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this is so helpful!!! thanks so much!! i'm hoping to get this surgery since it's claimed to be the only surgery that works with uterus implantation, which i also hope to get.

My genitalia have shrunk in size alright after a year on estrogen and blocker. Cheers Marisa

Thanks for the update. Blessings for contributing to knowledge and serving humanity

Wow first time hearing everything I needed to hear, thank you so much my dear,,,, u are awesome ❤

muy buena informacion yo estoy esperando fecha para mi cirugia

So since I’ve been on estradiol for 22 months and my body produces very little testosterone, my value for T. Is around 100 without blockers, I have gone down to near zero and my body didn’t adjust well, so T is back up some and so with these levels should I consider myself as female for chemistry purposes with vitamins and supplements? Doses are different for male and female. Or should I still say I’m male and go by the male recommendations? Just looking for insite on how to consider myself. I do fully realize I am a trans woman and not a biological woman. Any advice would be greatly appreciated,

Very good information

Can this work after so many years of minimal development? I have tuberous breasts. I recently undergone BA and im not sure if i want to keep them for years. I would love to have growth if i explant them

I didn't have a problem peeing after taking out my catheter

Cool

I will keep my penis,,if he wants sex oh well the other side..😊 ❤ ❤😊

I noticed something very interesting concerning HRT. I had been on Spironolactone and estrogen for less than six months. I was having hip pain which felt to me like my hip joints were trying to rotate. I was taken off the hormones not for that but because I was having water retention issues and another issue. After being off the estrogen for one month or so, not quite sure how long. The doctor agreed to let me use a very small amount of testosterone cream for a short period of time to help jump start my testicles and penis. What the interesting part was my nipples and penis were reacting to the testosterone as if it were estrogen. My nipples started to swell and my penis relaxed and retracted into my body like it was doing when I was on estrogen. I thought that maybe the parts of my body that had received the estrogen could no longer distinguish between estrogen or testosterone. I don't know if that is even physically possible. But I understand now it was likely just a decreased sensitivity to testosterone or a conversion into estrogen. I was quickly off the testosterone which did its job as my sexual function recovered much quicker than it would have otherwise. Thank you for the interesting videos.

This was very interesting. It reminded me of the time in my twenties when I put my semen on a slide and looked at it under my microscope. There were so few visible sperm that it suggested to me that I was close to being infertile. The sperm could be clearly seen so it was not a focus issue or improper use of the microscope. In my mind I am transfeminine. I have ADHD and low oxytocin. I had premature birth, delayed puberty, underdeveloped male genitalia and hormonal resistant issues. I have blue eyes and a very rare blood type. My eye color helped me notice an interesting coincidence. The sample was small of course. But in watching videos of transgender women and men the great majority of them had blue or gray eye color rather than brown. So that did seem rather interesting. Just recently I started reading about different problems or medical issues that transgender people have and it was interesting to see that they can have many issues in common. Just this week I recalled the time when I was very young. About 3 and 1/2 years old. I was dressed in a little suit so I looked like my dad. At the time I remember being happy because I wanted to be like my father. But even at that young age I felt inauthentic dressing like him. I never felt that I was a girl back then. But I felt like I was partially molded clay that the artist started to mold but never finished. I guess a saving grace was that my body was slim hairless,. genitals small and often I was perceived as being feminine. That helped ward off general feeling of being dysphoric. My main dysphoria was a feeling that my female breasts should have developed and they never did. I do feel some minor level of stress all the time. But I perceive it as not dysphoria due to brain body mismatch. But I attribute it to the fact that I know I will never be 100% accepted for who I am. I can happily say that I have achieved a level of peace despite my condition and live a generally happy life.

What's the safe dose to starting?

These videos are incredibly important, helpful, and generous. Thank you for making these and I hope you continue to make more! I appreciate your professionalism, thoughtfulness, and dedication. Thank you again

Out of curiosity, AMAB, I had to have my gallbladder removed for obstructive stones a few years ago but have recently started estrogen for GD (worked amazing I might add). My question is; should I be concerned about having further complications related to the bile duct and estrogen use giving my past history with gallstones?

This video is from a AMAB/MTNB angle while I was hoping for more info on AFAB/FTNB. Specifically something called a “vagina preserving Phalloplasty”

I started Spiro and estrogen in 2018 along with methadone after 2 years iv been suffering from fluid retention iv been off HRT now 6 mths is there any i can do to start HRT again without it effecting my health im still getting fluid retention and on methadone i just want to be happy i was diagnosed with gender dysphoria since an early age around 5 or 7 years old

Im post op srs surgery ive been on estrogen for many years what would happen if I stop taking estrogen

How small can the pe*is shrink? What's an extreme case? Also, what would be an extreme case of hip and bre*st enlargement? What would be considered the "outer limits" of these changes?

Oral T can hurt your liver. My endocrinology doctor is a WPATH executive. He told me the oral is dangerous. Please tell people to read the side-effects. Oh, I'm a transman.

Thank you for sharing this info!!!

"women can have erections"..no, no they can't. Men on estrogen can. Stop calling them women

I am 6 months on HRT. This is exactly what I have experienced so far.

She is a woman. What would she know about ejaculation? -- Smile --

1

Im curious if with the phallus preserving vaginoplasty procedure can the phallus be shortened as well....? To look more similar to say a cis female with a larger clitoris ?

Of course not. It's like saying I can breathe underwater.

I'm 19 years old, i started my transition one month and 2 weeks ago. I started with cyproterone acetate for blocking testosterone (androcur) 12.5mg. But literally one week after starting taking the pills, i felt dizzy and my blood pressure got high without any reason.. my endocrinologist said that after taking all the cyproterone acetate pills i'm gonna start taking spironolactone pills (100mg). do you think spironolactone would help reducing the blood pressure in my case? I'm actually confused about what just happened 'cause i'm too young to start experiencing high blood pressure.. and it is so weird to be experiencing this things one week after starting taking testosterone blockers and i haven't started taking estradiol yet.

My goodness dear, ECT?

This is really helpful. Thank you!

Unreal, after go’ogling around I realized that Simmy Krotiel’s Bigger Blueprint was modified and you can make it bigger even faster, yep, what Simmy suggested before was pretty good, but the new stuff teaches how to make it up to four more inches bigger

I was born with a sexually development body often called intersex. My right testis failed to develop and did not drop and at ten years old surgery for a undescended testis was done. Apparently some ( 2-3) teratoma were found and removed during this surgery but were not reported to me at any time after the surgery. My parents claimed they did not know, I did not believe them when years later I found out that I had this condition. As an adult this same testis started to grow but it took me nine months of trying to get any doctor to do any basic testing and even when that was done it was done incorrectly. Finely I demanded this testis be removed and a local surgeon removed this testis though my lower abdomen while I was wide awake. When he cut me a 10cm malignant germ cell teratoma poked out of the wound. He kept injecting pain killers just ahead of where he was cutting to remove the mass from the abdomen and scrotum. He used surgical mesh and tape to put me back together but this all ripped out two days after surgery. A real mess. I needed seven months of chemo and additional surgery at the Mayo Clinic for one other 17.5 cm teratoma in my upper abdomen. My life was hell for years after, It was found that this particular testis was in fact a fetal gonad, teratoma and my cancer was related to ovarian cancer. My remaining testis Is normal but never matured to normal adult size. I did marry but clearly I did not sexually mature as most male but we managed to make our marriage work for us. I have been treated for gender dysphoria but wouldn't call myself transgender in the classic sense of the word. I have also given a great deal of thought of transitioning to female as I have never seen myself as purely male at any time in my life. Between surgery, cancer and chemo there isn't much male in me any more. The sad truth is my cancer took the form of ovarian cancer thus taking estrogen hormones could cause the cancer to return. Have you ever encountered someone with the situation Ive been in. ??

This is such an issue for me! I am in tears 😭

(PHALLUS PRESERVING VAGINOPLASTY SURGERY) Can a scrotum provide enough material for a canal and an outward appearing vagina?

Thank you for this very clear information.

What happens if trump wins for 2024 elections what are we gonna do for phalloplasty surgeries in 2025 im scared it wont happen

Makes sense, after go’ogling around I didn't realize that Simmy Krotiel's Bigger Blueprint was updated and you can make it bigger even faster, yep, what Simmy suggested before was pretty good, but now it can grow up to 4 ins, I managed 3 ins myself and I feel like a monster lol

If you want to cut off healthy body parts, you should see a psychiatrist first.

* That's how I started in 1979. I tried squirting my mother's injection Estrogen underneath my tongue. Dunno if anything happened. Next, my girl friend offered her Birth Control pills to me for a few months. The pills worked wonders. I finally started prescription Estrogen about September 1979. I began studying phyto-Estrogen in 1981. That also works for me. *

This is mutilation

Thank you for the explanation it’ll probably be a year or 2 before I can’t take any but I do think I want this now after learning all of this

Thanks for putting in a word for an all-gender-affirming vote, Dr. Gromko!

Can you speak about the surgery where they preserve the scrotum as well as the penis?

thank you so much for your content

Thank you for info 👍👍. I have subbed 👍🏳️‍🌈

Thanks for info 👍👍

Thank you for info 👍👍

I noticed your channel barely had any comments, and I genuinely just want to thank you for making these informative videos, I was just having this problem and was googling around, when I found your channel, totally one I will save and hope to see more in the future! ❤

Do you know of any doctors that provide vestibuldectomy for provoked vulvar vestibulitis in combination with a vaginectomy for gender affirming surgery? Can I get both surgeries done at the same time by the same surgeon? I prefer a woman surgeon due to trauma. That's a combo surgery I hope to get for myself. I don't want a phallus. Just want to not be in pain and be comfortable in my non-binary body which I am not sexually active in and expect to never be active as I am an asexual human trafficking survivor who was born into slavery and trafficked for 35 years. I am safe now and 41 years old. I'm fine with getting a hysterectomy first, as I have a uterine septum and I had this really painful and active fibroid that might have gone away with my use of birth control pills to control the excessive bleeding. Anyway, I am asexual and I always have been and will be forever. I like it. I like my celibate life. So can you please refer me to a surgeon who can do both a vaginectomy and a vestibuldectomy on the same day for me, and sew up the hole so I just have skin there, without neuroproliferation created by trauma that hurts when provoked? I have goals to become a horseback rider and be able to put my pelvis into a rock climbing harness so I can enjoy mountain climbing, high ropes and zip lines, which I cannot currently do because of my extremely annoying vulvar vestibulitis. It's way too painful.