6

One year post surgery!

This is the sixth post in a series about my experience with having bottom surgery. The other parts are: Are You Excited?, I Got Sliced All The Fuck Up!Recovery Update16 weeks post-surgery update, and Six Months.

As usual, proceed with caution. Total TMI-city ahead.


Holy crap! It’s been a year since my surgery! It feels like eternity and like it just yesterday at the same time.

I know I tend to get wordy af  on this blog, but I honestly don’t know how much there is to say about this that I haven’t said already. The last six months since my last update have been fairly uneventful in Vaginaville.

Back in early September (seven months post-op), I was finally able to start dilating once a day. This was about a month later than originally planned, but I had to wear for the granulation and tear inside to fully heal before I could step down from twice daily. It was a long time dealing with that hell. With that out of the way, dilating was a lot easier and less painful. I was slowly able to switch back to using my largest dilator for the whole twenty minutes. Over the next few months, it became a lot easier to get my dilators in, which cut down on the amount of time dilation takes. Now I can get set up, dilate, and clean up in just over a half hour.

The swelling has, of course, gone down a lot since six months ago, but it still looks and feels a lot more swollen than I’d expect at this point. More on this in just a second, though.

Peeing is still a mess. If it comes out in a stream, it shoots forward instead of down. Mostly it just sprays everywhere and my whole bottom gets a pee shower. Ew. The worst part of this is it means I have to sit on the seat to pee, no hovering over a gross toilet or in a porta-potty. Double ew.

Yesterday, I had my one-year followup appointment. My appointment was with a new PA in my surgeon’s office, but she came across as extremely knowledgeable, competent, and assuring. She told me everything has healed perfectly and it looks really great down there. I asked about the swelling and she said everything looks normal and most of that is still just scar tissue and gave me some stuff to put on it to help reduce that. She also told me the way urine comes out when I pee is “an unfortunate side-effect of the anatomy” and some people are just like that. Kind of a bummer, but I’m still just happy everything is completely healed properly.

When it comes to dilation, I’m in the clear to experiment with doing it less than daily. She told me it could just be twice a week, once every two weeks, or might still need to be daily. This is very individual and I’ll need to figure out what works for me. By early December, I had started to feel comfortable that I’d be okay to dilate less frequently, but I wanted to wait it out until my appointment before trying it. With the long healing process I had, I’d rather be safe than sorry. The only day I’ve missed in the last year was last Saturday because of the hecticness of the Women’s March and dilating the next day was no problem at all. So I’m hoping and looking forward to freeing up my mornings more for running before work with less rushing.

While I’m mentioning last Saturday’s Women’s March, I should also note that was the first time I tried to pop a squat outside to pee—look, it was crazy and the porta-potty lines were long, okay? I tried my best to squat down and angle myself as well as I could, but I still peed all over my jeans. It was not a good situation. Ugh.

Mostly, life has been back to normal. Beyond the peeing situation, I don’t have to worry much about things. Our Disney trip a few weeks ago was the first time I had to deal with dilating without a completely private place to hole up in, as we were sharing a hotel room with a friend. It wasn’t as bad as I thought it would be and I was able to make it work with minimum hassle.

I wear bikinis and leggings and running tights without any worry of anything anymore. I don’t have to worry about hiding anything. It’s a nice bit of freedom. I spend a lot of time thinking about how happy I am to have proper genitals. Putting on a pair of jeans that really just fits for the first time was an oddly amazing feeling. Things just sort of feel right. I feel much more like me. And I feel more like a woman. Genitals don’t make gender, but they can affect how at home your feel in your body and identity.

Last summer, I had my hormone levels checked. I had expected a small rise in my testosterone to a more normal female level. This did not happen, though. My level was exactly the same as it had been while on testosterone blockers prior to surgery. However, the ultimate outcome I had hoped for from that—better running performance—did happen. The side effects from Spironolactone (the blocker) are no longer a part of my life with the exception of still having to pee all the time.

Beyond all this, most of what else I have to share about my experience was included in my post about the Women’s March, so check that out. Otherwise, I think this will by my last update about my surgery. Ultimately, I feel happy and empowered beyond what I expected was possible.

Happy birthday, Vagina! ❤️

It’s amazing and empowering to be a transgender woman and feel comfortable in a bathing suit.

12

Six months

This is the fifth post in a series about my experience with getting my junk rearranged. The other parts are: Are You Excited?, I Got Sliced All The Fuck Up!Recovery Update, and 16 weeks post-surgery update.

As usual, proceed with caution. Total TMI-city ahead.


Ain't nothing stopping this!

Ain’t nothing stopping this!

In some ways, I can’t believe it’s already been six months (and a few days) since my surgery. In other ways, it feels like it’s been eternity. I legit can’t remember what having a penis feels like and that’s pretty cool. I remember life with it, but what it actually feels like day in, day out is gone from my memory. Peeing standing up? Did I ever even do that? It’s like I haven’t!

Anyway, it’s been a couple months since my last update so here’s where I’m at…

I’ll start with the bad worst stuff first.

I’m still in pain. A lot of it. And it’s the fucking worst.

At this point, I fully expected to have zero pain left. I knew it’d take a full year for the swelling to go down, but I didn’t expect six months of pain. While I got lucky with how well the surgery itself went, it seems I’m pretty unlucky with how my body is healing.

Since my last update, I’ve been going to the doctor roughly every two weeks for granulation. I’m lucky that I’m close enough to my doctor that I can drive there when necessary, but it’s a two hour drive each way. A full trip ends up taking nearly five hours, which means missing most of a day of work…every two fucking weeks. Plus the cost of gas and like $10 worth of tolls. And getting probed in a vagina that’s already in pain is the damn ass pits. My doctor herself is much better at this, but many of my appointments are with the PA and she’s…not gentle with the speculum.

At my last two appointments—two weeks ago from today and yesterday—I was granulation-free. That sounds amazing and I want to scream “FINALLY!!!!” BUT I’m still a lot of pain when I dilate so it’s not really as big of a win as I wish it was.

Two weeks ago, the PA prescribed more Estrace cream (basically it’s an estrogen cream you shoot up your cooch…it’s weird). It’s supposed to soften things up inside and make dilating easier. Honestly, it’s hard to say if it’s helped or not, though, since I’ve still be in so much pain. The good news on this front is it’s not just some phantom pain that we won’t be able to figure out. At my appointment yesterday, I saw my doctor and she found a tear inside. It was a few inches long in exactly the place where I have most of the pain. She cauterized it so we’ll have to see how it heals. I have some pain in other places, but it’s more of the muscle soreness variety deeper inside and near the opening it’s consistent with scar tissue that still needs to finish healing from the granulation. I’m really hoping this is all the end of it though.

After having to dilate three times a day for an extra two months beyond what I was originally told, I was finally able to drop down to twice a day in the beginning of July—I’ll have to keep this schedule up until the beginning of September. Unfortunately, dilation still hurts like hell and is a struggle a lot of the time. At its worst, it’s excruciatingly painful. At its best, time consuming. The morning is always easier so I can generally get both the purple and the blue dilators in (the blue is the biggest one I have). It takes some time and hurts, but it’s doable. In the evening, it’s always much more difficult. I don’t even try getting the blue one in anymore. And even with just the purple, it takes me 20-30 minutes to slowly work it in. It’s not just that things are tight down there, but it’s that I have to be very gentle because of how much it hurts from everything else. Much of it is just that I’m a very tense person and I have trouble relaxing while dilating. Unfortunately, even the muscle relaxers I was given a while back don’t help with this. Making the problem worse is that the opening of my vagina is tight enough that it wipes most of the lube off the dilator as I slide in so I keep having to pull it out and add more. Then I end up with an ass crack full of lube to clean out later on.

On the plus side, dilation is almost the entirety of my remaining pain. The ambient pain during the rest of my day is 100% non-existent most days. Every once in a while I’ll have a day where I’m in some pain, but that’s becoming increasingly rare. Another plus is that I don’t have to wear pantyliners much anymore. I wear one at night, but that’s about it. I can probably credit my vagina’s tightness which keeps the lube out of my vagina instead of having it slowly oozing out of me over the course of the next few hours.

¯\_(ツ)_/¯

¯\_(ツ)_/¯

Okay, that’s enough about the pain, right? Let me talk a bit more about the schedule.

Not having to dilate in the middle of the day anymore is a huge win. It means I can actually go out for a whole day at a time. It means I don’t lose an hour in the middle of my work day. It means I don’t have to carry my dilators to and from work anymore. It’s freeing as hell.

However, dilating is still having a huge impact on my life.

In the morning, I lose an hour to it. That means everything else gets pushed back an hour. Where I used to get into work around 8:30, it’s now 9:15 to 9:45. This takes me from getting on a nice empty train at 8:06 to having to ride a train packed like a Rutgers frat house basement party. It smells just as bad, is just as hot, and has just as many creepy dudes. I try to get up earlier to account for it, but on mornings when I run before work, which is 3-4 days each week, I’m already getting up at 5:30am and don’t have it in me to go earlier than that. These mornings become a huge stressful rush.

In the evening, I have to make sure I leave time for dilating. If I go out after work or on the weekends, I need to either plan to come home an hour earlier or resign myself to going to bed an hour later than I would otherwise. I also find it’s even more of a struggle to dilate if I’ve had more than one drink or…done other things. So I don’t really go out and drink…or do other…much anymore. And I don’t even mean like getting drunk or anything like that. I don’t drink heavily too often, but even just having two beers at the bar with my friends is something I can’t do now without regretting it later in the evening.

In general, I just go out a lot less than I used to now because it’s such a burden to have to deal with. Even if you take the drinking out of of the equation, which generally is completely fine by me, the time aspect of it is enough to keep me at home. That hour makes a big difference when I have to then turn around and get up at 5:30 the next morning. There just aren’t enough hours in the day to deal with it. Until I no longer have to dilate in the evening, this is going to continue to suck. I miss going out with my friends. And I hate having two hours each day that are just lost. I can’t really be productive while I’m dilating. I can’t get work done or write or anything, really. I can read or watch TV, but that’s about it.

Next month when I go down to once a day, I’ll get back either my mornings or my evenings, depending on how I want to do it. Eventually, I’ll probably be able to work it out based on my schedule for the day. And I’m hoping that once this tear heals that’ll be it for the pain and I’ll be able to insert my dilators more quickly and easily.

Random Magikarp hanging out at Tumblr HQ

Random Magikarp hanging out at Tumblr HQ

Okay, I think that covers us for all the ways in which this shit totally fucking sucks. There are a lot of positives, though! Despite all of this, I really love having a vagina. Not in like a weird way, but just in that it feels like the right thing to have. My body feels much more like mine (I think I’ve said this in every post). When I’m not dealing with dilating, life is easier. I don’t have to think about my genitals or worry about it. I still feel different from everyone else around me, but a lot less so.

I’ve been riding this huge high of body positivity recently. I actually really enjoy wearing a bikini now, even in front of coworkers like I did a couple months ago during a big outing the Tumblr engineering team went on to Mohonk Mountain House. I actually find myself looking for excuses to wear one now. I want to go to the beach or the pool now. I haven’t actually had a chance to, but I want to!

The body positivity has also spread beyond just things directly related to my genitals. I’ve been running in just a sports bra and shorts a lot this summer. It’s just something that’s really nice to be able to do. It’s just this whole thing where my body is starting to feel closer to “right.” I still hate hate hate hate just how tiny and basically non-existent my tits are, but one thing at a time!

And speaking of running, I’m like six weeks or so into marathon training for Chicago in October and that’s been going pretty well. The biggest issue is just dealing with the time constraints of dilating and training.IMG_0130

And while still on the topic of the body positivity, the weight I lost from surgery, about 12 pounds, has stayed off! This was a really unexpected win, but it’s helped a lot with my positivity. I hate myself for letting this be a thing that affects how I feel about my body so much, but I’m still taking this as a win.

Welp, I think that’s about it for now? I feel like these posts are just a jumbled up mess of thoughts. It’s hard to encapsulate a couple months of stuff at a time. Perhaps if I didn’t wait so long between updates it’d be a lot easier to form coherent posts.

9

Marathon training, I guess

IMG_1322It’s been about five months since I had surgery and over a year since I last did a formal marathon training cycle. And it’s fifteen and a half weeks until Chicago Marathon. So, I guess, it’s time to start a new training cycle.

Going into surgery, I had just run the Dopey Challenge and was crushing as many runs as I could fit into my schedule. I had to stop all of my hormones a month before the ol’ knifing so my testosterone level was starting to come back up and I was finding my body recovering from runs quicker and having no problem chewing up fast miles. I didn’t hate it. Well, the running potion, that is; everything else about not having proper hormones in my body was the worst. Anyway, I went into surgery in excellent running shape. My wife joked that I should not have surgery and instead focus on a spring marathon. I think I’d have crushed it.

Surgery kept me from running for six and a half weeks, but even when I started, it was up and down for a bit and quite inconsistent. It wasn’t until closer to sixteen weeks that I started getting more consistency back into my running schedule. That didn’t leave me a lot of time to build my base mileage back up and properly prepare for marathon training.

When I scheduled surgery, I knew I couldn’t make any firm goals for a fall marathon this year. There was too much unknown. I knew I’d likely not be able to race a marathon, but being able to run a marathon, even just for fun, felt realistic. Having deferred my Chicago entry from 2015, I knew Chicago would be my race. I wished it was a late-fall race, rather than an early one, but it is what it is. This was the biggest factor in choosing a date for surgery.

Ideally, I’d like my weekly mileage going into training to be over 30. I did 28 the other week and then did a step back last week, but this was far from a sustained weekly mileage. The last two weekends have seen ten mile long runs, but they weren’t easy. On the flip side, it seems I didn’t lose quite as much strength as I expected and I’m running slightly faster than I was going into the last marathon training cycle I did. Certainly faster than I expected to be, I’m still far from where I’d prefer to be.

My weekly mileage in 2016 so far

My weekly mileage in 2016 so far

I also don’t yet know how my body’s hormone levels have evened out after surgery (I haven’t gotten labs done yet). My hope is that my testosterone level has moved up into the normal female range—it was just barely above zero prior to surgery which makes building strength and overall training very difficult. My body may be able to do more with less than it has been able to for the last few years. Or it might not. That remains to be seen. What I do know is my body did a lot more than I expected with low mileage and making up a plan as I went along while training for my last two Disney Marathons I’ve done so it could also turn out that my body just works better with plans that aren’t as aggressive and intense.

So that’s where I am and the reality I’m dealing with. I waited until the last possible minute to make a training plan and sat down on Sunday to look over my previous plans and put together something that was going to push me while still keeping me from diving head first into a pool with no water. What I came up with was the least aggressive training plan I’ve done since the first time I ran Chicago, in 2012—six months before starting hormone replacement therapy.

I don’t have a goal for this race outside of having a solid training cycle, building strength, and not getting injured. A BQ (Boston qualifying time) is almost certainly out of the question. This race will be just a little too late for a 2017 BQ and I jump an age group for 2018 so my qualifying time goes from 3:35 to 3:40. I actually think I could get close to 3:40, but going under would be a stretch and going under enough to guarantee actually getting into the race would be even more of a stretch. It just doesn’t make sense to put my body through pushing for that right now. That said, my post-testosterone PR is a 3:44 so a PR isn’t impossible, but I’d be jumping the gun right now if I made that a goal. I don’t want to get ahead of myself.

(As a side note, my PR before I transitioned was from that 2012 Chicago race.)

The end result of all of this is marathon training started this week. I’ve got a plan. It’s not super aggressive, but we’ll see how it goes. I’m going to hold off on setting a goal time until much closer to the race and focus on running by effort rather than hitting specific times throughout training.

Wish me luck!IMG_1404