and emotion. I was waiting for such a window to write this.
I had ups and downs, a couple crashes from things like taking too much vitamin D, drinking caffeine for a few days in a row, and deciding to smoke weed again. I caught covid and had a massive crash from that, but I completely recovered from it.
My depersonalization/derealization was the first symptom to go, it was 90% gone by January. (although I have DP/DR from physical and verbal abuse as a child, but I never experienced months of disassociation like this) Right around that time, I started getting icy, zappy sensations in my forehead and left cheek. I got the same sensations on my thighs and in my vagina later. When the persistent DP/DR lifted, a lot of my mental and emotional symptoms improved.
Next, my anhedonia started to lift as well. I had horrible musical anhedonia, which was really sad to me because I loved music so much and it brought me so much pleasure. I started to notice frission (music chills) while I was watching TV and there was a good song in the show. I was getting into the stuff I was watching and I was finally able to absorb it. I started playing my favorite game again. I can't feel music with the same intensity as before yet, but it is increasing all the time.
I still have some emotional blunting, but it's definitely less. I feel connected to the people I love again and I cry if I think about killing myself. But it's like I have the Diet Sprite of emotions when I used to have a full cup of Dr. Pepper. I don't know who I am without emotions, without empathy. My empathy could definitely use more work. I hate being like this, I don't feel like myself yet.
Orgasm gradually improved, but hit a bump when I got covid. I had anorgasmia for a week and then it slowly came back, that was really scary and depressing because it's the only symptom I didn't have. I'd rate them at 6/10 on average now. The feel good brain chemicals are released, there is contraction of my pelvic muscles, but there is something wrong with my sensory nerves and I just can't feel it right.
My clitoris and vagina have regained some sensation and I have a tiny amount of erogenous sensation at baseline, windows go up to 50%. My groin no longer feels anesthetized, but I still have a severe loss of sensation.
In the beginning, my clit and vagina were in really bad shape. My clit was retracted and pale and just felt disgusting to touch. It has since consistently been perky and poking out like it used to, but it's still not as firm as it should be and my clitoral hood also feels loose. I always had a little dent on one side because my labia is asymmetrical and that dent has become super prominent. My vagina on the other hand has gone from being slack and dry to almost completely normal. I'm still missing a little grip strength and wetness, but I wouldn't call it weak, loose, or dry.
Aphantasia is still a problem, but it's decreasing by itself. My brain makes weak flashes of images and I can form a shitty mental picture. I used to be an artist, this was once a strong skill of mine. I hope I can be an artist again, I went into student debt to learn how to draw as well as I do.
I still have almost no libido, but sometimes it shows up. I very much had one yesterday, I masturbated three times and actually felt horny for the first time since September. I would get these brief flashes of arousal when I thought of my friend-with-benefits, but I could never maintain anything. I hope I'm turning a corner with that symptom. Spontaneous arousal still doesn't really happen. But just this week, my FWB opened up about their kinks and we talked about how I could indulge them within my boundaries and that made me horny for the first time in months.
The numbness in my clitoris was so bad I couldn't feel the tip of a sewing needle on it. Now I very obviously can, it's painful again. I'm still missing some pain perception though. I can put my fingertip under my clitoral hood when that used to be too painful. (my clitoral hood also used to be tighter and the tip of my clit was larger)
My clitoral erections are softer than they should be and my clit feels thinner than it should be, but I get clitoral erections more often with my vibrator. I can get wet enough to have penetrative sex, it just wouldn't feel good so I don't bother.
I have been doing a few things to help myself. From the beginning, I was taking walks every day because I read that exercise helps nerve regeneration, and my nerves felt injured. Unfortunately I stopped walking when it started to snow, but I'm back to walking for half an hour every day if the weather permits.
I masturbated at least once every day since like week 3 of this bullshit.
I use a TENS device on my posterior tibial nerve, which increases blood flow to the pelvic area. I'm focusing on things that don't alter me neurochemically, but support blood flow and nerve health. I eat a mostly healthy omnivorous diet. I've been eating beets, which have a ton of nitric oxide and folic acid this week and I have a significant improvement in bloodflow to my clitoris, so I'm looking into beet juice and nitric oxide supplements. I started taking vitamin C for bloodflow, ACE2 upregulation (covid fucks up these cellular receptors) and demethylation as well. I'm also trying to find the right dose of vitamin D that won't crash me so I can treat my deficiency.
I also quit smoking weed, but I did try a little recently and I could feel it more! It was just crumbs from my grinder but I was acceptably high for two hours. It does give me temporary crashes, so I do not smoke and I will not smoke until I am completely healed. I also don't drink because of health issues I have, and I was never a big drinker.
I might add more to this post if I think of something I missed. I think my odds of beating PSSD are good. I'm going to continue with no herbal supplements or anything and just wait. I think I'm still way off from being recovered, I'd consider myself "almost there" if I could orgasm through rubbing my clitoris again. I feel like I'm halfway there, or at least out of the pit.
Update: For all of April 2024 I have felt sudden and massive improvements in anhedonia and emotional blunting and both of those are almost gone! I feel like myself, just a little washed out. A pastel version of me. Diet Coke instead of full sugar Dr. Pepper.
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2024.04.06 09:06 whoopsieididit Treatment so far has made me worse.

Hi folks. Iā€™ve spoken in here recently about how my vulva canā€™t handle clobetasol, and how I was switched to a cream triamcinolone. After using the cream, initially I thought it might be better. It didnā€™t burn, or cause stinging, so I thought maybe I found something to work for me, but I was so wrong. The cream seems to be worsening the problem. Actually, treatment from the very start seems to be worsening the problem. When I initially went into the gynocologist, I hadnā€™t any pain other than clitoral adhesion pain, which they havenā€™t even addressed even though Iā€™ve brought it up many times. Since being diagnosed with LS and put in steroid cream, it has been constant suffering. And my vulva has been looking and feeling worse and worse everyday. Now on top of being bright red, my skin looks so thin that I can see the blue tint of my veins underneath, especially around the clitoris. I canā€™t describe how uncomfortable it feels, but iā€™m sure many of you know. My gynocologist doesnā€™t think I should use a non steroidal cream, and dismisses my concerns about thin skin. She says that lichens already thickens the skin, so the thinning should be fine, but i only have two small patches of lichen. The rest of the skin was healthy (not anymore) and has thinned out due to the steroid cream. Even though I make sure to apply it properly. Iā€™m sorry for the wordy rant. Iā€™m just feeling miserable and hopeless. I feel like iā€™ll never get better. I feel mismanaged. Iā€™m also so conveniently moving out of country in two days. Did anyone else go through this? The thinning skin and the veins are freaking me out.
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2024.04.05 05:06 DrChaileeMossGYN Clitoral Phimosis at the CVVD this week

This week we had several procedures to help patients with clitoral adhesions. Adhesions are attachments or scar tissue between two surfaces that shouldn't connect - in this case the glans clitoris and the hood that covers it. Clitoral adhesions aren't that uncommon in a sexual medicine practice; a study by Dr. Rachel Rubin showed that in a population of patients with sexual medicine concerns (vulvar or vaginal pain conditions or skin disorders) 23% had some evidence of decreased mobility of the hood of the clitoris or coverage of the clitoris.
Many times I see patients with clitoral coverage and don't recommend this procedure; if patients are not having difficulty having an orgasm, diminished orgasm, or pain with clitoral stimulation then the procedure may not confer substantial benefit and any procedure risks discomfort/injury/infection/bleeding. However, sometimes patients will have debris under the clitoris from normal skin sloughing; occasionally this hardens into hard granules called keratin pearls which can be very uncomfortable. Patients may also have shortened/less intense/less satisfying orgasm or difficulty having an orgasm. For patients who have these concerns, they may improve with a short procedure. During the procedure we use numbing medication and a small instrument to separate the clitoral hood from the clitoris. For patients who don't feel comfortable in the office we can also do the procedure under anesthesia.
I also saw patients back this week who recovered from the procedure to uncover their clitoris and it was great to see their improvement in clitoral function/orgasm!
Information on clitoral adhesions:
https://academic.oup.com/smarticle-abstract/11/3/196/7087163
Information on keratin pearls: https://academic.oup.com/jsm/advance-article-abstract/doi/10.1093/jsxmed/qdae034/7632952

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2024.04.03 16:59 Substantial-Fee-5266 Please education me about the pudendal nerve

Thank you for reading! Feel free to skip to the end for the crux of my question. I really appreciate your input.
History: 40yo female with history of moderately-controlled dermatomyositis and ILD. 5ā€™3ā€ 150 lbs.
I have about 70% lung function and Iā€™d estimate my muscle baseline hovers around there too. My CK is generally 400-600, ESR around 25, so never quite all the way in remission.
Meds: 10mg prednisone (this goes up and down), myfortic, rituxumab infusions 2-3x/year, IVIG monthly, prograf. Also sumatriptan prn for headaches.
For the past two years have had chronic uti-like symptoms that have come and gone. Some of them may have initially been true utis, but unclear. Lately my urinalyses have been fine except for small amounts of blood.
Iā€™ve had two ā€œflaresā€ with up to 8/10 pain that feels like it is in my urethra. The first time was last summer and my PCP and I thought it was a kidney stone.
Then another bout of extreme 8/10 pain recently that lasted about it a week, which then diminished to 4-5/10 pain, followed by a few days of the weird st symptom of my life- constant feeling of clitoral pressure/near orgasm. I am finally now experiencing very little pain, but urgency remains.
I now have a urology PA who has indirectly suggested this is psychogenic, which really upsets me because, besides having next to no physical work up as of yet, I am if anything an under-reactor to my complicated medical issues and donā€™t have any psychiatric history. The only tests Iā€™ve had are urinalysis and a bladder ultrasound that shows Iā€™m emptying normally.
I have not even a pelvic exam. I do have a cystoscopy scheduled, but she told me she was sure we wouldnā€™t find anything. Lovely.
My constellation of symptoms to me appear consistent with possible pudendal neuralgia. My symptoms are absent first thing in the morning and get worse throughout the day, and worse when sitting. Localized muscle relaxers donā€™t help at all. Azo helped a little for a few days but then stopped working. Both of my big urethral flares came on during dermatomyositis flares (CK 1000-4000). I also drive up to 100 miles per day for work so sit a lot.
I asked if we could look at this further to rule it out and the PA said no. She said it canā€™t be my pudendal nerve because a) I havenā€™t had pelvic surgery along the nerve and b) I donā€™t have numbness in my anus or thighs.
I do have some training in anatomy/physiology, and my understanding of nerve pathways does not jive with her assertions. I realize Iā€™m not a doctor, but then again, neither is the PA. Can someone with real medical training clarify?
Thank you for reading!
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