 Cecy |
Question 1:
Hi..... There are no techniques that would not require dilation after 3 months. Not needing to dilate at all after 3 months is bull shit, no matter what technique was used (penile inve rsion, penile inversion with scrotal split thickness skin graft, penile inversion with scrotal full thickness skin graft, penile inversion with abdominal skin graft, abdominal skin graft, penile inversion with ... or rectosigmoid colon vaginoplasty). Dr. Jurado is lying if he says that patients don't need to dilate after that. Failing to dilate causes the vagina to shrink and eventually to diminish completely. Dilation is important with any used technique for rest of patient's life. The dilation frequency can be decreased afte r 6 months, but it can never be completely stopped. Some dilat ion is always needed to maintain the vagina. Also vaginal cleaning must be done for rest of patient's lif e. The shrinkage of vaginal cavity (in case of failure to dilate) is not dependent on the used technique and doctor who does the surgery. It is standard behaviour of human body to try to heal wounds and fill artificial holes. Also Schrang places the whole glans penis inside the vagina, so Jurado is not unique. In addition to that Schrang does quite good aesthetic results. I am not aware if Suporn preserves most of the glans or all of the glans, but in my opinion, the ability to sensation didn't degrade at all from where it was before the operation, so I could suppose based on tha t that also Suporn and Kamol preserves all the nerves. I am not sure however, but with my experience, the ability to sensation is as good or in some sense even better than before the operation allth ough the feeling is of course a bit difference because feeling th e touching of the female genitals is different than the feelin g of holding a penis in hand. The feeling is somehow more inte nse now. And requires different techniques to be stimulated than before, it can not be therefore directly compared to pre-op state, but the amount of feeling and the intensity of orgasm is the same or even better now as post-op, so I suppose that not much nerves were lost or none of the nerves were lost. That is the physical side, on mental side, now I can fully e njoy orgams whereas I tended to hate them when I was pre-op since I hated the male behaviour of the organs. It is very f un to have orgasms now, no negative feelings come from it, just pure enjoyment :). Best Wishes
Gendercare Answer:
Dr.Jurado is real....dont need dilation, forever...there is no stenosis. It is not he who says it... his patients say it to him, and that is real.
I was operated by him 7 years ago.... I have today 53yo....and I don't dilate for months....and when I intend to, I have normal relations with no problems.
With Jurado's technique it is important to dilate properly the 3 first months.... later, it is not important.
Because of that interesting characteristic, we suggest Jurado SRS MtF for mature women...so they need not to be bored by dilations all the time, with more age.
Obviously, cleaning is always important...
Obviously, the body reacts to all artificial interference.... and holes have the tendency to close... but as the penis skin, the alive penis skin is the vagina in Jurado's surgery... perhaps that body don't understands that it is something artificial... as the body dont expells also silicon implants, for example.
We don't know why the Jurado's surgery don't develop stenosis... what we report is it don't develops, as a fact, for more than 200 results.
For Jurado's SRS dilation is not so important... That is not theory, dear....he has almost 300 results like that....that is practice.
Also, about Dr.Suporn's (and Dr.Kamol's) results, we say not of theories, but about practice. They have almost perfect surgeries for young and middle aged people....sometimes, later, the doctors could not easily discover the patients were not harmonic, genetic women...we have results when that happened.
Not theory, but practice.
Question 2:
"If necessary, for transsexuals and transgenders, after the e valuation we may start a transition and hormone therapy... Tha t hormonetherapy is always based also in your local health and medical support, for clinic analysis, some prescriptions and overall health care.
If you had a strong trauma (crossdressers), we will help you and suggest you local ways for support, as art therapy expert s, occupational therapy, allways based in your culture, countr y and local resources."
I am curious to know how it is possible for you at accuratle y determine a person's individual gender identity and actually administer letters suggesting surgeries through the internet. When you write such letters, do you inform the doctors whom will in turn read the letter that you have made this diagnosis without direct contact with the patients? I do not see how th is is possible. I am very curious.
Thank you.
Gendercare Answer:
GID is a mistery for most of people, but not for us. The Gendercare therapists had a GID one day....we were transsexuals, or transgenders, or intersex.....some were and some are. We know not from the outside, but from the inside, what happens. And we are experts in that subject....we made research, we have a lot of papers published about this subject.....and for years we developped some tests and resources to diagnose thru the web.
GID is a mistery, and no one may really diagnose it from the outside. Even presentially, you still will remain seeing only the outside... but when we live or lived the same processes from the inside, even thru the web it is possible to understand the inside.
We may understand better, perhaps, with some ethnology examples....for a white researcher, to understand black Africa cultures, it is almost impossible... you will understand all thru your eyes and your cultural lenses... and surely you will misunderstand most part of their reality. But for them, to understand them, they need only a glimpse, or an odor... or a signal....because they knew that culture from the inside.
At the beginning, we made presential diagnoses in Brazil, and later, after we developped our methods, we started diagnosing thru the web, only.
We never, up until today, had a bad result....always our diagnosis are confirmmed by reality, and by the happiness of our patients.
The difference between us and other health care professionals, is we see from the inside and not from the outside.
And we have knowledge, background about phylosophy, and health care.
The presence, the physical presence of the therapist with the client, is not good for the diagnosis of GID. Because the therapist may be impressed not by reality, the inner reality of the GID, but by his appearance, his externality.
So, the web diagnosis has a lot of advantages, even for the diagnosis result.
It is a better diagnosis method, not a worse.
We do not see the client.... I dont want to see pictures, nothing....I will diagnose its mind, not its appearance...based in what I may understand from its reality.
Later, AFTER diagnose, we see pictures, faces and bodies, for transition and hormonetherapy.... but not for diagnosis.
I know it is not easy to understand, as I said, GID is a psychiatric mistery.... no real mental problem, most of times....some have a superior intelect....no genital problem or hormone levels.... and no genital identification! and sometimes a radical non genital identification .....with no mental disorder....
What it means?
We are mistaking, when we think mind (brain) and genitals are in harmony....they may be not in harmony, there may happens, even for inteligent people and no mental disorders people, to have a discord between genital and brain.
How may we know the brains? Only thru their production....virtual self image....as GI.
So, we don't need to see the patient, but we need to attentively hear what the patient says about himself....his story, his gestation and infancy...dreams, fantasies... and try to understand, and to swim deeply in his reality.
As we know personally that kind of reality, it is more easy to us to swim in that reality, and understand it....
But surely it is good and important to don't see the patient, before the diagnosis!
Thank you for your curiosity.
That is it.
Question 3:
Hi my name is S.... I am transgendered Im looking to have surgery but I would like know if there's any money's such as like medi- cal or government money's that could help me pay for my surgery it seem's so hard to find places that can do the surgery with our going b ankrupt. Ha Ha (Smile)
Gendercare Answer:
Hi S....the Thai surgeons are good and not so expensive, for MtF SRS. See a list of them at
www.gendercare.com/srs.html
Free SRS services are difficult to have with good services. There are in Holland for Dutch people, also in Belgium...Italy there are also and even in Brazil, but only for people of the land. No free services for foreigners. I dont know any free service for USA.
Question 4:
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