VII – war diaries of kybele – collated tweets – the courtship of inanna and dumuzi

META: These series of posts are collated reposts from a dedicated twitter account: https://twitter.com/kybele_deployed that document, specifically, my experiences from the point of preparing for SRS, then experiences in hospital for said procedure, then the recovery process thereafter, followed by some discoveries in new embodiment and the followup surgery. As such it spans for now the mid-2020 to mid-2021 time frame, overlapping largely with COVID-19 lockdown. The original posts are still up as tweet chains. Their relative order has been preserved, but not their exact time positions. The first operation took place November 10 2020, the second June 21 2021. For purposes of being possible to upload sensibly, the collated accounts have been subdivided thus preserving, again, relative time order but not relative time position, and the time stamp of these blog posts therefore does not correspond to the actual times of the tweets.

TW/TMI/TLDR: Fucked Around And Found Out // Actual sex with another person, details – do not read if not comfortable learning of. Due to combination of 1) needing to find out how well what surgery gave me works in practice before revision and 2) honestly beginning to feel libido making a modest enough comeback, and be so undilutedly pleasant now that I don’t want to ignore it any longer I went on dating apps. One communication now resulted in meeting up with a nice nerdy boy (who, as it turns out, isn’t actually straight at all, but since he swiped me thinking I was a cis woman, this fact does not bother me as it would had he known about it). We talked over a few days and it gave me butterflies and it seems we have enough in common to be actual good friends, plus seeming to be actually provisionally mutually attracted, based on each others’ photos. Today we met, went for a nice walk, had food, wine conversation, cuddles and sex. It is the first time I am interested this way in a man, the first time I go this far sexually with a man, the first time I feel open to the possibility of it continuing in some form with a man, and the first time I have sex with another person since surgery, and the first time I feel like I could be unreservedly present as my body during such intimacy. Aside from confirming experimentally that I definitely am bisexual, I learned a lot about how I now function, but perhaps more importantly it all just felt really, really, really good and I carry that with me still and I feel alive and I feel manifest and present. In terms of ritual, aside from work meetings with various steering committees, I spent the afternoon burning incense in my recently cleaned apartment (another first since surgery) to cleanse it further and just before we met up, I read “The Courtship of Dumuzi and Inanna”. Where “The Huluppu Tree” gave me ritual context for the surgery that let me be this body, “The Courtship…” now gave me ritual context for awakening it. I am virgin no longer. Maiden still, when I desire, but I claim the next stage of embodiment and participation in the world, in the image of Inanna. Maybe I am becoming arrogant, maybe even annoying. But I choose my myth and I choose to live it. In any case, it was wonderful. I felt present, participating as an equal, listening to, reacted to, but also positioned, handled, stimulated. Having his tongue on my sex felt better than I had imagined, and next time I will make him continue that until I cross over. As it was, felt already like an altered state. His fingers inside me were a mixed sensation as I am still very tender there, but far more pleasure than anything else. I liked his genitals too, which surprised me, I enjoyed touching and tasting him there, even deciding to let him climax in my mouth and taste his seed; it was far more pleasant a taste than I remember from some distant past of self-experimentation. That decision was not taken wholly lightly as it always comes with some risk. To be honest I believe him when he say he was recently tested, but I didn’t make the decision based on that belief (which can always be false) but rather due to being on PrEP. Going forward, I will continue to make those decisions on a case by case basis I think. And we also both COVID tested negative before, but this likewise would not be enough, I would not do this were it not for having so far one of the vaccine shots, with the next coming soon. It was, in any case, the least neurotic and least anxious such experience I can remember ever having. In some sense, I claim the agency to make such calls and decisions with open eyes. In terms of most relevant data collection, I also requested and received him penetrating me, this with barrier protection. It was not entirely trivial; finding the right angle took time, maneuvring him with fingers and I don’t think we got it fully right yet; I don’t think we reached even my modest depth this time, and it too had some mixture of greater amount of pleasure together with lesser amount of pain. But it felt better and better the more we did it, and as I anticipate being more with him in the future, I think we will learn ways of angling and aiming and preparing me such that I will reach those depths also. And regardless, this already felt incredibly good and fulfilling. In the end, after what I guess might be about 2-3h, I crossed over also with the help of my vibrator, while the nerdy boy held me, and we relaxed together until he had to leave to go feed his cat. I stayed, took a shower, and now wrote this, still feeling happy and serene and empowered somehow, despite learning bad news from out in the world. Feeling so intensely for some time, and knowing that I can, helped and stayed with me. He told me, and I believe him, that he could tell no difference between my parts and those of cis girls he has been with, and I feel absolutely affirmed in choosing the surgeon I did. I had worried I would smell or taste bad, but he assured me I was very neutral in that sense, and again I believe this. In terms of body image, embodiment, various symbols and emotions and ways of relating to myself and the world, while on one hand mating like this might seem banal, trivial, I sincerely feel like the experience let me take important steps in evolving my self-perception and therefore my way of being in the world, and it absolutely will affect my going forward, not least that I intend to see him again and have more nice walking and conversation and food and cuddling and sex, whether that ends up acquiring any label or not. Mostly I still feel high from the experience of being at peace within a dynamic situation of bodies interacting without any inhibitions whatsoever, of staying perfectly in the moment for hours at an end. I welcome summer. I praise Goddess on this path of embodiment.

(bonus 1) The experience also makes me eager to be with a vulva-endowed lover again, as I think that too will be similarly empowering while also feeling much better than it ever has in the past, for several reasons primarily including feeling more secure.

(bonus 2) Fascinatingly, my past experiences were useful in that I could be guided from them by just switching which person would be me and which my lover. Concrete experiences, regarding logistics and flow of events and how to move and what to do, were largely applicable.

Applied a vaginal pH gel without looking and now somehow not sure if I put the applicator where it should or if I somehow got it into the urethra instead. Weird. Hopefully not going to cause trouble if so?

Feeling like my life is charmed, then realizing I did give both pleasure and pain to Inanna as sacrifice, so they are now sanctified to Her. Running in the warm, nice night with Sovietwave remixes in my headphones, seeing the golden angel statue of victory, I felt Her touch on my life, in steering it in Her image. A strongly spiritual slow journey home. Had what must be called a de facto second date, the first day of sundresses and sandals. It was good. While cut short a little in that nerd boy needed to handle some drama with his nesting partner (upon which I offered to give him space, and he thankfully accepted), that took place already after we had spent enough time naked and touching that I already was beginning to feel myself coming down again, so it was really not a bad time and so further contributed to that feeling of Inanna being with me. Still navigating and working out what feels safe enough to do (and right now, that seems to be, keep PIV with condoms only but all else relaxed – curious where other women draw their lines). This time he did not go inside me that way or with fingers, but we rubbed against each other and I learned more and exciting ways to take him in my mouth, which it surprises me I am so enthusiastic about, I had not thought it could be so pleasant to do. More relevant still by way of learning, I climaxed (not the strongest I have had but not weakest either) for the first time without a mains-powered vibrator, while straddling his head and rubbing against him licking me. Once the elusive right state was reached that was fast and again without any painful oversensitivity afterwards, no need from my end to halt or even slow play, and I probably could have reached there again if we had continued for another couple hours. I had worried maybe only literal power tools could let me, but really it seems to be a matter of finding just the exact right approach in the specific situation. Worries over hurting are fading more and more. So again, sense of charmed life. In terms of what I am now able to experience and be present in with regards to lust and pleasure, I really do feel sanctified, reborn. I was never able to feel and act quite like this, either in terms of being at peace while losing myself in motion and touch, or in terms of actual responses. I give praise to Inanna for being blessed to have the chance to live this, be this, feel this. I feel alive and the future excites me. Praised through word and deed be the Queen of Heaven and Earth!

A little embarrassed over how much I find muscles on others to be a turn-on. Am I so shallow? I guess. *shrug*

First heavier exercise post-op and first time wearing tights that actually fit tight also between the legs. Incredible sense of my moving body having shape and boundaries. So I need more exercise and I need more well-fitting tights. Will probably end up wearing them casually.

I feel usually afraid to claim cyclicity because I fear being challenged and shot down or told I appropriate it, or of just being wishfully thinkingly wrong. But I can’t recall these odd periods of being affected like this before transition, and I can’t really explain them well otherwise. Though I also don’t know if they really follow a regular cycle. Time will tell. But mostly, frustrated right now over how much a mess I feel. Weeping over sentimental shit, binging comfort food and feeling how I can’t even but at the same time I have to finish this tonight, but it’s so hard to concentrate or to force focus. Ugh. Even more reason to start a PMDD research project though. If we can understand it in cis women, we can see if any of the mechanisms operate in trans women too.

Went running wearing properly fitting tights for first time and it’s probably hard for anyone not having experienced the difference to know how great this feels. Lacking better words, I sense for the first time clearly that my legs go all the way up. So happy this was possible.

I have the second step of the surgery in three weeks, and while I look forward to resting for a few days, and for the work to be completed, I feel surprisingly serene to the point of unconcerned about it, compared to how much of a feverish mess I was before the first operation. A lot of factors play a role in this, not least, I think, that the entire journey has changed me fundamentally in a lot of ways, that by and large I cherish and welcome and am thankful for. A little nervous about yet another full sedation, but after verifying surgeon will, as he put it, “leave intact everything which functions well”, I am less nervous about the procedure itself or the recovery. Maybe this is what it is like when one is pregnant with one’s second child.

Sex feels transformative now. I learn new ways I can experience pleasure each time and tonight it finally felt like I could let go and not think but just do and feel. I don’t remember ever feeling that to anywhere near this degree. Or feeling like my whole body is active and taking part. Apparently I do get stretched after a while and then a well-endowed gentleman can go deeper and I have no words for the combination of feelings evoked. Receiving head feels unbelievably good and I climaxed from 30sec of touching myself with fingers after he pulled out to come on top of me. Nothing in my experiences through two decades of being sexually active prepared me for this. I can only say that being free from genital dysphoria is a truly major and foundational thing. Whatever happens, this is so healing. I literally feel too good and relaxed now to force myself to be effective with anything useful. I might just do something restful and fun. THIS IS SO WEIRD but it is not a bad thing or state. I guess there must be emotions involved somehow? I felt tears almost coming for a while as he was inside me, and if we had continued that part longer, I might have wept fully. In cathartic rather than sad sense. I saw just that in others but never got this close to it myself before. I have no words for this. I am just happy and relaxed right now.

On train, coffee in veins, processing last night. His girth left me a bit sore today and I take secondary pleasure in that. Beginning to realize why all this moves me so much. We have (usually) instincts around sex, that is why our societies are organized around it so strongly. And _good_ sex causes always _some_ form of emotions beyond a superficial level. Before now, I never had that with men. As such, on some level I may have considered intimacy with them a replacement for intimacy with other women, a novelty or transgression something incomplete. But here I have sensually and emotionally no real reservations, and it is dawning on me that if I were to take my androphilia as seriously as my gynophilia at the highest level, my heart and body might not put up the reservations I thought as we remain somehow deeply different to the weird heuristics of my social cortex, while compatible – I don’t understand men any better just because I want their company and attention and anatomy. I remain bi and polyamorous. But I don’t feel I can treat my relationships (loosely defined) with men as any less serious than those with women? And as I write this I realize this is what invoking the second of Inanna’s initiation rituals have meant. “The Courtship of Inanna and Dumuzi” means exactly this for a woman, that Dumuzi in his way is as important, or almost (were it not for his treachery), as Ninshubur. This is what the magic I invoked has wrought in me. Praise be Inanna, Queen of Heaven and Earth!

For a multitude of reasons, experiencing a baseline salience of sexuality and activation that is almost distracting. I am enjoying that, however.

Had a great language learning experience keeping the whole “let’s go to my place and have sex” part of the date in German. My skills are limited but sufficed for that and it feels empowering. Even more so, however, was the entirely unexpected experience of actually coming during vaginal penetrative intercourse. Some effort required stretching me out (still largely through initial phase feeling uncomfortable and keeping a hand between us so he would not get too deep) but eventually as I was riding him I felt a slow, inevitable buildup to climax and I DID NOT BELIEVE THAT WOULD BE EVEN POSSIBLE OMG. But it was and I kept laughing and kissing his sweaty forehead and continuing to ride him until he pulled out to come on my chest… I think. Not quite sure where it went. But feeling very, very satisfied, and happy, and confused, and relaxed, as I linger here after he left. Incredible. This life was possible somehow. And we even sort of talked about some semi-relevant stuff. Huh.

(Six hours later, my boat of heaven feeling something much like muscles sore and stiff from a workout and… the soreness itself is pleasant and I feel a desire to be penetrated again, sooner rather than later? I am seriously coming to crave this kind of thing, huh. Interesting.)

So I took a picture of my surprisingly blonde south on request from a girl considering my surgeon, just a snapshot in the moment without much care, and liked it so much I put it up in my fetlife gallery. Truly an unfolding of personality like a (thot?) origami flower, here.

(The idea of having nude pictures of myself on the internet even in remote and protected communities has, so to say, not always felt very comfortable to me. 😀 )

Since little over a day, painful sensation as of guts distended with solids, but where this largely is not the case. Unless higher up, slight constipation maybe. Nothing in diet to explain. Distressing but not intolerable. Combined with slight chills, nausea, headache though each minor. Gut aspect made sleep harder. Anyone familiar with these symptoms?

Watching my sexuality unfold and evolve is sometimes even a little scary because I find that as it feels so good, I am beginning to act more out of desire and less on grounds of careful risk assessment. Those who have observed me long may recognize this as quite a major change. (It is remarkable how transformative this is. As in, really quite wild. Lots of weird evolution other teenagers underwent begins to make sense where it did not before. Had not quite expected that. How deep does this rabbit hole go?)

My confidence has increased.

Going in and under within the next 72h. I guess I AM nervous. I just have not felt that at all consciously. It’s just there like a vague background jumpiness, like I know there is a storm cloud somewhere. The heart is what it is. I cherish this life I was blessed with.

Bringing two tarot decks and one 3D printed altar tablet to the hospital.

Maybe cringe but I listened to this song a thousand times while I waited, and then last time en route to clinic, and now revisiting once more, winter-to-summer: https://t.co/JcdKcXW2c6 “We’ve come a long way since that day // And we will never look back at the faded silhouette”

The wind is my friend. En route to Eridu. https://t.co/FwyvXlIrE2

… and today is summer solstice, also.

On plus side: getting a single room again. On minus side: bowel cleanse, so today no food, just fluids, and I am hungry already. ^_^

Settling in. https://t.co/d3qETgKL2O

Customizing my sick bay step by step. Prior experience helps. Listening to the playlist from last time: https://t.co/4LrD7yLaP6

I met with the surgeon and he inspected me. Quick flow of decisions on what to do. I conclude that the depth is sufficient, it is clear I can have penetrative sex at least to some degree and I don’t feel increasing depth further is worth the risk of more severe recovery at this point. I also don’t feel the need to change anything with clitoris or urethra. They work, they are me. There are quirks to my shape and form but those don’t make me dysphoric, they’re just what I look like. So that too is fine. That leaves changes to the labia which the surgeon suggests, basically reducing the excess outer labial skin left for now, and structuring the way in which the inner labia frame my vagina somewhat further. This will happen tomorrow. Fascinating. I guess I am a little nervous?

Main stressor now is from the ban on fluid, food and caffeine, so my system ran on empty all night and it makes for headache and nausea. But then sedation will be all the sweeter. Soon should go in and under. Glorious Inanna, all this is yours in sacrifice.

Recovery begins well, these adjustments were major, although the fresh blood on the padding is scary I have had worse and I trust this flow of things. No catheter, but that makes it a little concerning that as yet I fail to pee despite feeling substantial pressure. I think the pressure may not be “bladder full” but “bladder really sensitive”, while the urethra, though untouched, is swollen in solidarity with the sutures near it. I hope I am doing the right thing by just continuing to drink water. Nurse indicated this was the case.

Catheter in almost as emergency. Did not hurt to have inserted once I relaxed. 1100ml into bag within a minute… hopefully can be rid of it again tomorrow. I think surrounding swelling is issue really. Asked for NSAIDs, might help. I cope and continue.

Catheter out, urination capacity demonstrated. Not without some hint of stinging from the sutures but win some, lose some. 😀

Premature to celebrate because despite catheter out and some urination success, it remained elusive during rest of morning and they had to manually drain my bladder now during inspection. Hopefully will get better during afternoon. I bet it is largely psychological and an inability to relax somehow. Well, cleaning now involved more speculum work and I whined and moaned more than usual, feeling a little ashamed for being so squeamish. Though I feel with the large metal speculum I can feel a painful edge, making me fear it will hurt me while inside. And somewhat painful now after, though surely they would know to avoid doing serious damage. Apparently there is a compress in my vagina, which I suppose is good, removes need for right now to dilate. Goal for rest of afternoon, gain and regain and keep urethral control. And speculating re: specula. I think only one woman surgeon worked with me, but I recall still how she was far more careful, resulting in less pain, than any of the men. Makes me wonder if one needs to have had a speculum inserted before one has the visceral empathy needed to not be so rough with it. Anyone else share this experience?

VI – war diaries of kybele – collated tweets – take care and control

META: These series of posts are collated reposts from a dedicated twitter account: https://twitter.com/kybele_deployed that document, specifically, my experiences from the point of preparing for SRS, then experiences in hospital for said procedure, then the recovery process thereafter, followed by some discoveries in new embodiment and the followup surgery. As such it spans for now the mid-2020 to mid-2021 time frame, overlapping largely with COVID-19 lockdown. The original posts are still up as tweet chains. Their relative order has been preserved, but not their exact time positions. The first operation took place November 10 2020, the second June 21 2021. For purposes of being possible to upload sensibly, the collated accounts have been subdivided thus preserving, again, relative time order but not relative time position, and the time stamp of these blog posts therefore does not correspond to the actual times of the tweets.

It seems I am able to do my usual slow, silly jogging just as I could pre-op! Time to start doing that again as often as possible. Taking recommendations for other forms of exercise I can do; I aim to become fitter and slimmer while the pandemic lasts basically. (Also seeking recommendations: to use some form of moisturizer for outer labia/posterior commissure, or not?)

Wanting deeply right now to wake up next to someone.

Running (slowly, because I am in poor shape) these last few days has felt amazing, and also provides interesting input from my body. My legs can move however they will without obstacles! And also sensing, still even without placeholder, some degree of swelling or perhaps tension, probably from urethral tissue in vestibule region. I think. Or it just feels that way? The next months will show. It is not uncomfortable and does not feel dysphoric, so either it will change or it will not, and I look forward to learn. Going without pads seems to work, though I find dried discharge in my underwear, not a lot but gradually during the day. Whitish to pink. No idea what fraction is salve and lubricant slowly leaving me post-dilation, and what fraction comes from the upper part of my vagina which is mucosal rather than dermal. It is the same here – it might reduce as I heal, or might not; it is not so much as to be a problem for me either way. I rather hope as much is my own fluids as possible, as that would help me develop a good microbiota and to stay clean.

Got back first blood test results post-op. E2 263 pg/ml (~4h after gel dosage, possibly confounded/elevated by gel placement location), in decent range thus but I really am curious on what spending some time in pregnancy ranges would do for me (in particular, could it conceivably jump-start breast development I have seen in some who gave birth?). Progesterone and testosterone are both undetectable. Will increase my dose of the former. No sign of anemia, which we speculated on as reason for my tiredness lately.

After sleeping long enough it was near 16h after last dilation, and that did mean that there was some slight red discharge on the Kirk dilator. Suspecting it as beginning granuloma punctured again. But not actively bleeding as the subsequent rounds with Bones and Spock dilators did not exhibit this but were clear. Looking forward to gyno appointment Friday, but noting still I should not wait longer than at most 12h between dilations. The next four months should clear that though.

Tried my indoor cycle for first time post-op while listening to a presentation by an idol of mine. It worked overall without incident. Pink discharge phenomenon remaining, but will ask gyno about that on Friday. I assume it is just part of the long slow tail-end of healing.

Gyno visit: I can stop douching. He recommends dilating minimal time with Kirk and Bones, then at least 20min with Spock. That is, to use the smaller ones here only to prepare. I can cease use of the salves when they run out and dilate only with lubricant and panthenol. However, deep end still bleeds on touch. This presumably is what has discharge pinkish. He applied silver nitrate again and I should not dilate again before tomorrow. Did not ask re: exercise but probably should also wait with that until then. If needed we apply AgNO3 again in four weeks and so on until healed. He says it will eventually resolve and I am sure it will. Hoping this now will do it. Worried a little I may close some until tomorrow from missed dilations but honestly I doubt it will cause any permanent loss. It is not like it did last time. I will be fine, I will heal. Otherwise, noting there is only one sitting position that still feels a little uncomfortable, and I can’t tell why really. It should fade. And finally, where left inner lip attaches to vaginal floor there is something like scar tissue, which stings lightly when stretched and is main thing slowing down just taking in a large dilator directly. Candidate for edits in second operation, perhaps. Unless the collagenase may soften it. Not a very large problem, after a while I do not sense it so carefully started PIV should be no problem. Thinking now re: exercise today. Surely my slow jog causes no consternation for the deep vagina? The AgNO3 should have cauterized so wish is to ensure no tearing up what it closed. Unless I dilate there should be no such tearing, staying still to allow initial healing should not be needed? I guess I will see. I really do want to exercise today also. But maybe I should be as careful as I can. Hmmmm.

Gradually acknowledging to myself I have or have had long-standing crushes on several longtime male friends. It’s there in my past behaviour and choices, but in a confused way as I also couldn’t seriously engage with romance or intimacy where I would be read by others as male. Interesting but a little unnerving dark red chunky discharge after the AgNO3 treatment. Might be a good sign though, perhaps it really means the granuloma now finally was burnt off and is shedding.

Hmmm. Dilating again after 24h it took a little longer again to reach depth AND there was some deep bleeding. This has me quite concerned because I fear that to gain the benefit of the damn AgNO3 treatment, I must somehow perhaps avoid tearing the end until it healed but I am also deeply worried that if I slack off on depth, I will lose depth, and the way it feels now, I halfway feel I might still be deep enough for all intents and (PIV) purposes as I currently am, so I really don’t want to risk that unnecessarily. If I still bleed on the next gyno visit, at which point we will AgNO3 again, I must ask if I should avoid going so deep during the subsequent few dilations thereafter, in case that is what is expected. That’s four weeks out though. Part of me worries over how long this healing takes, from a perspective of, is there some risk that the slow progress makes it go worse, or become permanent somehow? But I suppose not. The fact that it bleeds means my body is still trying to seal the deep vagina, and one way or the other, this will eventually resolve. It’s not as though the process detracts from anything I am currently doing, and I don’t think there are biological mechanisms for making wounds permanent or for local healing capacity to drop. I will be fine eventually.

I… might have taken some risque pictures and uploaded to my FetLife profile. Now to Be Serious instead and continue editing that grant application.

Surgeon says to resume douching and to dilate to depth normally, so I will just do that and have patience.

Delayed longer than I should have before dilating this morning, so a little bit more bleeding, and some slight hurting. Probably no cause for concern, I healed so much already. But does drive home, perhaps I should try to still do it thrice daily, maybe that will help.

Apparently there is a fairly good voice feminization surgeon in Hamburg. I need to look up more what results are achieved. But I learned more of it already. It would cost ~6k EUR, no other hurdles. By fall, I will have had my SRS followup and healed from that and should be COVID vaccinated if the pandemic still rages, and I should have built up funds again. Realizing that is a real possibility, when I look within me, I sense an eagerness to at least try it, braving the risk. Looking at myself so far, I think this is an indication that I in fact am going to do that. Like with other transition decisions, I will take some time to confirm to myself, and give myself the evidence that justifies the decision, but I think my heart has already decided. The hope of having a higher-pitched voice which would jar my own ears less, I think that is going to turn out to be something I need deeply enough that I will take the risk of harming my voice. I will research, but I see this within myself.

Restarting biweekly progesterone regime, I suspect it might be impacting how my vagina smells? Within variability range of others I have known, but distinct, new in the two days since. Wild if so. Is periodic fluctuation of how one smells a thing for AFAB people? Also I now think I need to get back on 3/day dilation routines, ensuring no more than 8-9h elapse between times. Maybe that will help let the deep part heal. This assuming that the issues is that 12-13h is enough that contraction is such that subsequent stretching ends up tearing the deepest part, so more frequent stretching might prevent that and thereby let the healing process proceed better. Cumbersome but I have to try it at least, so I will make myself do that. I do what I must because I can!

It really does seem like the common predictor of bleeding while dilating is, specifically, time since last dilation. 8 and even 10 hours works without bleeding. 12-14 does not really. So I must go back to 2/day until this is resolved. Very well. I will schedule around it.

Keeping dilations no less frequent than 10-11h at most seems to stop me from bleeding, and hopefully will mean healing concludes. Meanwhile, a hairy issue arises. I have some hairs by the bottom edge of the vulva which now grew long enough that it is a little uncomfortable when they are pulled in by the dilator. I sort of want to remove them, but I don’t really want to shave so close to the mucosal surface, and I am irrationally worried that tweezing them at this stage could somehow hurt the healing. It also raises the question of what to do with pubic hair in the first place. In the before times I sometimes shaved, waxed or home epilated mechanically, out of a sense of comfort, then electroepilated some when I still prepared for Thai variant surgery, then left it alone for a year or more to give the skin time to strengthen before my actual surgery. But what do I want now, and how do I achieve whatever that is? Trimming perhaps, or trimming + home laser to remove hair from upper thighs or close to the belly. But not sure what I will eventually want. Currently I sort of like my hair there, as a novelty, the “starter set” as it were? So scissoring hairs too long, and just trimming bikini line. And probably I should stay careful at least until the second procedure. But what thereafter? When will it be safe to wax, for example? Feeling self-conscious asking my surgeon but of course I should not be. Maybe that is what I will end up concluding. Just fascinated that it now makes a difference in dilating! Not just an aesthetic thing. Curious.

11 hours between dilations. Almost too much, traces of blood. Challenging, as it becomes a trade-off between sleep and healing. Healing must win out, of course.

More data needed for statistical significance, but now 1-2 days into off-progesterone phase, the distinct smell I noted vaginally after starting last 2-week phase again has faded down and reduced. I am tentatively concluding that I have vaginal microbiota which fluctuates substantially with my sex hormone levels. That is, if so, super cool. A little icky but super cool nonetheless. I am glad to be this body. ♡

This actually affects my emotions more positively than I expected, because I realize I’ve felt a bit uncomfortable during the past two weeks as the smell on progesterone, while similar to what I remember from one AFAB lover in my past, isn’t really pleasant to me whereas off progesterone I have no issues with my smell. I guess I was worried it was unavoidable and concerned with how it would come across to the people who might get to smell and taste me there in the future. Knowing it shifts relative to factors other than stage of healing is reassuring and somehow that affects my feelings about everything else as well. I guess this is the kind of things that teenagers do spend time being emotional about, especially ones not alienated from their bodies by default.

So today I had a gyno appointment early enough that I wasn’t able to sleep enough. My brain is basically fried but it will be OK, I will catch up tomorrow. The appointment itself was fine. Another silver nitrate treatment, and no dilation until tomorrow morning, but apparently my deep vagina is better healed and looking up. I am not sure I go fully 12cm as the markers on the dilators can move as the condom cover stretches, so perhaps I have even lost a little while healing, but I think this is still enough depth for my purposes. Doctor also said it looks to heal more. The painful part in the opening is apparently a wound, which he recommends just making sure I apply panthenol to. I will do so. Got another estriol prescription. I asked about smell and he said there was no issue. However, I am not yet acidic enough, so may start to try to apply a cream which lowers pH. Gyno will test for this also. Probiotics would be fine to use, and there is no strict need to douche after sex even with a neovagina, but he did recommend to douche weekly just to clear out old salve. So that is all heading somewhere, and overall good. I experienced yet another form of internalized issues as I realized I was worried because I have not had time to shave/epilate bikini line; I found myself worried I would be treated less seriously by the gynecologist as a result, but of course there was nothing of the sort happening. Still, this is me being self-conscious of something natural to my body. My patterns of body hair now seems almost wholly like that of cis women I have known, and as a result it doesn’t really make me dysphoric any longer, especially much. Generally I just feel really at peace with my body now, which is quite remarkable. Things are calm in a way I hoped for. Moreover, one thing which further puts my mind to rest from the poor night’s sleep was that as I could not sleep, I ended up touching myself casually for the first time in a month or so, with no clear aim in mind but a subtle untargeted arousal. Not so exploratory, fingers staying on outside of underwear, but played around with my Satisfyer ultrasonic vibrator a little until its batteries ran out (light vibration was nice), then for the hell of it plugged in Data, the mains-powered, 7-speed Hitachi Magic Wand device, not expecting much, staying on lowest setting, casually pressing myself against it. Suddenly I found some remarkable angle and the sense of pleasure (centered on clitoris and inner lips) just escalated steadily upwards and felt better and better, until within 30 seconds or so (I think) I experienced the first clear and undeniable orgasm post-op. No idea if I could have kept quiet; it felt better to vocalize the pleasure out loud. Not the strongest climax I ever had, but not the weakest either; fairly centered but with a strong and enduring sense of relief ensuing. Clearly different from before: continuing the vibrations did not feel painful and I proceeded seamlessly through some form of refraction until crossing over again a minute or so later; this second orgasm was briefer, less intense but still clearly there, and accompanied by the same feeling of involuntary relaxation of some tension I recall from when ejaculating upon waking from dreams, though I don’t think fluids were necessarily involved at all; staying outside I actually have no idea if I got wet throughout any of this. But as it were, I rang the devil’s and he answered twice, as the fundies say, and the confirmation 13 weeks after surgery that I have the ability to orgasm and that it can feel really good has stayed with me throughout and is with me still, it was a worry I had strongly that I might not, and it seems I can lay that to rest. However it will happen, there is clearly more sexual pleasure in my future, though I have no idea how easy it is for me to come, or how to maximize chances of getting there. I think perhaps it is the kind of thing where it is best to not try too hard, but to keep an open mind and heart. But I also liked it very much and I want to experience it again, thinking back. I look forward to when someone else will be touching me also, however they will go about it. I look forward to moaning with someone’s head between my thighs, or with someone’s fingers or other parts inside me. But that is all for later. For now, I just will get through the day and then finally get nice, proper sleep. ♡

First dilation after silver nitrate had a lot of bleeding again and I did not really get to full depth, but hopefully that is still within normal range and should resolve. In more positive terms, random followup attempt with Lt Cmdr Data showed my sensitivity to be repeatable.

Emergency outdoors urination in dark park after 2h run after 1l coffee. Lifetime first this way. Fortuitiously had some tissues with me. Successfully, less messy than feared, will learn more still. Feels like an accomplishment, also realizing it must seem strange to cis folks to hear this is much much easier for me as I am now than as I was. When forced to it on few scattered occasions in past, dysphoria would make it deeply uncomfortable, whereas now it feels neutral and utilitarian. All in all an empowering change.

As sexual pleasure as a positive thing I seek out because it feels good slowly reemerges in my life (rather than something dutifully tried once in six months to see if I still can), it dawns on me how long it has been since I last felt like this. Years and years. And not feeling uncomfortable after climaxing, just staying smiling in some lazy afterglow, no urgent need to clean up some disgusting mess? Might never have had that before. This is good. This feels safe, like home. I look forward to eventually sharing it with others.

(Caveat: The messes of others are not disgusting, I rather like them. I just was never comfortable with my own, it made always my anatomy very difficult to disregard.)

Musing the other day as I was walking on how strange and invigorating it feels to desire pleasant touch again, and how that somehow affects me emotionally, I realized that it is fully all right for me to treat those things as meaningful and relevant in my experience of the lived body, and furthermore, that I could regard those outcomes as sacred in the same way as I have the pains and awkwardnesses and challenges of the surgery. Upon thinking it, it seems obvious and I should have realized already. I gave all the blood and pain in sacrifice to Inanna. Not so that it is no longer with me, or no longer mine, but that it is mine as I in turn is Hers, and so it is Hers, it is part of the sacred narrative I manifest by giving myself to Her as embodiment. Perspective where spirituality is the expansion of meaning through letting our matter and subjectivity inhabit and map mythological narrative and symbol. I am better these days at allowing myself this (and perhaps some find me weird for it, but I find this consistent and unproblematic) and it then becomes only sensible that just as I consecrated the pain as sacrifice, so should I the pleasure. It is Inanna’s due at least as much, and so fundamentally in line with Her narrative and mythos that it would not make sense otherwise. So I shall let myself see my sexuality as sacred. All of it – lust and pleasure and urge and frustration and release, giving and receiving, alone or in company. All of it there as an act or worship and of glorifying the Queen of Heaven and Earth. And as I thought that, and realized it can sanctify and make transcendent also seemingly very mundane and banal experiences, I realized also that this must be at the core of the very real worship of Inanna in Sumer and Babylon; Her ranks of priests and priestesses (not all cis) who were temple prostitutes or officiants in the Sacred Weddings. Surely it would have been the same for them, that in this sense they worshipped and glorified by the exercise of their sexuality within the auspices of the Goddess? So therein I shall let myself be also. When I embody and give myself over to the sexual, I shall consider this always to be worship of Inanna, made sacred in Her name. Whether symbols are salient or not, the body and the desire and the sensation, which I have shaped now in Her name, is itself such a symbol. My body is a temple.

(“This is Cpt Wesley Crusher of the Federation starship USS `Pillow Princess`, hailing Romulan warbird `Chickenhawk`… You are trespassing on Federation territory, lower your shields and prepare to be boarded!”)

As I proceed to explore, so far still only on my own, how I can feel pleasure now, I am concluding climaxing feels better than it ever did before surgery, even while reaching it requires more time and effort as I have to find and maintain long enough the exact right combination of thought/fantasy, movement of my body, and point and nature of stimulation; what this is varies from time to time but so far only a Magic Wand really gets me there (but does so quite reliably); best is to push against it rhytmically on either of the two lowest settings, through underwear. I am still healing enough that more direct touch has a bit too much of an edge, and I suspect that learning to trust that the touch of another is not going to hurt will require a bit of work as well, getting used to letting someone handle me there. It is interesting that this makes aspects of vulnerability and trust so visceral, and they are no affectation, but perhaps a real obstacle. Perhaps this goes for many virgins, which I suppose I really am now, that learning to be sexual with another is a process and a challenge. By all means one I look forward to. In practice, I anticipate that I will have little opportunity to explore with another person before pandemic ends anyway (likely candidates already in my sphere being far away or otherwise inaccessible), but its eventual end should coincide with a point where I am healed after the second step of the surgery, likely in the best shape I have ever been as an adult, and feeling ready to look into it. I might at that point try dating people just for sex, so as to sample experiences more broadly. Or not. We shall see. I feel no hurry, in any case. That tangent aside, the reason orgasms feel better now than before, I suspect, is that where it used to turn painful (both mentally and physically) just after crossing over, making it on one hand important to strongly reduce intensity of stimulation, and on one hand hard to stay in the experience and not drop out of the feeling and sensation, I can now keep the stimulation nearly as intense with pressure and vibration without it hurting, and there is no wet spot to clean up, so I can ride it all out through waves of secondary contractions which, while not as intense, still makes for a drastic prolongation of the pleasure, letting me stay with it and sense it more fully. There is, in a sense, a kind of feeling of comfort and safety about the way I now can orgasm which was never there before, and I am moved emotionally by that as well, feeling healed and strengthened by it. My endocrinology is not different, so I suspect this must be due to no longer having all that erectile tissue bruising itself through its own contractions while tumescent. Anatomy. Very, very fascinating. And I am so glad to be alive, right now. Much love! ♡

(Praised be the Queen of Heaven and Earth.)

Being able to climax without inevitably feeling physically and emotionally uncomfortable thereafter? Is wild. I am only now realizing, by the contrast, just how bad it used to be, what I had just come to accept as “normal” throughout decades of living with it.

I haven’t worn pants since 2018. But today I went to the store wearing just tights, top and cardigan (and mask, no makeup), and realizing that for the first time, I feel OK wearing something figure-tight without having a dress or skirt to flow over it. Finally the unobscured shape of my body feels right, feels OK to have seen, sensed, to sense myself. By how I let surgery and HRT adjust me, I have gained new freedoms, because I no longer need a constant layer of translation between my body and the world. I can be seen.

One thing which changed a lot is how I relate to needing to pee. Friends from before may know the frustration of watching movies with me where I would need to go every 30min because I would feel uncomfortable with the distracting sensation of a bladder even if not that urgent. Possibly because it reminded me of my anatomy too much. Or a habit of never just sitting with things. This changed. Weeks on catheter were part of unlearning, and also the early weeks of not wanting to go too often because would worry over doing something wrong, like a new mother with a baby. But also probably just the body now not hurting to be reminded of. I am less bothered. That said, still chose to relieve myself in a patch of trees now on my run. Went even better this second time. No idea if I do it the same way cis girls are taught to. Held a tree trunk so I could lean back and not spray my tights. Worked well. And it is remarkable how now I can do messy things like this, in shoddy sweaty exercise gears and no makeup, not being able to clean up fully, and still not feel dysphoric and disgusted with myself. The truth is, cliché or not, medical transition has made me so much more comfortable in my skin, with less need of performativity as a result. This liberation feels wonderful.

Frustrating and a little scary: sometimes I still bleed a little (just a few drops on the dilator but still) while dilating. Makes me worry whether the deep part really heals. Or more to the point, if it heals only weakly so that it is easily torn again. This is an issue mainly in the sense that perhaps it puts me at risk either for cell changes from repeat injury there, or at risk of STDs as it would be part of my vagina with less integrity. This is one reason I started PrEP, to balance something like this when I get sexually active again but I don’t know what it’s efficacy is for this kind of situation (easily torn neovaginal lining) as opposed to where it has usually been tested. Nor do I know how one resolves skin healing only poorly and vulnerably. Meeting gynecologist tomorrow and will ask his thoughts on what might work. Perhaps it will even just resolve from having some longer time to heal absent dilation during the time after the second surgery. Still, it will calm me down more when this is finally resolved.

Achievement unlocked: run into transfem friend in gyno waiting room. And making it through appointment all in German. Dr said healing is proceeding well. More silver nitrate. Now home to sleep.

(We all go to the same doctors because we ask each other for recommendations, seeking thus to avoid the bad ones. Berlin is as Berlin does. We are the followups to the Hirschfeld studies they could not burn, I guess?)

It dawned on me the other day how my current feel of “want to get deflowered, soon, come deflower me so I know I am fully functional and anatomically correct?” echoes the laments of Inanna preceding Dumuzi’s courtship of her. The chants of “Who shall plow my vulva?” Thus…

Today has me easily frustrated, irritable, and sentimentally weeping (not sadly weeping, really) over small things. I would describe it as my emotions being a bit volatile. Interesting.

I must report that I do, in fact, have a G-spot. Vibrator with rotating head (and probably hooked fingers) reach it and together with other stimulation, feels very good. I guess this makes sense – behind there is what used to be prostate tissue.

Being a hypochondric who is scheming to have sex with non-me people in the near future, should that be possible, I have restarted my PrEP regime; did not take it since early 2019 due to pandemic.

Experiencing some nausea today as I believe is common upon (re-)starting. Meh. 😦

V – war diaries of kybele – collated tweets – the boat of heaven

META: These series of posts are collated reposts from a dedicated twitter account: https://twitter.com/kybele_deployed that document, specifically, my experiences from the point of preparing for SRS, then experiences in hospital for said procedure, then the recovery process thereafter, followed by some discoveries in new embodiment and the followup surgery. As such it spans for now the mid-2020 to mid-2021 time frame, overlapping largely with COVID-19 lockdown. The original posts are still up as tweet chains. Their relative order has been preserved, but not their exact time positions. The first operation took place November 10 2020, the second June 21 2021. For purposes of being possible to upload sensibly, the collated accounts have been subdivided thus preserving, again, relative time order but not relative time position, and the time stamp of these blog posts therefore does not correspond to the actual times of the tweets.

This is almost embarrassing to write but last few days, I feel that my libido has slowly began to return, unbidden. This makes sense with increasing mobility and safety in motion, and probably also from my endocrine system rebalancing to the absence of either gonads or suppressors, but it is not very practical. I noticed this largely before sleeping, distracting me from falling asleep easily, but at the same time, trying my best to avoid letting my body respond with arousal. Not that I don’t want to explore that, eventually, but I want to be wholly healed before I do, so I don’t need to worry about hurting any of the surgical work from the changes in blood flow. Even so, just the stirring of arousal brings about a tinge of tender pain, and so I try to step back from it when it happens. I do have a major scientific curiosity here though. It seems to involve some sense of swelling, though no idea how far that can go, and presumably wholly internal and invisible to others. All human genital anatomy involves some erectile tissue, and mine should now have been reduced to within the range of the average woman, though I know some want it reduced further in the second operation. I am beginning to realize that it is correct that being tucked feels similar enough to the post-op state that the comparison indeed is meaningful, though greatly different from not being tucked. With the very crucial difference that I am now able to experience that even naked and regardless of what I am doing. Down the line, when better healed, I am curious to investigate further how far this observation holds, as well as how my endocrine and libido will evolve and interact with my embodiment alone and with others.

Did not make it to pharmacy in time, so could not replenish panthenol salve, and so needed to improvise, and used regular water-based lubricant for dilation. It was a lot easier, though I should get back on the panthenol as soon as I can. Today, no blood in either discharge or on dilator, so I am slowly beginning to dare hope the silver nitrate was effective in treating the granuloma, taking me yet closer to healing fully.

Healing update: since a few days of dilating with water-based lubricant after the silver nitrate treatment, there seems to be no bleeding while dilating, though discharge still has some pink tinges. I interpret this as though the granuloma is healing well and that otherwise healing proceeds. Dilation even with Bones dilator poses no challenges. I suspect I can soon start with the Spock dilator. Feeling better still, though still the slit in the clitoris remains, the urethral area is very red and somewhat swollen, and there is an area inside left introitus that still feels hard, somewhat swollen, and that stings a bit when touched or stretched. I suspect that is a seam still healing, in which case, time should smoothen it out. Getting closer and closer to feeling like my skin is all intact.

Going to have a first look again at my old ERC application in order to rewrite and resubmit it, while, Goddess willing, I try if I can fit the largest dilator (Mr Spock) inside me. I suppose I have found my place in the world now.

Going to write some emails to putative collaborators while finishing up a weird cauliflower pasta dish. But to recap – dilation still without blood, omitting Captain Kirk entirely, starting with the Bones dilator then trying out Mr Spock, keeping him in for most of a Star Trek episode wherein which Klingons and the Federation both arm stone age people and there is a power-hungry herbalist witch who sadly dies and it is all sort of dirty and dated. It was not comfortable, but the other dilators also were not comfortable at first so I think in principle, if proceeding with this, I should expect to be able to saturate the regime. Though I probably should verify with the surgeon it is not too early to use Spock. I will send an email to him too, just to check. Feeling this almost drugged relaxation afterwards, much like with electrolysis, even though this was not painful. I wonder if any physical challenge like this causes endorphin spikes for me, and that they therefore may somehow function as a way for me to condition myself to desire the experiences repeatedly? I suspect this may be part of it, in which case, I am essentially conditioning myself to desire and find euphoric calmness from sufficiently intense penetration, as a side effect of the pure wound aftercare aspect. Which, I suppose, makes for a version of what I claim in jest, though literally played straight, that I train myself to also develop a heterosexual side by spending time watching Mr Spock while keeping a medical dildo inside me. All in all, I will ride this wave of experiences into as much of glorious self-actualization as I can though. All the pieces are connected, and synergize.

Dilated for near an hour at near full depth with Spock. Felt a little bit of weird bruising pain, hoping I do not risk hurting myself. Possibly I should wait until I ask the surgeon about it. But feeling still good that I can (and no blood, so again, probably fine). Putting surgical tape over the phone camera bc Duo cannot turn video off and I am in a phone meeting while also dilating and answering emails. This life is the logical extension of all I have done before and I do feel proud.

Carefully looked closer at myself again after reading on different surgery outcomes. The way my clitoris looks is apparently typical for the surgeon; maximizing reuse of nerve-dense regions (thus keeping sensitivity) by constructing something which is part extended clitoris, part clitoral frenulum (as the skin links directly into the inner labia). It is not perfectly paleo-like, but also not unlike, and as a tradeoff between considerations, I am fine with it. Someone close enough to separate labia and look close (hi!) would notice, but it is not that outlandish in context of paleo anatomical variation TBH. And if anyone is bothered, they don’t deserve to be that close anyway. Apparently the region below (part of vestibule) has a specific name, though contentious, namely periurethral glans, “the triangle-like region between clitoral frenula and vaginal opening, containing the urethra”. This is still swollen, but has gone from red and irritated to mostly the same tone as the clitoris, and the edge between them is less obvious as the healing proceeds. I am after all less than two months into a six month process. But the change is important, making the vestibule feel more like a continuous area. The remaining main swelling is the “bulb” between urethra and vagina, made from urethral tissue, which is a known issue my surgeon often corrects in the second step; there is erectile tissue remaining beyond and it swells easily. It looks a little weird and gets in the way. This, along with the “dog ears” of extra skin in the outer labia and perhaps the as-yet absent posterior commissure/fourchette (inner labia segment below the vaginal opening) are the things I can see myself wanting adjusted in the second step, mainly, if depth is also enough still by then. As regard to that, it dawns to me that the truly rational (Spock: “Simply logical, captain.” *raising eyebrow, tilting head*) thing would be to actually evaluate if it is enough by having a friendly phallus haver enter me under perfectly controlled, safe, expectation-free circumstances at some point before then which is in contrast to my plan to wait until after the second procedure. However, this would be far more an experiment, more Apollonian than Dionysian on the dilation versus intercourse continuum. I should eventually ask around with my phallus haver friends and loved ones. Still, this is months of healing away regardless. Just fascinated by the insight that I actually may need this data to be able to make meaningful decisions in the followup surgery consultation. On that note, I got response from my surgeon on the possibility and safety of trying the Spock dilator. He writes that I can try it. Then, unprompted, he writes I can “also try normal sexual intercourse if I douche immediately afterwards”. Aside from the normativity (which I can take in stride from a German man in his seventies, this tells me both I probably should feel safe in using any kind of lubricant, not just the salves, and that I need not worry more about becoming aroused hurting the healing process, as these both are implicit in what he outlines. No immediate policy consequences of this, aside from that I can be open to whatever I end up feeling like. Still should be gentle with myself, and patient, and no need either to rush anything in this process. I am a forty year old teenage virgin who can take her time and let her heart and loins keep pace with each other however they will. While outside, the world of 2020 is awash with fire and plague and swarms of vermin and bands of fools butting heads and locking horns. And inside, by and large, I am at peace.

Damn it. The markings on the Bones dilator had dislocated and for the last days I dilated to 10cm, not 12cm. Going up again with Kirk gets me to 12 but there is again some granuloma bleeding. Perhaps I am not done with that issue at all yet. 😦

Apparently the condoms wrapping the dilators can distort, hence why the depth marker positions were off. Coming home (while slowly sobering up, and watching the end of TOS S2 and beginning of TOS S3) I kept pushing all three of Kirk, Bones and Spock. Some insights following insofar as, I was indeed not fully at depth before, and I still need to make an effort to get to the 12cm marker, though at least hitting bottom does not hurt, per se. I get there only while continually pushing, and only with middle-sized Bones. I bled a little at first pushing as far with Kirk as I could, granulation most likely. Hoping that will be truly finally resolved soon. And I must remark the dilators in a way the markings cannot be distorted. With enough lubricant, and working up to it, I can reliably get Spock in at least 10cm and it is beginning to feel less like a challenge. I feel by no means certain yet that I will be able to keep this current 12cm depth while healing, but also not without some optimism. Continuing to dilate and to stay at depth then for some time pushing against the surface should do it. I then made some attempts at testing my sensitivity, intending to try my response to pleasurable outside touch, including minor vibration, but did not really get far – overall, I think I feel too roughened up yet and then to really enjoy, but moreover, it is becoming somewhat clear that 1) touch does not really become pleasurable in the absence of genuine arousal and 2) touch itself might not bring about arousal. In fact, arousal may not fully be predictable or easy under circumstances as instrumental as those. I must wait for it to come on its own, at a good time, if I am to be able to test how I can react to it. And I need not be in any hurry there. Of course, part of me want to anxiously find an answer to that most insistent of question, can I still orgasm? But that feeling of anxiety in itself guarantees a certain desperation to the attempt that makes it impossible. I am quite sure I cannot come on demand. Once again, if I can, then it is under circumstances that, as it were must come on their own, not because I just initiate them. Maybe that will change, maybe not – before, I could essentially “come on command” but not in a sense that was truly pleasurable. I will see simply see how this develops eventually. Love to all!

Was varyingly anxious today and I STG the dilation now (no bleeding, reached depth with all three dilators) helped me come down properly from it. It truly can be most meditative, probably for same reason some sports can – one has to relax and get out of one’s head to do it.

Restarted P4, woke after 1h for weird hour long half slumber tracing geography of my birthplace from above. Filled in details on phone. Cannot quite go back to sleep but quite serene. Read some novel then gradually found myself slowly fantasizing about touching and being touched, long, slow process of coming to respond. I don’t get swollen as I had thought, and as before. Rather it is like a shaking, or pulsing, or stirring? The hand does not feel it from outside, but loins do inside. Stealth response. More data collection needed. There is some overlap with the old response but only in the first seconds of each wave? Stirring, not stable swelling. After a while, decided to glove a hand and feel. What surprises most, I seem to lubricate when aroused? And substantially so. Not sure to what extent this is salves from dilation pushed out. But I actually suspect it is somehow fluids of my own, courtesy of the specific surgery I had. We are not supposed to be able to, but this one method has some credible expectation of exudate from upcycled urethral mucosa. As well as what became a Skene’s gland, though not sure how it emerges, nor where my lubrication comes from. After some time, a little bit of a dull, diffuse ache, but not severe, or as I feared. Had never dared touch except surgeon said – unprompted! Ecchi old man! – that I could. As it was, had little of a goal, and unlike before, did not try to touch clitoris so much directly. I think I felt a few stitches there, towards the end. Maybe not all have dissolved. Will look in mirror tomorrow. Touching without real goal, there was strong pleasure from a region I had not expected, just a spot on the inner lips, might have been fleeting, probably dependent on the wetness. Some sense of release, not overwhelming, and I cannot say if it was a climax or not an experience I have heard of from cis woman lovers. Enough for me to whimper and bite my finger, and to leave a calm satisfaction in me after. No sharp drop but a gradual step down. Just some initial minor data collection. But demonstrating several important aspects of my post-operatively sexed body and mind in this sense. I retain libido and sensitivity. My arousal takes time to manifest and seems hard to force or rush. Progesterone may or may not play a part (started today again after being off it for long). I need more data on where being touched actually feels good on each occasion, it is not a priori evident and might even shift. And there are indications I might perhaps be able to lubricate more than I had expected (or dared hope – it matters to me), though need to verify in the absence of confounders like a lubricated/salve-bearing placeholder. And I really need to catch some sleep finally. Maybe it will be easier now. Love to all! ♡

I can’t fully assess it while still using pads continuously, but I am beginning to conclude that my parts now feel a bit moist at all times, comparatively. What is more relevant is that this is not uncomfortable. With my old anatomy, I would spend a lot of time ensuring no liquid remained on the skin at any time, because the resulting sensations would draw my attention there and make me dysphoric. Whereas now, the presence of my genitals in my body sensory map simply feels… safe? Not alarming? They just are there and that is OK. There is slow development going on in the background too. Early after surgery, I still felt the disparate skin regions as being located where they had been when activated (but in stinging pieces!). I think now more and more they have begun to merge into a revised map of the tactile landscape of my vulva and vagina. The spatial locations are correcting, and the contiguous skin regions are beginning to flare better in unison. Still alignment work to be done, but it clearly follows from experiencing body sensations over time.

I keep feeling surprised each time I find myself attracted to men, despite having ostensibly identified as some variety of bi/pan since my early twenties. Possibly because through some combination of uncomfortable reminders of my own dysphoria-inducing body, as well as toxic or at the very least noxious or poor-tasting masculinity, most non-fictional men not being that interesting to me outside of a narrow space of performative romance and sexuality. Then I started responding to male pheromones once on hormone replacement therapy and upon sensing the possibility of partaking in heterosexual hookups as a woman, finding myself recognizing and repeating those scripts, only held back by my body. Now I can be penetrated (I could before, in another way, but never much felt comfortable with that too much feeling like it might hurt for me to relax into it), which makes me conscious that I shall want to experience that, both with men and with those glorious AMAB non-men who are comfortable penetrating. Eventually. At the same time, I expect that being with cis women also will feel different, less carrying the shadow of a heterosexuality where I occupy the wrong position, more a bodily sameness. No idea how much of any of this all is mere validation seeking, or performance that I feel myself beginning to need at this stage. Still, the observation remains – I keep finding myself enjoying the view and sound and motion and poise and scent (rarely all at once) of specific, select men, and find such men in my fantasies, and each time when this happens on its own, not due to any designon my part, I feel surprised by it, still. Probably that too will eventually change into something else. Interesting times.

Amount of discolouration after wearing a pad for a day is now relatively small. I think from tomorrow I might try with pantyliners, with the hope that perhaps these things might not be needed for much longer. Really feeling subtly more healed day by day. ♡

Latest discovery: continuing healing and taking plenty of time allows for a point where light touch with a vibrating device is pleasurable. Surprisingly, this goes even more inside, and not only for sensation in muscle, but also for sensation in skin. Applicable only when in the very right mood, and still not taking me over the threshold, but beginning to feel as though if I could only experience those vibrations both outside and inside at once, and keep the intensity just right, perhaps I might? We will see when I end up testing that further. Also, wearing only pantyliners results now in them very slightly red-stained after a day, as well as crumpled and moist, but not bloody or slimy as before. Discharge seems to be reducing, in other words. However, my panties will always be slightly moist. Not sticky, and virtually odorless, but moist. Unsure if this is exudate, sweat (and I might actually have vaginal sweat given 80% of it is skin rather than urethra) or dilation lubricant slowly being expelled. However, was helped by seeing that apparently many cis women also report the same (and/or worry about it). As noted, my old anatomy appeared drier, in part because I compulsively wiped all folds dry because it would freak me out to have attention drawn there otherwise as temperature and moisture interacted. Whereas now, that attention is at worst neutral, at best positive. It really seems like having this surgery broadly has eliminated bottom dysphoria from my daily life (meaning both it was a salient factor, and that it now no longer is). Love to all! ♡

A little frightened. After several days of no bleeding, now I bled a lot during dilation. More than before. I wonder if I have done damage somehow. Probably it will heal on its own, but my anxious mind paints pictures of somehow tearing through into the intestine or other scary outcomes. Hopefully I just scratched the deep granulation tissue, and there will be less of it when I dilate after sleep. Wondering if I will need more silver nitrate, and if I should contact the gynecologist. Surely this is not an emergency though it is not a situation where failure to act quickly will cause major problems. I can contact the surgeon and check though what he advises, that should calm me.

This is interesting in its own scary weirdness. I am leaking what seems essentially to be water, slowly, wetting the pantyliner so I may need to change it for a pad before going to sleep. The pace for this started just now. I can only parse this as somehow being blood flowing into my vaginal tissues, presumably to carry healing factors in response to damage, but that with skin mostly all intact, I exude clear watery fluid rather than bleed. This would imply both that the damage may now be recent, from during the dilation itself as it increased so, and that healing operation is in place. I will stay with this confidence in mind and go to sleep, as I should have done long ago. The need to space out dilations certainly is not doing wonders for having a good sleep schedule, but I will find ways to get that also under control. Glad for the weekend.

A night of sleep seems to have worked, what seeped out overnight was still red-stained but when flushing out with water before dilating again, it was clear. I avoided pushing all the way in (trying to reach the markings but no further) and as a result, no blood during the afternoon session, and back to only minor wetness and an unstained pantyliner thereafter. I’ll stay careful during next days, though need also to be careful not to get onto some slippery slope where fear has me losing depth over time (“my tastes may be shallow but my vagina should not be!”), which I see as a risk otherwise. Hoping anxiety is over for now, and will be careful with putting in the placeholder also. Continuing to be more tired than usual, which conceivably might have something also to do with the healing.

By contrast I realize how awkward and disgusting it felt to touch my old genitals. Healing goes on, but struck with some anxiety on whether I have orgasmic capacity or not. Watched kettle never boils but it would reassure me if I can reach it at least once on my own. These writings may thus approach even worse TMI than before. Starting to experiment and trying to remember anxiety and urgency is the biggest lust killer there is. I must learn to await or create moods, and have time then, to test this, and to banish single minded goal orientation. Some occasions were found serendipitously with mixed vibes; weirdly, tiny rod and Hitachi both feel good-ish literally anywhere but clitoris. There they are too much: not in sense of pleasure but pressure, feels bruising. Might be my fear it is not fully healed, however, or that it still really is too sore. Remote-effect Hitachi mostly just tickles? Only very light and wet touch there feels good at all. Where I feel the most pleasure, surprisingly, are both sets of labia? And more from strokes so far. That is good but likely not enough on its own. What also feels good, somewhat surprising, are the shallow parts of my vagina? True, some of both skin and urethral mucosa there should be sensitive. And it is true, looking back, surprisingly perhaps also, most of my idle sexual fantasies, since long, either center on other persons or, if centering myself, on being penetrated. The few times pre-op I tried self-stimulation (to see if I still could come), only such fantasies could get me over, though I lacked any way to experience the sensation. So perhaps combining lighter touches to labia with penetration is what I should look into? I did not have so much time this morning, as needed to dilate and get presentable for psychiatry appointment. But nonetheless tried some to add external wet touch with my free hand while holding the dilators in. Dilators are not dildos and it is not supposed to be sexy. Moreover it has been slightly scary so far. Worries I would tear, or could do so if surprise or swelling made me tense up. But it now does not seem so? Dilators go in when I am most tense even. And more importantly, while I swell some on arousal, that has little impact here while muscles instead seem to relax? And the word even is that later on, sex can replace dilation. If concomitant arousal was dangerous, probably it would not be so. So, perhaps this is safe after all and I can try it. Feeling also less fearful over using also silicone lubricant at least outside, or whether I get salve outside either. If anything that should help healing. Gently rubbing the scars. Have yet to try more in-out motion with the dilators, but perhaps this also might end up safe? Their design – firm but yielding, and filling me – seems surprisingly much as would otherwise search for. Might still shop around though, as well as look into really gentle, soft egg vibrators for outside. As well as try out that ultrasound suction toy though I expect it may be too harsh. All for later. No rush. Will find time eventually. Interesting times and interesting complexity!

Awesome response from surgeon: 1) I can phase out the placeholder. YAY! 2) I can start doing running and indoor cycling. I foresee increased well-being soon!

I finished the last episode of Star Trek: The Original Series, making for ~70h of dilation (watching solely while at depth). It has been most illuminating both with regards to this most nerdy setting and medium, my healing body, and my mind. The latter involving absolutely a clarification and elaboration on the androphilic side of my sexuality, as the series offers several pleasant flavors of man-candy; far more lean beefcake than cheesecake, including sophisticated such as Mr Spock raising his eyebrows while remaining always impeccably calm. It has also been near-unbearably cheesy and cringey on many occasions, so shoddily conceptualized. I will persevere through The Animated Series, and thereafter move on to TNG, and I much anticipate two decades of social evolution there. We will see how many years of post-op existence it will take me to saturate the Star Trek canon. The movies, I think, are not suited for dilation accompaniment. But the series certainly are (and form, I think, their own continuity). The time elapsed, on the other hand allowed for two months of recovery, during which I graduated to the largest dilator and apparent cessation of bleeding. Things have gone from open wounds in places to integral skin, with far less fear and far more confidence and a very gradual sense of healing. The final TOS episode S03E24: “Turnabout Intruder” is easily the most trans TOS content there is. Since sexist Starfleet does not allow (explicit or implicit is unclear) woman captains, Kirk’s ex Dr Janice Lester comes to envy and hate him, and to resent her womanhood. She arranges events to use ancient alien technology to switch minds with Kirk, stealing his identity and body while imprisoning him in hers. Conflict and identity theft resolution ensues. What makes this most interesting, aside from readings of both her and Kirk as dysphoric while in her body, is the performance of the actors. Janice-as-Kirk defaults to feminine body language and voice patterns when afraid, and is then treated differently by her co-conspirator and lover. Meanwhile her aggressive and assertive states express as a variant on Kirk’s usually toxic masculinity, but a different one. Janice-as-Kirk does not have the unshakeable calm Kirk-as-Kirk possesses. More interesting still to me is Kirk-as-Janice, once she catches her bearings. Kirk’s usual fuckboy charm becomes polite-smiling girlish guile. She radiates concern and anxiety otherwise unseen, and it is seen responded to with her senior officers flanking and protecting her chivalrously in those moments, something I myself can relate to as a sometimes-fragile trans woman with a kindly crew. When assertive she is very clear and coherent, and it strikes me that the way Kirk-as-Janice is played seems echoed well in Captain Janeway of the Voyager, my long-standing ideal for the kind of leader I wanted to be (which in hindsight should have been another of those things I could have noticed). Speech and mannerism there are extremely interesting (and would have made a far better TOS if always there, so I look much forward to Voyager). I suppose it all goes to show both that while Shatner is an asshole, he has quite wide range as an actor, as do Smith playing Lester. Apparently few share my fondness for this episode, for a variety of reasons, so likely this is a very idiosyncratic trans reading. Be that as it may. I found it a good conclusion to this first stage of my rituals. Onwards!

Today also: first night without placeholder. First day without placeholder. Additionally as experiment, first day without pads or pantyliners. I expect some discharge but will be curious to learn how much or how little. It feels incredibly liberating. Wearing my old panties from first years of transition. Back then, I concluded eventually that the only models really fitting as I was, were high-waist briefs; I found at least some makes that felt both comfortable and reasonably stylish. However, that was from wearing them lower than intended, to give space in bottom and front. Then in 2018 sometime – I think – I started tucking; using a gaffe made of folded pantyhose to keep genitals compressed, with a thong and another piece outside it, wearing thus usually precisely the same each day and handwashing them each night. I tried that on recommendation as it was said it might approximate post-vaginoplasty sensations, and I needed to determine how that would feel like, if it was something I needed. The comparison, honestly, is not entirely wrong, I can say that now in hindsight; there are kinaesthetic overlaps that are important, and those presumably were also the reason that once I started tucking, I continued to do so every day thereafter until a week before surgery, so I would not have to feel the spatial wrongness of what I had. Now, those underwear are no longer needed, and I use the pre-tucking high-waist panties, which then feel somewhat uncomfortable in different ways – too big! The best feeling now comes from the few lower-waist ones I have like boyshorts. While I have some thongs, I don’t feel healed enough quite yet for that. Getting to a point where I should go shop sensible underwear that fits well, though the plague makes it a little harder. I am calmly anticipating learning how more models fit now.

IV – war diaries of kybele – collated tweets – return to uruk

META: These series of posts are collated reposts from a dedicated twitter account: https://twitter.com/kybele_deployed that document, specifically, my experiences from the point of preparing for SRS, then experiences in hospital for said procedure, then the recovery process thereafter, followed by some discoveries in new embodiment and the followup surgery. As such it spans for now the mid-2020 to mid-2021 time frame, overlapping largely with COVID-19 lockdown. The original posts are still up as tweet chains. Their relative order has been preserved, but not their exact time positions. The first operation took place November 10 2020, the second June 21 2021. For purposes of being possible to upload sensibly, the collated accounts have been subdivided thus preserving, again, relative time order but not relative time position, and the time stamp of these blog posts therefore does not correspond to the actual times of the tweets.

Went home today. Cleaned up, unpacked, laundried, dilated. Now extremely tired for some time. There is weird almost-pain somewhere inside my hip region when I bend over or sit too much, I am curious on what that is? It feels good to be home. (Noting on the Head-overturning-rite playlist there are good songs by two artists – Azalea Banks and Deadmau5 – that I have since learned have anti-trans sentiments. Will see if I keep them in.) Watching more Star Trek: TOS while dilating – series relies heavily on the “insidious mind control/influence/infiltrator/shapeshifter/possession among the crew”, and also on “every man but Spock is only one disinhibiting influence away from sexually harassing female crewmembers”.

Waking is weird. Slow. Coffee begins to wake me up. It dawns that there is relatively little I must do beyond dilation and other recovery and I feel a little restless, exposed, good for me though. I should look into those useful things I might not otherwise do, but first listen to my body. Being home relaxes but I miss perhaps the routine of the hospital also? Should combat skin dryness, and spend time listening to myself. In bed still, lying for first time with ankles crossed, laptop on thighs. Should soon proceed to dilate and then probably provide my biosketch/CV for that Nov 2 NIH deadline. Don’t want to, nor do I want to look at the Big Manuscripts. But possibly I should, and also pay some attention to the ERC resubmission. However, main mental focus is from waiting for the support letters I need for my dream project not to lose funding. If another week, perhaps I remind again, but I don’t want to push. Need to be mindful before that. And I am somewhat concerned as I have experienced occasional urine leakage still when near full and moving around. I hope this is just an expected temporary side effect (of bladder musculature needing retraining after catheter, and pelvic floor musculature being weak now after literally being dissected, then left inactive for three weeks in bed) plus dilation basically is all about relaxing those muscles, not tensing them, and the whole region is swollen internally. All of which points to this being something resolved with exercise and healing and reduced inflammation, but I would feel better if a physician told me outright, as incontinence is scary to me and one of those things I still am afraid of. I emailed my surgeon and will speak to my gynecologist on Thursday. It is not a major problem either, just one I react to and noteworthy also because, as noted, I lack now distal urethral sensing like I had before when the urethra was longer, before being repurposed for new things. Should be fine though. Will do my care stuff and try to gently be active on many random things during the day, which might just include cartoons, too.

Somehow, the smaller pad I now tried still seems to cover enough, and it feels more comfortable? It also adheres to the panties. Remains to be seen how long it suffices before being soaked with the mixtures of wound salve and blood that drips out of me. The feeling of smelling like fresh meat is less enjoyable, but I accept it for now. It will be like this for some undefined period, possibly a few months, most likely, after which hopefully I shall no longer need to wear pads.

As I begin to recover, the sense of feeling like I am a bad person for not currently doing science work creeps over me. I want so much to just relax and heal now and literally everyone tells me I should, but I still feel guilty for doing it, like I am selfish and taking some sort of risk for not currently giving it my all. It’s OK that I rest for a few more weeks, right, without being productive? Even though I feel guilty and afraid because of it?

Finished evening dilation and put on a new pad. PAIN SPIKE, not sure where but probably lower edges of labia somehow pressured. Nothing dangerous, I am quite sure. Just an example of how it comes and goes. Fully endurable, though I did now take an ibuprofen. Bodies are wild.

Slept long. Another dilation went well. Then walked 200m to pharmacy to order more cream, taking stairs twice. Walking like a 90yo still. Got more bed protectors. Forgot about recommended lubricant. Tomorrow gyno appt, will taxi to that. And then ask for more salve and lube prescriptions, as they are very costly bought otherwise, it turns out. I may be out of condoms though. Need to check. Otherwise must go out again to nearby drogmarkt. I sort of want to but I should be cautious knowing my desire for constant challenge. Writing that I also realize it is true. I have a desire for challenge. I never really identified with it, but I think on some level it is true? I crave challenge and victory.

I took another trip out. Walked slowly slowly to get cheap condoms, vitamins and some groceries as there was a grocery store next to the drogenmarkt. I think this was about the limit of my current ability but it also felt so good and I think perhaps I should consider trying to go out for a walk every day from this point if not stressful, because I think perhaps it might even help recovery. The cold through my tights and the sensation of walking also was interesting from a perspective of how my genitals feels like now. Something I recall from having “outie” genitals is how temperature-reactive they are (reduced, thankfully, when I started to tuck them in), responding by growing and shrinking to temperature fluctuations. It made for a lot of dysphoria as it reminded of what was there. Some of this recovery remains in what was woven now from those tissues, and instead of discomfort, gives me interesting sensory data on what my new anatomy feels like, which provides gradual learning of the new body map. Essentially, the sensation which was protruding now instead surrounds the openings into my body, forming like a circle and a channel leading in; I think surrounding both vagina and urethra and nestled in the top of the outer lips. This sort of matches what I believe the surgeon did, with some confusion as the skin and the spongiform material went partly to different places. I will read up more on anatomy later when I am less swollen and can inspect more, but getting here already a sense of how things feel differently than before. I don’t think I have lost much sensation.

Second dilation of the day, later than ideal for not getting nocturnal. Was a little challenging but went OK. LOTS of fluid dripping out of me though I suspect it is mostly the salves. I should try to outline what it is like in case someone is curious for their own choices. At the bottom of my vulva is the opening, and there is like an edge to where external skin gives way to vestibule. Inside me there is like a… hurdle, which goes down to block the path. Is this the vestibular bulb? I am not sure at all. But anything that should go inside me needs to go over the bottom… ledge… then under this… hurdle, then up again and thereafter is my vaginal canal. Some or both of these may contain parts of the PC musculature? I am not sure. And the vestibular skin outside is slowly becoming less swollen, I remember it super swollen while in hospital, and it feels mucosal, and I think it was previously urethral skin, and I also feel edges and perhaps also stitches on it. The edge between vestibule and outer skin goes along my labia and must be where the major stitches were; this is still sore and not fully healed, especially on the one side, and that edge is the current main remaining source of pain and sensitivity. There is also a soreness inside, on the bottom of the… hurdle, where I again suspect there is an edge from stitching, and which I worry I might hurt during dilation, will ask gynecologist of this tomorrow. Dilating, I need to insert the (condomed, covered with salves) dilator (in this case, sort of a foam dildo) first pointing downwards, then under the hurdle, then inside, which requires slow but deliberate pushing for 5-10 minutes, and requires pushing all the way until it reaches the 12cm mark I made on it. Not sure if the challenge is the musculature in the opening or that surroundsthe canal. Probably both. It feels overall very like putting a sex toy in anally, in the sense that one needs to carefully push against muscular tension. This is one reason I strongly suspect more lubricant might help. I wonder if later when more trained through this, I will be able to just insert something without having to push it with force every millimeter? I think for penetrative sex to not be super complicated, this would be needed, though it is not crucial to me that I am able to receive that. Of course, this is just a few days into a six month programme, so there is plenty of time for things to evolve. Not sure if I succeeded in describing what it feels like, but it is becoming less and less scary, and I am glad of the increased familiarity.

OK, it is late enough that if I try to wait a reasonable amount of time, then dilate again, it will be so late I won’t get meaningfully enough sleep. If I instead skip one session and just do it when I wake, it will be near ten hours between, but it was longer the night before today, near thirteen hours. I don’t think I will close up from this, nor that it is strictly important I do X sessions per day (and in reality, I dilate longer each time than instructed, I think, so total time is still higher), but rather not to go too long between occasions. I think I will be safe instead ensuring I get enough sleep now, and even to give my poor vestibule a little time to recover from being opened up like that. I do need the panthenol lube I may be prescribed tomorrow. It will be fine.

Ended up dilating anyway as placeholder fell out. Now sleep.

I woke with a little too little sleep, and went immediately into dilation. Torn between wanting to speed up the process and to never rush it. Then I had quickly some coffee and ubered away to my gynecologist, first time I see him post-op. It went overall well. He provided the prescriptions I need for salves, including bepanthen as additional lube, and most excitingly, for evening use only, estriol (E3). This then is technically my third HRT component, and I am very curious. It mostly spikes during pregnancy and I am wondering how many of those mechanisms it mediates. Taking it vaginally for healing makes sense if it is part of vaginal healing or adaptation somehow, and I suppose it will also then circulate some. Will I feel it? Who knows? I will pick it up in an hour and use it tonight. He looked me over in the gyn chair with a much smaller and less obtrusive speculum. Outside is healing well, he says. Inside, deep parts, still are loose, not attached correctly; this being the deep graft section. Apparently it is now largely that which bleeds. The hope and expectation is that in a few weeks, healing will have been resolved either way and I will be able to stop using the salves (switching to regular lubricant presumably) as well as to stop douching so much, which would aim to produce an acidic environment, so we are in fact aiming to facilitate establishment of the correct microbiota. This excites me. Then went home, picked up meds, dilated again (maybe a little easier with the bepanthen), and will soon pick up the other ones. Feeling actually very tired from the relatively too little sleep, so I should try to do this day kindly, gently, with minimal effort and maximal “Avatar – the Last Airbender” binge watching in bed, I guess.

Genital hygiene: Apparently from hospital and aftercare instructions, I am not really expected at this point to do much with the clitoris in terms of cleaning (in fact, rather recommended to leave well enough alone to heal) which is interesting because how it contrasts with my pre-op experience? This is weird trivia, but I find it still interesting because it is one of few cases where there is a contrast in situation which I am right now in a unique situation to observe directly. With phallic anatomy (uncircumcised – may otherwise not apply in the same way), it is crucial to wash daily, with soap and water, under the foreskin, because discharge and urine both accumulates there and will start to smell bad and be uncomfortable otherwise, this is something taught to small children where the anatomy applies. Whereas now, the same homologous tissues (clitoral glans and hood) do not overlap with urethra at all, and can presumably self-clean relatively easier? That said, I am also so swollen there yet (and there is so much careful stitchwork involved that for now I just shower the entire area and hope that water trickling down on its own is sufficient for cleanliness; this was also what they told me in hospital. Later, when touching does not bring any dull pain, I might explore more. It is a shame I did not learn this as a child though. There may be books and tutorials, perhaps? I should go check out WikiHow. 😀

EDIT: WikiHow does recommend at least showering between the folds. That said, swelling needs to go down before I should try to spread them much, I think. I guess I am afraid it might hurt? (Also, oversharing. But if that bothered you, you would probably not be reading this.)

Slow day. Needed replacing the placeholder at night (probably should not lube it as it falls out easier) and there was some seriously weird situation where I think the estriol cream dissolves the tissues in one brand of pad but not the other? Leaving some sort of disgusting fibrous mold-like mass I had to shower off to make sure it was not part of my body. But then slept long enough, and slowly did another dilation round in the early afternoon – there is again slightly less blood, now only very little, though it still takes a while to reach depth, still perhaps 10-15 minutes, and this in part is something where I am not actually sure what it is that makes it succeed? Do I finally find the right angle, or is it the pressure, or the pulsing/pushing motion? I can’t remember really. But it works, and gets me somewhere. And should become easier with time. And I think healing proceeds too. Then had some coffee and oats, and feeling all in all tired enough to lie down for typing, for a while. Some things it would be useful if I do but I should make sure to minimize it if I can, and just relax a bit. All in all this is very good I think. Exhaustion, if anything, should indicate that healing really does proceed. On multiple levels, too.

The hardest part of dilation for me is the first, putting in the tube for the douching. I think it really does help if I use a gloved and lubed finger to help guide it inside, which so far I did not, and this also helps me to understand how my opening feels. That is still very clearly healing, with stitches I can feel, with edges between tissue parts and certainly not smooth skin, but it also clearly does not feel like regular skin; it feels to my finger very like how others have felt for me to touch. I very much want this part to heal well and smoothly. There is still always a bit of fresh blood, but I don’t know where it comes from, if it is from the deep graft or from the opening. After rinsing with water, there is little left and now mostly there is no blood either on placeholder or dilator, which I hope is a sign of healing. Inserting the dilator to depth still is not effortless; I still need to fight for ever millimeter and there is a long part before which I know I am on a track where it just is a matter of further pressure to continue to depth, by which I mean, having the 12 cm mark I made on the dilator be level with my inner labia. When I know it is just a matter of going further like that, I usually start Netflix again and watch more Star Trek until I have stayed at depth 15-25 minutes and it is time to put a new placeholder in. The issues before seem to take place when the placeholder only is covered with estriol, nothing else – it then more easily falls out and I think it is the estriol cream dissolving the pad tissues some. So far those placeholders don’t last the night, so perhaps I should just dilate with the estriol but use collagenase and antibiotics on the placeholder even then. Will see. Less blood is a good sign, but I am beginning to feel constantly a little sore from the exercise. I assume this will continue. Actually now soon time for second dilation of today. I look forward to having it done with, it is exciting and important but it is also a chore!

I think perhaps this was the first dilation almost 100% without anything resembling blood. Saw nothing in the rinse water (but probably there was) nor on the dilator. I can only conclude healing seems to be proceeding further. Still nontrivial to get the dilator in though.

Once more almost fully clear fluid rinsing before dilation. The fluid around the placeholder has a soft pink clouding in places, and I have no idea if it is residue from the salves, wound fluid or both. Either way, I think this must indicate that there is healing all throughout my vagina, one way or the other. No hematomes or clear swelling or open wounds on the outside, though it still stings subtly where the lips and edges press against the pads, and the pads get stained slightly pink too which I am uncertain where it comes from, if that too is vaginal discharge or if seams (including ones under the hood around the clitoris) are leaking any wound fluids still. That said, it is far less than before. Swelling is still there but in the last days, no problems with urine leakage, I think reduced swelling and thus reduced kinesthetic caution gets me better at pelvic floor tension. Placeholder is still a major hassle when urinating as it risks falling out unless I hold it in place, and the urine stream is still completely unpredictable, and presumably will continue until the outer lips cease to be swollen, so that I can steer better. That is still where I have the most sensation of bruising; outer lips and inside/beyond them. Waking up and needing to go to the bathroom, there is also swelling in there which reminisces of the same swelling back when I had outie anatomy and were in the same situation, so that is probably where some of that tissue went. Placeholder seems to predictably fall out when there is estriol cream in the vagina, so I blame the solvent for that cream, but accept the possibility and need to perhaps put a new placeholder in upon waiting at night. I am less scared of making mistakes, so now I just put one in using a single glove and no further equipment except for building it. Plus feeling safer in using gloved fingers to push it in, to direct the hose inside for the douching/rinsing, and for preparing the way for the dilator. I don’t think I could distinguish the sensation of putting a finger inside myself (on the finger side, that is) from the sensations I recall from doing so with cis lovers in the past, so I am quite impressed also in this regard with the surgeon; it may have paid off to select my world-wide preferred option despite substantial obstacles. Still sensing edges between skin segments but I am proudly Frankensteinian where I have to be. I hope that relatively soon (within a few weeks at least) I might get the clear for no longer douching, and/or ceasing with the creams in favor of just lubricant. That would make everything less cumbersome. More still, I long to no longer need the placeholder, but it is possible I will have to use that until the second surgery in six months. If so I will roll with that, I can cope. Finally, a question to friendlies who have used tampons – is feeling painful squeezing around those when one sneezes or coughs a thing, or is this something which hinges on the musculature still being inflamed? Sending joy on this second advent to those who celebrate that!

Second dilation of the day. Worked well, but this is the first time I feel some muscle pain afterwards, and I am somewhat worried maybe I push asymmetrically in some risky way? Well, it will be fine. I notice that entering works better if I angle my hips differently.

So, my guess on the weirdness of apparently melting pads is that actually it is the solvent of the estriol cream just making it hard for the placeholder (which is a compress stuffed into a condom covered on the outside with salve) to stay in the vagina, it is pushed out in a way it is not when there is other creams involved. Even if I change it (making a new placeholder and gradually more boldly just using gloved fingers to push it back inside me; I am very glad that confidence is increasing), the remaining estriol cream still makes it glide out, at which point it glides up and feels uncomfortable nestled between pad and the top of the vulva, especially since the cream feels slightly skin irritant. I am now resigning to the fact that I need to change placeholders 1-2 times during the night to reflect this after using estriol for the late evening dilation. Eagerly awaiting when I shall no longer need these particular healing aids. Meanwhile, discharge remains white-ish with minimal or no blood, but fairly abundant; cannot tell however how much is creams and salves unabsorbed, and how much actually comes from my body. I sort of hope this is a sign that now finally some of the deep graft (though contracted – I don’t think I can dilate through it) is settling and healing, with this being some sort of leukocyte discharge, but I should keep watch for colour changes that could indicate a bacterial infection (though the nitrofurazone should keep that down). Hoping it too will reduce. I will try to use smaller amounts of cream to see if that consequently reduces discharge. On the macro scale, due to scheduled phone interviews, it took longer for me to get started this morning and I will soon go to first dilation of the day, needing to space them out now with only 3-4h between as I must also be up early tomorrow to receive craftsmen who will fix the wall in my bathroom. A little concerned over that – while urine leakage problems (which I very much believe comes from the swelling of the area) are only an issue when bladder is near full, I don’t relish the thought of urgently waiting for them to finish so I can go. I will find some solution though, I always do. This, obviously, another reason I am eager to see healing continue (and I will feel much relieved when I know those issues have disappeared – they are apparently very common at this stage (as surgery is similar in scope to prostate removal in terms of involved impact), but among the scariest side effects; surgeon confirmed it is safe to gently begin doing Kegel exercises though and I should look into those). Seeing myself day-by-day, just-woken-up casual in tights and top does feel nice though. It is gradually sinking in what my body can be now, and I am glad to be embodied by it and explore myself as such. Right now, answering simple emails post-coffee, post-interview, pre-dilation and sitting cross-legged for the first time since the surgery. Some tension but no pain and I feel the caffeine beginning to work and gradually see the world shining in more and more colours of potential. Life is good. Love to you all! ♡

For the first time, wearing a pair of panties (boyshorts, no-frills, pragmatic) that pre-op did not fit and the simplicity of this feels very calming. Can’t stay up too long because I need to wake up earlier than I want to receive craftsmen. But need to dilate before sleep. And did so not much more than an hour already, and still feel a bit sore. Meh. I will find a balance. Staying active a while longer, then do it again.

Today was a bit logistics-complex; slept only 5h; welcomed craftsman who just took measures and made a new appointment for a week later. I napped for some more time to get out of sleep deprivation mode, then went on a long walk to pick up a letter. It felt good but tiredness prevails. Second dilation, was uncertain how deep I went, may have pushed a bit too hard to compensate, and there was a bit of tissue washed out when rinsing before, and a bit of blood on the bed cover afterwards. Not much compared to before but after a few days of no blood, still a bit scary, though I sort of know this is just me being anxious, and that it falls within normal range, and that if I have healed all the things so far, I can heal any such too. Lots of yellow-gray-white discharge. I think this also is largely a good sign, but if it changes colour or does not eventually fade, will contact gynecologist; otherwise I see him in less than two weeks. One more dilation tonight, will watch carefully then to see what my state is. On a nicer level, walking outside felt largely uninhibited. The main feeling that is still weird is the swollen sensation of the venus mound and upper labia, somehow within/behind; it feels like a bruise healing which is probably exactly what it is, and I am very curious on how it will feel when it has subsided. I tried for the first time to gently part inner lips and got a glimpse of my clitoris, I think – looks healthy and actually smaller than I thought (and this felt weirdly soothing, I probably worried it was not); below is the area with urethra and so on, still very swollen and with asymmetries I still don’t understand fully, but looking forward to learn as healing continues. As noted, still somehow worried re: the small bleeding, re: discharge, re: fear of loss of depth and so on, but in practice, I actually think healing might just be going well. Sending you all love!

I really am in an interesting state of weariness. I should remember that I may still run out of energy, more easily than otherwise.

Third dilation. Some minor bleeding in the first rinse water, but none during or after dilation itself. According to surgeon, I can soon try to see if I can fit the Bones dilator, but before that, I want to learn reliably how to find the right angle to enter. I will. A little more blood today. Not sure if from deep parts or vestibule. Emailed surgeon to ask advice but don’t actually believe it dangerous. Also I am now a month post-op and that still feels surreal and wonderful. ♡

I feel so far persistently euphoric over the surreal and wonderful fact that it actually happened, that I actually did it, and now get to live on as who I have become thereby, and as who I will end up becoming. This alone is almost intoxicating, independent of all else. I keep listening to the wonderful surgery playlist friends and partners helped make for me, all throughout this period of recovery, whenever I can take in music: https://t.co/dshOZqW2Zd

I’m blessed for the cis woman friends who have shared with me their experiences around the sometimes messy realities of menstrual hygiene, as this helps me normalize and navigate the sometimes messy realities of SRS aftercare. We’ve got this. It’s OK. I feel in place. ♡

A little concerned that I still have not worked out how it is that I succeed in dilating. It always works, but it is like 10 minutes before I find some magical angle where I am able to push and slowly feel the dilator enter without too much pain, and I cannot really distinguish the angle much from any other angle (except it is more vertically down than I would expect). Once I find that, reaching depth or staying at depth is not difficult with the small Kirk-sized dilator (which I think is 25mm in diameter?). But it is certainly not yet possible to just push it in. Have not tried much of prepwork, nor have I tried an even smaller dilator just for this purpose (and perhaps I ought to look for a smaller such, either in stores or if one languishes in the sex toy box I have not cared to open for some years of relative disinterest. It would increase morale to know the issue is just that even Kirk is too large to just push inside without preparation, and I might be able to learn more about the angle of my insides with something that does not fill the space fully. Hidden behind these thoughts, of course, is some fear I will always be so tight that any lover has to similarly keep on trying to protein dock my active site, as it were, in order to get inside me. But this is just two weeks into dilation, also. Still lots to learn and change and work on. That said, I will find a smaller dilator still (well, dildo really, but serving a solely medical purpose shall make it a dilator) and use that to try to learn more about the anatomy I have been granted, so as to make regular dilation easier. I wonder what I shall call it, if so? Its small size here is wholly a feature and nothing that bothers it. Which TOS character might be secure enough, take pride enough, it that? I also wonder, is this something one also learns with a paleovagina over time, or does the ability to receive come spontaneously without effort? I suspect the latter, but this too is something that a smaller tool may help me test.

Raided my old sex toy box and found lots of gloves and condoms which will come in handy now for further dilation in the next months. Also a very tiny penetration toy. That does go in without much challenge, so I would conclude that the challenges with the Kirk dilator are not general, but rather because it is large relative to my current size. Hence it is probably a matter of training more than anything else, and possibly more training than technique, even if angle matters. I bleed a bit each time now, just a few pink drops seeping out, and I think it is from some point ca 10 cm in because when I push there, I hear like a popping and feel fluid moving. Might be a blister under the skin, or some sort of granulation. Worrying it is the edge between grafts and that it could worsen from dilation, so I want to know if I should just continue and expect it to heal, or if it needs attention. I don’t want to skip out on depth needlessly as then I might lose depth. So now emailed the surgeon and hoping I get an answer. If not, I might go see the gyno ahead of our Dec 21 appointment. Worrying mind is thinking of graft edges unravelling or somehow pushing through into the the intestines, but I think I would probably be hurting more if that was the case, as well as have proper full bleeding but this is just small amounts and no pain. Still, need to investigate and resolve it, and I will. On positive notes, remaining blackened patches on outer lips faded and now it is just scars from suture edges which I think will fade further (and that the second operation will also change). Also some odd sensation when I woke of feeling swollen, around urethra and outer lips, but I actually suspect now it might not be more swelling than before, but that part of the outer lips now are less inflamed (after sleeping long) and that I feel the edges of the swelling better because of that contrast. Will see. If so, I hope to experience even more reduced swelling soon, feeling like the whole area softens and ceases to tense. Curious of what will come in this healing process.

One bad thing about lockdown for me is that I cannot see my electrologist, and there are still scattered strands of coarse hair on my face, even after three years of hair removal; not visible from any distance but there to the touch. A few more months of electrolysis should remove the last of those follicles, but right now, that is inaccessible, meaning they need to be either pulled or shaven, and the former may perhaps delay permanent removal, so I avoid it (though I prefer the satisfaction of pulling unwanted hair up by the root). However, I note that these smaller glitches of my body, while still uncomfortable and something I will address as soon as I can, are far easier to endure after the operation. Such a major source of dysphoria has been removed that enduring the smaller ones for a time is substantially easier, reduced baseline suffering, easier containment. This gladdens me.

Mind/blown moment. With slightly less swelling somehow, I can keep my legs largely together when sitting down to urinate. If I do, it goes _downwards_? And _doesn’t_ spill over my thighs the way I would expect? And this makes it far less messy and the stream far better controlled and coherent? And might even make the likelihood of the placeholder slipping out smaller, as I don’t have to spread my legs so much? I should have realized that before, but still had the expectations from living with an “outie” anatomy, where (at least for me), this was not a possibility, I always sat down but with my legs slightly spread. Eager for this learning of body functions 101 to continue. Feeling blessed to get to learn and evolve.

A little more bleeding this dilation, and my anxiety moves a little around that. I think perhaps I was shedding some small skin fragments. This makes me think perhaps this is part of the graft. I worry though, is there a risk for more damage? Should I do anything differently? No response from surgeon yet, we shall see. If it gets worse, maybe I will try hitting the gynecologist up on Monday. Probably this is just anxiety, and the extent of any bad outcome bounded, but I will look forward to when it is resolved. Will sleep soon.

Surgeon says, probably granulation tissue and not dangerous, so I will simply persevere in my penetrative stance. 🙂

The more time I spend with my revised body, the more it is beginning to sink in that it is me, and I feel really really good about that. The process of rediscovery and embodiment is working, and this feels right.

I think I shall try out the Bones dilator tonight, though it is scary because it really is substantially larger. Probably need to do it in stages, first do Kirk, then try Bones immediately after. Might not be able to take it yet and I won’t hurt myself just to try. Also having watched until Star Trek TOS: S01E25, and only watching while a dilator is either fully inside me or close enough that I know it is simply a matter of pressure, I can say with confidence I have spent ~25h dilated so far. Timekeeping is good.

Following 15 minutes with the Kirk dilator, I was able to insert the Bones dilator almost to depth, and kept it there for 20-25 minutes in the hope it would start to feel relaxed. It did not, yet, but I think Kirk was equally difficult to start with. Being so filled up is a most peculiar and almost emotional sensation, and I am shaking now, afterwards. It lingered on the edge of pain, but never fully crossed it. I have to confess that on some level, I enjoy the dilation sessions, for some complex mixture of reasons that both involve achievement, challenge, pride, self-knowledge and some combination of both red and black lusts; the sensation affects me and I feel somehow similar relaxation as I have from painful hair removal. This feels meaningful and useful. I grow and learn. Much love! ♡

Dilated a second time with the larger Bones device and it hurts relatively less and enters relatively easier. Still a bit of blood first, with Kirk, but not later, with Bones. However, something a little weirder; for first time (since early), the urethral skin in between that opening and the vagina ends up red and swollen and protruding, looking a little weird. I think this is the urethral bulb sometimes described for Schaff surgeries, and apparently a very common thing changed in the followup surgery, just as the “dog ears” of extra skin on top of the outer lips. It is fine but a little concerning as with so much swelling, I feel worried it’s something that could become hurt if handled casually. But probably it will both fade with time and also, again, will be changed in revision. It would be a little weird to have something that resembles a glans so much in the middle of the vestibule, beneath the clitoris, but I must remember this is still early in. More relevant, why this swelling now? In all likelihood, increased pressure on the edges from having the much larger dilator inside. Should also get easier with time. I am absolutely making progress, and if this continues, then I feel confident I will eventually be widened and relaxed enough at baseline that I will be able to receive penetration without so very much hassle. Still swollen, I notice. If it does not go down relatively soon, I suppose I shall worry a little but in the worst case, I can always go to my gynecologist tomorrow for help. Cannot see any real risks with it staying swollen, however.

Feeling still sore (in a muscle sense mostly, I think?) four hours later, somehow, but I should soon try again. Dreading it a little but I know I will feel good from it once I have started.

Dilating getting a little easier each time, newest trick: enter from a lower angle, breathe in and out to relax, and don’t try to push piece by piece, just gently apply pressure leading to an entry millimeter by millimeter. Keeping Bones inside getting easier each time. However, it is not a neutral sensation. Some sort of wordless and calm but tense mood is there, comes over me, making me wonder if vagus nerve reads the PC muscles somehow. I rather like it and it makes me curious how the same things could feel in another framing. My vestibule ends up swollen afterwards though it is likely because of tension and blood flow. Also, Star Trek TOS remains more interesting than I thought, sometimes darker. Fascinating irony in an episode involving parasites controlling through pain with Spock experiencing the pain but as a Vulcan choosing not to let it control him, very relatable throughout the present. But at the same time an insight, how traumatic it must be for the million people on the infected planet, spending eight months being controlled by the parasites inducing pain? Not because of the pain, but because it must be so damaging to sense of self to habitualize being controlled by it, responding to it by obedience, having one’s self image perhaps shifting as a result, losing belief in one’s own autonomy. Frightening thought, and all the more reason in the immediate and “real” to try to maintain a state where one does not casually surrender integrity before pain, just to keep on maintaining a sense of agency even in the face of it.

The progress of de-swelling and healing and recuperation and familiarity all work together, and today I clearly sense both that 1) this really is MY body and 2) holy **** I viscerally do prefer this form to what I was like, in the course of practical matters. That feels good.

If I am to make three sessions today, and still make it up for the craftsman, I must dilate again now. I do what I must because I can.

My reasons for choosing (and acting on the choice) to dilate to Stat Trek were manifold, one being the early discovery one of my most admired trans scientist role models apparently speak Klingon, making me already more inclined to want to look the series up as part of my fangirling. But then realizing, given how my attention system works, that unless I do something else at the same time, I would never be able to make myself watch something so low-intensity fully, while at the same time, I would need something for distraction where it is OK to miss out on some details and implications. Hence a good fit (much like my memory foam dilators now have started to change shape from straight rods to bent ones, matching the curvature of my specific vagina) and I am glad of this. Realizing squeezing another session in tonight would be too much (as in, would not have time to sleep), but remembering that at least Suporn instructions mentioned option of 2/3 times/day as long as total time was achieved + noting interval between sessions still is not too long, then at least for today, I just did a longer (in total almost 70 minutes at depth with both dilator) evening session, while watching first episode of second season of Star Trek: TOS. This happens, as it were, to be the ridiculous episode about Vulcan mating practices, the “Pohn Fahrr” madness. There is so much cheese to comment on, in so many ways, ranging from the BDSM/harem guard sub-officiators to the wrong use of old singular you English forms, and the delightful speculation that T’Pau is the grandmother of T’Pol as seen in the Enterprise series. I suppose it works coherently that a species would have sudden-onset mating instincts, and if pheromonal compatibility (at least unilateral male to female) was an aspect, a tradition of pre-prepared mates might (though a stretch) make sense, but so ridiculously patriarchal for a putatively “logical” species, and a weird mating instinct which ends just following the mating fight, and one which they apparently have not bothered to medicate away, even though they are so ashamed of it that they keep it secret? Plot full of holes and unfortunate implications, and betraying the society in which it was written. But more Spock, and an important piece of pop cultural history, and as I lie here still moved from having held the middle-sized dilator inside me while watching it throughout, I suppose it is all quite fitting, under the circumstances, and I am delighted by the set of serpent-eat-serpent set of references and rituals this all forms. Love to all!

Sitting cross-legged for first time since surgery. It is borderline uncomfortable but it works. Also today: steering committee meeting while douching and dilating because that is the reality of my life. :p

And I can keep a laptop in my lap and work with it without it causing too much trouble. Still have the pillow underneath though.

Evening dilation, took it calmly and finished watching TOS first mirror zone episode. Almost no tinge of bleeding and I have hopes perhaps when I see my gynecologist Monday, that I may have healed inside. Separated my folds fully for the first time and saw my clitoris fully. The edges to what surrounds it are unbroken and unstitched, and I think must correspond to the glans corona. However, it forms a structure like a formed tongue almost, with a split down the middle where I think these parts were joined, and I am a little disconcerted with that, especially in case I am at risk of harming the healing of that split somehow. It then ties directly into the segments beneath it of the vestibule, which I believe are urethral originally, and there is a flap of this sort of tissue down by the which often hurts a little during dilation, becoming clearer in distinction as the suture scars heal more fully. Feeling a little worried with these segments where I clearly can see the edge where they were joined, worrying rough movement might tear them. But I also realize this is five weeks into healing only, and all of these edges will gain strength and integrity over time, and I think likely these are also (beside the “dog ear” excess skin on the outer lips, and what, if anything, is needed with the graft inside that the second operation would concern. That said, even as I am, and even unhealed fully, I look more like my past lovers than I had expected, and I know (and will read more on) how variable even cis women are in this anatomy. Even as I am now, I am glad of how I look and feel, and with dilation steadily becoming easier – entry becoming easier, especially if I breathe in and out, and feeling less urgency from having the dilators in, even the mid-sized one. I must ask for when to try the large one also on Monday. And I will ask to verify I am not missing anything I should be doing in terms of caring for the healing of the clitoris (in particular, whether I should apply cream there as well, currently I do not and was instructed not to). It will be good to be looked over so I know all is on track. And I am beginning to hope that perhaps I have enough depth as it turned out that there will be no need for any further grafting inside during the second operation. Swelling feels like it has gone down more in the last days specifically, and I sense this not least in that I can now clench my vagina at will; it does not hurt (except when filled with something, at which point it hurts a little still) and I feel the contrast better between clenched and relaxed. These are truly exciting times of healing and I find some fascination in realizing that for better or worse, dilating during some phone meetings will likely be an unavoidable and recurring scheduling reality during the next six months. I will spare others knowledge of that, however. After two days of waking early, I now look forward to a long sleep and a slow awakening tomorrow. Love to all! ♡

It’s a gradual recognition. I am somewhat affected still by feeling that in this part, I still look quite different from a cis woman, though an onlooker must be more intimate than during most sex in order to notice. I also cannot know yet how further healing and followup will change me further. I believe it will all be good though. And having this time be more unstressed than since very long is very good for me also.

Did not sleep well, so was somewhat worn by the time I made it to gynecologist, but it was good. Speculum is still DAMN UNCOMFORTABLE but that is OK. He says slit in clitoris is from where stitches were and that it should heal up in time, probably, and otherwise confirms healing is proceeding. Deep inspection showed a granuloma by the bottom of the vagina, which is likely what has been bleeding, and he applied silver nitrate to this (not painful as such but still enough for me to close eyes and fourfold breath), then said to leave alone until evening, and then dilate and insert new placeholder. Recommended smaller amounts of estriol to not have placeholder fall out, and to now shift to only douching once per day, then in a month, stop douching entirely to build up the vaginal microbiota. This all is good as the douching is the really cumbersome part, and having hopes maybe the silver nitrate now will help having fixed the bleeding. Walking around during day without placeholder felt freeing, though there is still a sense of swelling or obstruction in certain movements, and I don’t know if that derives within the labia, vestibule or vagina. It should go down with time though. All in all, feels like all good news re: my healing. Went home and napped 12-17, and am now still tired, and maybe I even have a bit of a cold. I should rest properly once more to restore and recharge, looking forward to that, should allow myself that kindness next now. Love to all! ♡

The more I heal, the more do everyday experience of living as my changed body bring me these flashes of euphoria. Impressions of myself from within and without feel like being home, not necessarily a familiar place but a safe place. I make sense this way.

III – war diaries of kybele – collated tweets – seeking the void

META: These series of posts are collated reposts from a dedicated twitter account: https://twitter.com/kybele_deployed that document, specifically, my experiences from the point of preparing for SRS, then experiences in hospital for said procedure, then the recovery process thereafter, followed by some discoveries in new embodiment and the followup surgery. As such it spans for now the mid-2020 to mid-2021 time frame, overlapping largely with COVID-19 lockdown. The original posts are still up as tweet chains. Their relative order has been preserved, but not their exact time positions. The first operation took place November 10 2020, the second June 21 2021. For purposes of being possible to upload sensibly, the collated accounts have been subdivided thus preserving, again, relative time order but not relative time position, and the time stamp of these blog posts therefore does not correspond to the actual times of the tweets.

So! Catheter is out. Was not particularly painful to have it out (felt more or less like passing urine during UTI which, you know, just makes sense). Now in principle I am supposed to wait and see if I can void. Had a lot of coffee earlier so it may become a salient point soon, I suppose. At that point, I am supposed to call for the doctor who will instruct me. In before that I suppose I have some time to try to sort out sensation. So currently, there is no catheter, there is no urethral compress packing, but only vaginal compresses. I feel… sore, throughout most of that, and a bit swollen. Which is a good cue for an ibuprofen. But makes sense, and now it makes a little more sense to actually process some of those perceptions. I have some soreness on what I guess is the lower half of the vaginal opening, and I guess also on the urethral opening and the vestibule in between. But all of this makes sense after the recent inspection. So I suppose I will just now try to relax a while now, until I feel the need to void, and then call them and then we take it from there. If I cannot, then presumably it will be the suprapubic catheter instead. For now, let me simply centre and be present here for a while.

OK, so this will again be graphic (not literally) but I guess you would not still be reading this if it bothered you. I was able to void some urine. It felt weird as everything still is swollen (comparing, perhaps, to the painful sensation of urinating while partially erect, before, which should be similar). And messy – first hitting my groin and my leg and so on. And probably not getting everything out, though also no need to. And not super easy yet to clean the surface (and probably did so insufficiently) as I don’t want to push paper into that swollen area too aggressively. Should be sterile though, and later I might shower or douche it? That might be a good habit actually, to wash outside with water after each time. But more of that for later. For now just proof of principle and hopefully such that I won’t need another catheter. Not out of the urinary woods yet, but one step taken, and if I continue similarly, should make me safe in that regard. I foresee sleep becoming less easy now, in that I may fall back into my old “need to go up every 2h to urinate” habit. And I should definitely ensure I don’t drink less now. So not out of the wood yet, this part can still go wrong, but if I improve my approach with how to clean after, and I retain the ability for sufficient voiding, then one scary obstacle off list. I feel more in control therefore. There are major questions continuing – how to keep clean, what to clean how, and there still is the vaginal packing material, which still drips blood lymph. I assume this will continue for quite some though that is what pads are for, of course. I will soon be shown how to dilate (in an unpredictably “soon” sense) and they tell me it might hurt because I am still quite swollen. Well, if so I will deal with that. Perhaps more interestingly, now without catheter tube and urethral compresses and bandages connecting those up along the tube and through the hood area, I now basically just have a wad of compresses stuffed in my panties, besides the packing inside. Those I feel I can replace myself. So finally my crotch is feeling a little less like the motherboard of a computer I put together from parts, and more like ME. Swollen, swollen me. But still me. And I asked for a mirror, and I was given one, and I pulled down panties and compress wads standing up and looked for the first time at myself, 15 days post-op. Unfamiliar sight, but far less disconcerting than I expected from being raw from the first operation! The stitches on the labia majora is the main sign of damage, and they also are much larger near the top than expected, with bunched-up skin and some visible threads. This is by design – the surgeon leaves available skin there to have material to work with in the second operation once swelling has died down six months from now. So that part stands out, and this is fine. But otherwise, just seeing my lips in semi-closed position, different skin (prepucial in origin) for inner lips, vestibule beyond, on a brief glance I did not see radical poor fit to the spectrum of paleovulvae I have seen over time, which is more than I had expected. I also don’t see the stuffing compresses, unlike before it does not protrude, though I do visibly drip from my vagina, this wound healing fluid. Still unsure what the final verdict will be with the inner deep graft. But this feels like I have an outside I can begin to slowly and carefully become familiar with, move around as, and keep clean. I can keep on learning, and I am filled with some sense of peace and serenity right now. Also, of urine, which I will attempt once more to rid myself of.

Urinating a second time worked as well, got rid of more this time, still SUPER MESSY and runs across the skin to everywhere, and still complex to find out where to wipe/gently press paper to dry the stuff off. But this is good, it implies perhaps I can feel confident I am retaining and maintaining this ability (#ToiletTrainingAt40) which is so essential to being able to live a normal independent life. And each time lets me be a little less afraid of handling my body, a little more confident, less worried I will cause or worsen harm. What’s more interesting is how that so central experience of urination differs between having versus not having a penis. The letting go part is the same (which makes sense because presumably that is the part close to the bladder which is unchanged) but before, there was always clear sensory feedback on when, in fact, fluid was actually streaming out (which makes sense given the urethra then went straight through that which is now my clitoris, activating all those nerves). The spongiform tissue surrounding the current urethral opening is far less hypersensitive I think. Such that now, when trying to urinate, I became aware of being successful through indirect sensory cues only – sound of liquid hitting porcelain, or the feel of it moving over previously dry skin. This is an entirely novel experience and it delights me in that it is one of few such which is only possible to have along the experiental track I have followed. And once I learn how to dilate and repack (if indeed I should), then maybe finally I can shower?

I’m euphoric right now, I realize. I have not looked at myself again yet (was too busy managing body functions or healing or communications) but the memory of seeing my vulva in the mirror keeps returning to me and the reality of all this is slowly, slowly sinking in that it really was successful, that my body has been adjusted as I needed it to, that I will get to know myself as my body and then, later, have others know me and see me as well. Feeling so incredibly happy in this moment.

Those who knew me before: am I reacting and responding and adapting to all this in a way consistent with your prior expectations from me? Curious! I do feel there is some externally legitimate purpose to this oversharing – things I was not already aware of might be new to others undergoing this, and I want to put that information out there to inform such persons. Especially in regards to what it all feels like. Kindly paleovagina holders (“sempai!”), when you sit down to pee (as the vernacular has it), do you keep your thighs pressed together or slightly apart? I keep them apart so far a little and I wonder if that contributes to how messy the stream gets. Not sure if it would go straight down otherwise or be blocked, and a little too swollen yet to investigate without a prior hypothesis. Also, how often do you change pads when you wear them? Already when stained, or not until it starts failing to absorb more? Or based on the time elapsed? Sleep worked fine. I woke once needing to empty bladder, but not so much (though, dense urine when not drinking a lot seems to sting and hurt a bit), then again as I woke properly. It really just runs down the skin though, on my bum and between my labia, slowly without so much force. My guess is that the area it passes through really is still swollen enough that it limits volume throughput/time and therefore stream is too weak to form a beam rather than trickle out; simple matter of hydrodynamics. If so, it will resolve as I heal but it does mean that my vestibule keeps getting urine washed. Wiping is less of an issue than I feared – since I have access, I can dab paper against to soak up (no desire to scratch this skin by shear motion), then do the same with a wet wipe to clear of residue. No idea if this is “right” but makes me feel clean enough and removes stinging sensation when that occurred. It also does not take prohibitively long (a little extra time needed also for gloves, as I don’t want to wet the plaster on my hand where the IV port was) in part because the whole time sink before with cleaning out all the residual drops from inside a longer urethra and from underneath prepuce no longer is there. That might not be something most cis men do, I guess. Any leftover fluid on that skin, pre-op, would cool and then remind me of the shape of the anatomy, which would leave me dysphoric and very uncomfortable, so I spent perhaps unusually much time and paper ensuring it was all emptied out and dried off. This shorter urethra does not appear to buffer much. I have heard trans guys have the opposite change under some of the phalloplasties they can have, which makes sense, and I tip my hat to them. Also, I note that my vestibule (here referring to area between urethra and vagina, which presumably have an even more exact name) is mostly urethral skin, and I do note that for me so far, it is quite swollen. Whether this is inflammation or remaining erectile tissue, I am not wholly sure of. It looks like the paleo equivalent but feels harder to the touch. This is also the area where I suspect I must keep the highest hygiene right now to prevent strain or tearing or irritation, which is also where the wet wipes come in. But more importantly, most likely, to give it time. Swelling is due presumably to the substantive removal of erectile tissue essentially all the penile “grow capacity”, so there must be plenty of internal injury there in what is spongiform and capillary-dense tissue, and that won’t heal in a month. Beyond occasional stings along labial suture edges, remaining pain also is such dull, swollen, bruise-like pain in that area and all surrounding the urethra. It is also one of the known quirks of the Combined Method – the “urethral bulbus” can be swollen and protruding and often this is adjusted in the second stage of the surgery, or so I have heard. We will see how my healing and thereby specific revision needs continue in this regard. Mobility is up substantially, it feels less scary and painful to get into or out of bed now, and that is supremely liberating. Nurses are beginning to ask how long I will stay, and I think I am not long for it now – the doctors need to inspect a little more, hopefully, and give me full and proper aftercare instructions, including for dilating, and I suspect thereafter I might actually be ready to switch to home recovery. It’s been 17 days since the surgery, so within the scope of what I expected. They tell me dilation may be painful, and from this swelling, my suspicion is this may be true, but perhaps not then from the vagina itself but merely that stretching the opening and vestibule might hurt when that is swollen. I am a little scared anticipating that, but more excited and resolved still. I am very glad I have this time period free from my regular work duties, as all this, trivial though it might be in one sense, still takes up a lot of headspace. That said, I feel, I think, all in all, very very good. All these obstacles are ones I was ready for, and all progress delights me. I am blessed to be alive and to live true to myself in this beautiful and crazy world.

Feeling primal physical stuff of some kind. Just came from cleaning session. The plan was to fully clean out my vagina, remove the expected necrotic parts of the deep graft (apparently, smell indicates there should be _something_ like that) and then I’d be ready to start dilation. For this, they use both halves of the speculum. Apparently, getting deep enough inside is hard, and despite a long while pushing and searching and water throughput, they could not really see any necrotic regions. So either those were now washed out or they are somehow even deeper, or it is scattered out somehow among healthy tissue. Young doctor will phone old doctor to ask. I take this as generally a good sign, there is a boundedness to how damaged the graft is, and not all of the graft is dead, some of it probably lives. The experience was vaguely painful though more on level of weird and uncomfortable than proper pain. Being pushed wide open like this and dug inside with the speculum moving and shifting around, and also the state now when I am packed full with double normal compresses, that… feels, in a weird way. I am not even 100% sure there isn’t a sexual component to how my nerves process being filled up like this, though I can’t place it well. I feel sort of drugged from it, almost. Can’t fully decide how I feel. And additionally was able to place how some parts I really thought must be on the outside, now are on the inside? I have sensory input from what used to be penile skin but it is inside my vaginal opening. This puzzle is so intriguing and I look forward to eventually solving it. That said, it all took a lot of energy out of me again. There are things I feel I ought to work on, but honestly I am not sure I can do much more of anything tonight, despite having done nothing more active than trying to stay relaxed while doctors try to get deep enough into my vagina to see what lies at the bottom. Going to try to rest a while now. Feeling excited for the future.

Reaching new levels of detailed oversharing of “private” information here, but it serves the purpose of concretizing (might still end up merging this twitter and my blof posts together at some point into a coherent text, perhaps), and right now I got a lot of information that I will have to remember, as I enter the stage of aftercare where I must do it myself. So writing down those details makes it easier for me to remember them, anchor them in my memory, and doing so witnessed like this is easier for my (possibly neurodivergent) brain. Today the old surgeon flew here, and will fly back tonight, primarily I think to make final calls on my healing. Waiting for the appointment I sat down a little, which hurts a lot in the labial stitches if I set the angle wrong, but which is otherwise OK. Then into the operating theatre again. Again with the large speculum; sometimes at edge of pain proper, sometimes not, but all something I can endure by putting willpower above sensation (and was it not this, somehow, that tiny 20 year old Sofia practiced that time when she had her eyebrow pierced in late year 2000? Going through whatever it is to achieve whatever is truly wanted?). The vestibule urethra is still very swollen, and there is a small open wound there somehow also, but from what I understood this is not a cause for alarm; it can heal on its own. If not, I have a gynecologist appointment in December where surely I would get feedback as needed. And the swelling should go down, and with it, the low throughput of urine, all on its own, over time. More relevant instead is the vagina. So there is a part of the deep graft which does not attach, and which should not be allowed to fester. But cutting it out would harm the healty sections, so we must allow it to be shed by its own, which means, primarily, cleaning and waiting. I am to start dilation and douching routine, and over time, this will mean the nonviable skin will be cleansed out, and then we will see whether another graft section is needed to complete that part or not. This is sufficient safety for me. Additionally, the urethral canal segment has something wrong with it (unclear if he meant swelling or skin condition) but here the surgeon is confident it should likely also just heal on its own. Taken together, these two sources may presumably have explained my discharge. So a few areas of damage we expect to self-heal, one area of damage we expect to self-cleanse, and followup later accordingly. He seemed satisfied with the outcome otherwise, all in all. Then I was given a demonstration of what to do, across the language barrier. I should cleanse and dilate two or three times per day. Safest to make that three, I think, if uncertain. I can finally shower again! I can do so (and presumably go to the restroom normally, etc.) without removing the placeholder, which I should have in my vagina at all times except when dilating, until (presumably) the dilation scheme relaxes down from 3/day by time of the second operation. These steps require some supplies and tools, and take some time, and I expect this will structure my life a bit now during the next months. I also don’t have all answers, but will request clarification throughout as needed. Surgeon noted; the skin of my new parts is not as fragile as I fear, it can be stretched and handled, and I don’t need to be so afraid. As he noted I have my body back now. For the cleaning, I should wipe the outer areas (and the edge between legs and torso) with antibacterial (alcohol) solution, whereas between the folds and inside, I should only use water. For the first few days now, sterile hospital water. To clean inside, meanwhile, I should use a douche, and do this prior to dilation but not after. Sticking the douche in as far as I can, filling myself up with water using it, then pull the water (bloodied, some) back out. The douche I have might not be the right kind, not long enough hose. I am something like 12-15 cm deep I think? And getting the hose all the way onto the back, so it hits the back wall, hurts. Presumably after doing this, I should always clean the douche fully and desinfection spray the parts. After douching, dilation. I assume for now I work with the small dilator (Kirk) but would increase thereafter. As I assumed, it should be covered with a fresh condom, so I am looking at a consumption of a hundred condoms per month, about the same rate of consumption as pads. Talk about catching up with a life not lead. One covers the dilator with a fresh condom, wearing gloves, then cover the tip of it with a large amount of a white cream, then a yellow cream. I must get prescriptions for both of these. They are, I think both antibacterials. Push the dilator in at one angle, then once past some point inside (which I remember from my cis lovers, actually), tilt it a little and push it all the way in. Rotate it a bit in the beginning to spread the cream around. As the old doctor did this first, I was happy to note it does not really hurt at all for me, though there was bloody discharge on it as he pulled it out. By his assessment, for me the issue is not musculature (my PC muscles largely accept they surround a vagina now) but rather it is about pushing down the sutures and keeping them compacted for some time regularly, as well as distributing the creams. The deep part may well come to hurt some, or the opening. We will see how that goes. And increasing to Bones or Spock size dilators might also hurt more. He did not underscore a need to do it for long, maybe just a few minutes, but the gynecologist he collaborates with suggests maybe 15-20 minutes at a time at least is good, so probably that is what I will do. After dilation, I need to put a placeholder in. This is not a reusable device; instead one builds a placeholder from compresses and condoms: fold compress around a long, straight object; put a condom over it, cover the condom also with the two creams, use the long object as an applicator to place the whole thing deep inside, then pull the applicator out. Keep this in between dilations. So actually, I am looking at 200 condoms in a month. Surely this will exceed my full consumption throughout near two decades of sexual activity. I should purchase in bulk. With the placeholder in (as I have one in, right now), I should be able to live relatively normally. Then stroke the white salve over all the bare urethral parts in the vestibule, and around the vaginal opening. And of course I still drip with stuff, so I need pads on top of that. I presume that within a few months, more and more of these steps will reduce, up until the second surgery, though I am not sure which ones will stay. I think eventually I probably shift to regular lubricant perhaps? But this depends also on the state of the deep graft dead part sloughing right, and that will have to be inspected by the gynaecologist later. So for now, I simply prepare this way, which means stocking up on a couple months’ worth of menstrual pads, compresses, condoms, gloves antibacterial solution and those two creams, which I must ask what they are and get prescriptions for. I also need to get a douche of the right kind, and since I will start doing this tonight here in the hospital already, I must request some of these things from them already now, as well as sterile water. This indeed should be my project this evening, practicing the full cleanse and dilation regime from start to end at least once, and then be ready to do it again in the morning, and then tomorrow during mid-day to ensure I can stably keep up and run and maintain this as a habit for my healing. So next step, I will request the supplies I need from the nurses (again across a language barrier). This will mean work, but it is liberating work, it is establishing a structure conducive for healing and independence and eventually, its own obsolescence. I much look forward to it (as well as to the exploratory aspect of mapping sensations as I dilate and clean). It seems it shall indeed be a major time sink for the near future and I must take this into account when making my plans (more delegation, less availability) and also ensure that I have as much of supplies as I need also in my home. I feel empowered to do these things now. The great work begins. Much love! ♡

Going to try showering/douching/dilating now myself for first time! Exciting/scary!

OK, that was surreal and weird and complicated and I am not sure I did it right and I need to ask about that and need to make sure I am not doing damage by using the wrong technique but despite the challenge I absolutely got through it at least. I think my tendency to ritual might have helped, and also seeing the surgeons lay out all tools within reach before starting to work on me several times now. I did that, but did not remember several things I really should have kept close, but will in the future, so there’s that at least. First took out the old placeholder. It is really hard not to get it wet when urinating and I really need to ask about that to see if I do it right, mailed the surgeon but will ask the local ones too again to show me again somehow. Then finally I showered for first time and first time warm in months. I drip light red liquid slowly thereafter, so put myself up on bedpad with the mirror they gave me on stand and looked at myself again. Could now more clearly see where there are parts still healing, somehow ragged edges, and it is certainly more than a little bit scary, but whatever. I may have some sort of adrenaline high now maybe. The parts that look scary are the major labial seams and the whole vestibule made from urethra which indeed is very red and swollen, the bulbus. This will change but that will absolutely take time, and I hope it does not get hurt in the meantime. Hence why I want to learn to be the gentlest I can. Putting in the tube for the water shower was complex, but it does not hurt much to put it into me or slowly push it in further. (6/23)

However, I have no idea if it goes straight or somehow bunches up, nor when I reach the bottom, and I was not able to push out then pull in the water, and that too I must ask if it makes a difference. Also needed to go back and forth between bedpad and bathroom for this part. Well, I washed – somehow – out a few rounds of water, regular tap water sadly but the local doctor said it would be fine. Then it was time for the actual dilation. Apply condom to dilator with gloved hands, apply collagenase and antibiotic to that and then push inside. Should probably start with a finger first next time, because unlike in the gyn chair it was relatively difficult. I know, of course, the feeling from pushing similar objects into others and myself, how to gently apply slow pressure and so on, but it then took a lot of time, I am not sure I got the medication everywhere it should, that I used the right amount, or that I went either deep enough or not too deep. Some bleeding when I finally pulled out. Watched the full moon and listened to music as I neither had set an alarm nor had other media close enough – will remember that for next time and also to keep spare gloves, condoms, compresses etc. nearby. And would need a mark on the dilator to check depth. I really need to do this again when they can see and verify I have it right. But will get there. Slowly pulled out – looked almost precisely like when there’s been condomed penetration during a lover’s period – and then tried to wipe up a little of the bloody mess before assembling the placeholder. This part ended up hardest as the object (the tube) was so flimsy, so getting it in did not work well. I mailed the surgeon on this also. Probably a true solid object is needed. I could use my fingers to push it in, but of course I don’t know that it goes deep enough and I am now worried if somehow there will be issues during the night because of it. But since several surgeons do not even use a placeholder, perhaps it isn’t so crucial, and waiting until tomorrow with it imperfectly placed won’t do me so much damage. Looking forward to speaking with them though. Main worry/challenge now: how to ensure I don’t pee all over the placeholder if that is a problem, and to ensure I have enough around of the medications (will need a prescription as this uses up ridiculous amounts) and all the other gear. But I suppose, one thing at a time, one set of challenges to try to perfect at a time. And hoping (and again, asked in an email) that I put the right medication on the external parts and not the wrong one. And that I did not contaminate anything with my relative pragmatism of wetlab courses so long ago. It feels a little anxious and major and challenging but of course, it will all be all right eventually, and will get easier eventually, and the whole experience was also complex and powerful as I have muscle memory of inserting dilator-like sex toys into others with near exact the same movements and kinetics and seeing and feeling that go into myself was now quite remarkable. Not erotic or sexual, not yet at this stage, but complex. It dawns on me that perhaps the 1000 hours of dilation before me this year might be quite introspective ones, with utility for getting to know bodily sensations and mapping. I just need to make absolutely sure I do it right so that I don’t risk causing any harm or infection. So I will bug them and ask. The night nurse who came in when I was trying pathetically with the placeholder did not know what to do and I think perhaps the bloody mess and the uncertainty scared her a little, but the surgeons should have no excuse so them I will absolutely ask. This was crucial, important, tiring. I won’t go over those answers to the Nature reviewers tonight either, I think, this was probably all the executive capacity I have and honestly some calming/anxiolytic would be nice right about now, but at the same time this is also brilliant and perfect and progress. Also, it is 80 minutes before I turn 40 and I just dilated for the first time, so I think I got my birthday wish of having a vagina before 40. I will just savour that for now and worry tomorrow. Love to all! ♡

Morning dilation went a little better, but honestly I don’t know yet what I am doing. I don’t think I get the douche far enough in. I also am worried the creams are used up at such a high rate (am I using too much?), and am uncertain furthermore if I get the dilator to the right depth – do I go too deep and hurt myself? Or not deep enough so I lose depth? Really need to mark this somehow. Hacked up a new applicator for the placeholder but this one does not slide nicely out, so also does not really work – still concerned the placeholder therefore does not go deep enough, and over bleeding while dilating. That said, little I can do but try and to ask as soon as I again see a doctor here. It took about 2h both of these times, but should end up substantially quicker later. Some very interesting parts – putting a finger inside, either to find the path or guide the placeholder, feels just how it has felt to similarly place a finger into a paleovagina (same sense of curvature above etc.) and also does not hurt. If I can just make sure I heal properly, I think this must be considered overall a successful outcome of surgery. Outside also looks largely paleo with main tells the vestibule swelling and the labial seams. Interesting. Also draining, with so much responsibility now for the healing but I will handle that. And I did in fact begin dilating to Star Trek: The Original Series, as planned, with the Kirk dilator now. Saw pilot and halfway through first episode and oh god this is dated, but makes sense, and I am fine not paying it full attention this way.

Got some vague answers across the language barrier from one of the doctors. He claims I will feel when the dilator is deep enough. I am doubtful, but he does suggest I should be 12-14 cm deep, so at least I can try using that as a guidance. He also says not to worry over urine contamination of the placeholder, so I suppose I will go with that (and sort of make sense – if the urethral opening can heal despite that contamination, so most likely can my vagina) and not to worry over blood while dilating. He sort of confirmed which cream to use inside and out, and mostly implied i could use another larger applicator for the placeholder, I think he was going to talk to the nurses about that. That said, frustrating and time-pressured communication, where I could not get my questions or answers across fully. His main message was for dilation to use a U-shaped motion for entry, which does make sense and I will try my best to do that. I also guess that since they don’t warn me about a lot of things I worry over, maybe those things are not actually major risks. That is, perhaps it is hard for example for me to damage myself or give myself an infection by way of the dilation or douching scheme. And probably I am not losing depth or width very quickly either given this is not a split-thickness graft scenario. I can just do my best. As I wrote this, the other doctor (somewhat easier to talk to) brought me larger tubes on recommendation from the first doctor, which should hopefully mean it will be easier to both douche and apply the placeholder, so will then try again this afternoon and that should hopefully make things a little easier. Life is strange and so am I. But I like better than before the look of my face in the mirror now. Somehow. And all in all, I feel good.

Third dilation session still took near 2h but was a little easier. Sturdier tube for the washing really helps both with the placeholder and the douche. Also I need to be more careful when holding in a lot of urine as I now lack the sensations from what used to be the distal urethra, so there is only one checkpoint that matters any longer. I hope I shall not come to have trouble controlling that, but I think when swelling is down, it will be far less of an issue. Slowly learning how to go with the placeholder in place, by shielding it with tissue held in gloved hands. The main challenge this time around was getting the dilator all the way in. I marked both dilator and tube at the 12/14 cm mark, but it must have taken near 10-15min to reach 12 cm with the dilator, and it yielded some bleeding around the opening as a result, though I am quite sure this all heals when it can and as it has to. I feel somewhat more confident. Also, it required patience and lying down and shifting position and pressure to get the last few centimeters in. Which makes sense, I guess. Of course, in some future where I might be sexual with someone, it will be up to them to get me to relax enough that I can receive. However, here I must see to it myself, and I still do remain tense, I sense tense musculature around the dilator. In other news, I will probably get to go home Monday, so needing to start to set things in motion to ensure I have all the supplies. This whole journey, as predicted, forces me to be more structured than usual. That is, however, a price worth paying.

“Stop if it hurts” is a really difficult direction to follow for me now, I realize, as there is a discomfort-to-pain continuum where I’d only consider things fairly close to the pain pole to be “relevant pain”. But I suppose I can be careful, and try to work off of depth markers. (As in, to count as pain, it has to be severe enough I have to make an active effort to endure it, the kind of thing where painkillers or local anaesthesia would be warranted. Not sure how sane this stance is.) A somewhat dire component to my pervasive sense of peace now: I now know that no matter if transphobia increases in the world to gatekeep us further, I will never risk detransitioning from any care being denied to me. This is my ground state now and I need not fear its reversal. But worth noting? This stuff is heavy in the sense of, creates a sense of tiredness following it and living within it. This all does make use of most of my energies, which I know to be substantial. I am not left with a lot of executive capacity. It is possible energy drinks or other stimulants could be used to push further, but they are unavailable in the hospital for good reason and I think I should keep such consumption low for a while in any case. Let myself be relatively improductive for a while in all regards.

Doctor with better English checked in with me and I could ask most of my questions. I feel safer accordingly in carrying out the routine. Feeling borderline sore, but should still dilate once more today, but probably try to keep it safe. Wanting to get this clear in my mind so I know I can do it right. I should not push too far or too hard. Apparently canal goes like 20-24cm deep, but due to various issues, cannot dilate that far. However, that does give some space for a followup revision to deepen, and I have at least enough depth that I can do something with it. That makes me motivated to now just focus on healing wholly and fully, and the way to go is to let it take time and keep at the routine. Once that is in place, I think my executive capacity will rise again. Also wearing tights for first time since surgery, and it feels good to finally wear clothes again, and it also feels good to be able to wear tight clothing without tucking and I think that feeling will unfold and unfold as time goes by.

Fourth dilation session. Cleaning went fine, dilation itself fine (watching Star Trek TOS S01E03 – “Enterprise vs Psychic Elliot Rodgers”) but putting the placeholder in was harder, possibly I closed up after the dilation. Sensations are beginning to remap and it is a complex, hard-to-describe, not-neutral experience to feel the dilator as deep within me as I can handle it. Beyond the wound care and muscle training, this training does have value for anchoring my embodiment. Moreover, looking at myself again, I honestly suspect that once I heal enough for scars to fade, and dog ears are revised, unless a lover is actively looking for it, someone seeing and touching my genitals won’t necessarily conclude I am trans if I have not told them. This made me happy to suspect. I want it known but because I told them, and in case of e.g. hooking up with people at parties (when those exist again), I might want to have the choice not to bother disclosing. Complex. But feeling good. There are things it would be good if I did, including commenting on a number of manuscripts, but right now, this whole set of things is really all I have executive capacity for. Will see how that proceeds. It will be good to come home soon. Love to all! ♡

This is just to confirm that, de facto, I am in fact dilating to Star Trek: The Original Series. I should finish that and move on to TNG some time during the first recovery, I think. How deep I get, how easily, and how/whether I bleed seems to vary from occasion to occasion. Star Trek TOS: S01E01-E04 (D6): Out of four episodes so far, all four has “entity with psychic power somehow among the crew/disguised as crew is/becomes a megalomaniac without conscience, abuses the crew, and is cunningly with”. Unexpected theme. Got to probably 14 cm depth.

So… putting the tube in for douching is scary because I worry its edge will hurt if it hits surfaces at wrong angles. And now I begin to get why approach vectors really matter in this sense, but from a first rather than second person perspective – it’s wild to know from the inside what I previously did from the outside. And it’s challenging and requires finagling to get the dilator in, with almost pain-seeming pressure sensations before I am there. But when it is finally in, I… like this sensation? There is something akin to the experience of electrolysis pain; when I am not dilating I find myself casually fantasizing over the sensation again? And I might somehow… like it? It is not sexual (I am too early in healing by far) but also not entirely and wholly not so? And makes me wonder, how will my preferences and desires evolve as my body is coming to be, once I am healed and have learned to map myself better? Possibly somewhat different from before. I look forward to slowly learning that, and to exercise agency as I do.

Waiting now for my ride home. Will send the clinic some chocolate later to thank for careful and compassionate care.

II – war diaries of kybele – collated tweets – attendance at eridu

META: These series of posts are collated reposts from a dedicated twitter account: https://twitter.com/kybele_deployed that document, specifically, my experiences from the point of preparing for SRS, then experiences in hospital for said procedure, then the recovery process thereafter, followed by some discoveries in new embodiment and the followup surgery. As such it spans for now the mid-2020 to mid-2021 time frame, overlapping largely with COVID-19 lockdown. The original posts are still up as tweet chains. Their relative order has been preserved, but not their exact time positions. The first operation took place November 10 2020, the second June 21 2021. For purposes of being possible to upload sensibly, the collated accounts have been subdivided thus preserving, again, relative time order but not relative time position, and the time stamp of these blog posts therefore does not correspond to the actual times of the tweets.

Recovery poses unexpected challenges in terms of weakness and low mobility but all seems to go normal so far. First time in forever I let myself be helpless and I think I have needed it. https://t.co/JXg1MVBJSW

Written yesternight, posted now. I am still very tired but not sure sleep is what I want yet. Unlike yesterday this feels OK. I know memories will fade fast so want to write these down before they do. Unlike before my genitals now have a word for them that does not feel like self harm to use about myself. Still not a polite, unloaded word though. Where relevant now will use the closest medical term.

Complicated in that I don’t yet know what is what in the sensory qualia. Unsure esp what labia, vestibule vs deep vagina feels like. This matters currently re: pain. Still in no pain but that hinges on staying in exact this position. Even changing upper body creates some sensation I think contrary to immediate-scale healing. Angle shift provokes (vaginal?) swelling. Clearing throat or gut peristalsis, tugging of deep parts (neocervical anchor?). Avoiding use of local tensing muscles for now. Later probably crucial for blood flow in autograft. Staying still is a mental challenge. Easier while remaining anaesthesia makes me pleasantly slow. Feels like when waking 12-14h and then sleeping aa long earlier this fall. Reboots. Dulls but only temporarily. Nice. After gown prep I waited 3h unquietly. Severe caffeine withdrawal headache, on full fast including water. Started listening to more Galactic North. Surprised when they finally came. Took tongue piercing out and went with. Nude under gown. Rolled into basement. Anaesthesiologists were lovely, soothing, calming. Only used vein port canulla. Still has it. That was scariest part for me because painful needle. I mostly used German, shifted to English when I did not know a phrase or word. It was OK. Lay in station with canulla in, calm but headached. Old man snores like he was choking. Finally rolled in. During this waiting time silently prayed: praise to Inanna, petition for her Rite of Head-Overturning (that is, transition), and gifting to her all the upcoming shed blood and the pain and fear and discomfort, as sacrifice. Main anaesthesiologist and resident got me in specific position into, essentally, operating gyn chair. Then added drug to canulla. This was only other pain, and weird one – felt like freezing my hand far below subzero, radiating.

Then suddenly started feeling like fuzzy, drunk, blurred. And next I woke feeling like when I repaid a sleep debt in past. Happy, still tired, unable to focus but wholly safe at last. Spoke with anaesthiologist. They rolled me back to the room, gave me some whater and I try since to let my loved ones know but without pushing myself at all. Typing slow. Love you all! ♡ More later to come.

Noting with some satisfaction I had two shamans (eclectic Siberian and Celtic) and one witch (Gaian/Wiccan) sending me healing thoughts during procedure, beyond my other loved ones. Plus my own Sumerian prayers. I remain a STEM materialist but I now let myself add meaning through spiritual overlays, recognizing humans as creating meaning. I could never let myself do that pretransition, my wishes did not feel important enough then.

Healing challenges today: – vaginal packing material causes v painful intestinal gas buildup, learned eventually an approach to handle it from my roommate who had the first operation in May – got onto meds: minor painkillers, escitalopram, antibiotics, antithrombolytics – learned that if I try to sit up or stand up yet, I will faint. They do not use bedpans so must learn in next few days. But already easier. Probably due to blood loss – concern from nurses and ward residents of little catheter throughput. Mostly probably means I must drink much more as my body is a virtual sponge. Might be why my weight fluctuate so widely generally – light but stinging/hot pain in various parts of vulva. I see this as a good sign, implying thus far all is intact. May need ice pack and painkillers tonight though – pain/discomfort from just laying flat is real. Learning how much I can move but weights of sand limit that, need to ask for help – learning to use the phone to ask for help whenever needed, ask again if needed, and wait if needed – broke fast, eventually making healthier choices than default for what to request. Staying as vegan as I can, feeling good over this – little energy for anything complex but all is OK.

Met with surgeon who inspected. Overall good but some parts need extra attention for cleaning and also he advises against the antithrombolytics. Instead I should constantly move my feat while lying down, which I do worry might tear a bit. Will see. And do as he says.

Still a way to go. Could not really sleep, and felt helpless and tired as the day began, wondering how to kill time. I still feel too tired to be much use, but I don’t have to be. I will just accept mindless impressions. Tonight I may sleep better. But at least now I can stand without lightheadedness, and may be able to handle bathroom stuff, when intestines work again, on my own. Less helpless to come. My vulva still hurts, and still seeps blood and lymph from all the stitches (but nowhere near the red tide…) of the first night, and there is a minor hematoma, but doctors say it looks good. Reducing swelling and pain with an ice pack now. And had an experience which made me feel a lot better. One of the doctors cut away the hospital panties to change them, then left me lying for a while as he picked up another pair somewhere. I haven’t looked at myself yet, and I am sure so far I am a bloody, swollen mess. But where before there would be a pervasive sense of wrongness from being seen and visible like that, here it just felt like any utilitarian, medical nudity. The specifics of my body in that situation simply was not an issue any longer. I was just a person undergoing treatment, comfortable in her own skin. There is still a long way to go, but the most major step was already taken.

It dawns on me I have had the ability to give (certain several kinds of) fucks surgically removed and I think this is something wonderful, both needed and elegant.

@eirenliel I want to only give the kind of fucks I am happier for giving. ♡

I do wonder what my gut microbiome will be like (“might f**k around and find out”). Mechanical cleansing, 4 days 3rd-gen cephalosporin IV. Restarting with mostly fruits, vegetables, grains, soy, but in a hospital setting. I hope in the end will be eubiotic. Confounded by, in meantime, mechanical castration, blood loss and healing from the penectomy trauma, all of which should have some impact on inflammatory state and thereby gut microbiota too. Plus hormones, I went off blockers near a month ago, and off estradiol on Sunday but started again today, after realizing it might have contributed to the downer mood. Though main factor probably is still the relative lack of control in small everyday things, I do feel a lot better this evening. Largely this is because today I am strong enough to walk around with the catheter bag within the room, and resolve the painful and frustrating intestinal resting state. Having eaten normally for a few days, peristalsis does its job despite how the passage is narrower where the end of the vaginal canal is adjacent to the intestine, so apparently everyone has painful bloating during this stage of this particular vaginoplasty technique. Being now no longer lightheaded from standing, I could initiate normal stool with softeners and then fearfully do my best to pass it without contaminating the surgery site, the compresses or the packing material. Remembering the times I heard girls admonished always to wipe from front to back (because notably, those were the messages that stuck with me, funny how that works?) and learning very down-to-earth practical tasks again. Now relatively easier and I am less afraid – this was one of the things I dreaded most. I still will ask during the MD checkup tomorrow if all is well, if I didn’t harm any of my new self by not dealing with it right but already feeling there are more and more parts of this existence I can control better and better, where I have agency. I had expected to go very vulnerable, but so far I sort of feel mostly more confident? We shall see how it all goes. Pain is increasing more also, and I am on no serious pain medication. Might or might not need to. Worried over the hematoma, over healing issues somehow, over thrombosis impeding any capillary healing, over infection once IV with antibiotics stops tonight, over the nightmare scenario of graft not taking inside. But all of that for later. For now, I just feel good. I look forward to relearning my body while fully present in and as it. Much love! ♡

Milestone: Anxiously worrying if that rich/bloody discharge from your nethers is a sign something is wrong. (It was not, I think. There’s just still a while left until I no longer shed blood lymph.)

Also, not taking blockers every morning means I need a new routine to make sure I take my anxiolytic every morning. Probably forgot it yesterday.

And some progress already since last night in that sitting up now feels easier.

Note to self: do not neglect stool softeners.

Surgeon came by in an eccentric flurry, accompanied by his local acolyte. She literally offered “I’ll be your hands” when the gloves he wants were not available, and so the two unfolded my labia and looked around. From what I could tell, he thinks they heal well. He asked her to remove a single, specific stitch (after randomly walking off looking for a scalpel) around the clitoris so they could see healing there, which apparently was fine, and I noticed the tactile sensation. Nothing sexual with it, but I know now that part is there and that it is sensate; somehow not sure which parts of the old glans sensations readings from it corresponds to. Will see how that develops. For now, at least feeling comforted we likely are going in the right direction.

Loving the pragmatism of nurses. One helped me now in several ways; removing need for super itchy bed covers (“Hrmph. Synthetmaterial.”) by me wearing a pad instead, fixing catheter flow, and removing the back-of-hand vein IV port, as from here I take oral antibiotics. Port was much less severe to remove than I thought, not a large stretching of vein by a rigid object needing stitching, but a flexible small plastic tube. Every piece of anchoring thus gone frees me a little bit more in the moment. Embodiment and the path there is wild.

Moved to another room. No pain doing it but I have been… so physically tired for an hour since? WEIRD. Was not using my crotch for it after all. So, physical exertion being more major during recovery is a thing? Moved to a new room. Felt like no effort during, but exhausted after. Altar setup now on side table. https://t.co/QjU7K86VG4

So there is this special pain which comes from tensing the body with a catheter in place and the weird part is, I feel I have experienced that somehow before vividly even though I know I haven’t? Oh yeah. I remember it from suppositories, that is what this feels like. Huh.

Likely good sign of healing but still weird feeling as parts of my old anatomy randomly comes online in the sensory map, but 1) as parts rather than the whole segments they were and 2) without me having as yet _any idea where they are currently located_ either in absolute or relative terms. Plus, of course, it is largely a stinging pain or prickling kind of sensory data so far. Integrating this into a new homunculus whole will be a remarkable journey, but once I am better healed. For now, contributes to the pain, largely. That said, I offered this pain wholeheartedly as sacrifice to Inanna and I will bear whatever it turns out to be, to offer her glory. I am wholly happy with my choice. And might ask for painkillers soon, so I can sleep. Both of these are true at once.

Had followup with surgeon today. This time walked on my own down to surgical suites in basement, got mask and shoe and hair protections and a cardigan over my surgical gown. Led into another theatre and seated in gyn chair setup once more. I could smell how unwashed I am and felt self-conscious, lots of smell of dried wound liquid especially, musky. But surgeon and resident ignored this happily. Maybe I will try to see if I can get to shower tomorrow somehow. Would need help of resident in repacking compresses afterwards. I will ask if I can shower before he does it. It would feel so so good. Anyway. Surgeon kept smiling, comforting me in his whimsical way, like soothing a scared animal which I was I guess. He told me he’d describe all he did and I realized with some fear this would mean painful steps perhaps without anaesthesia. It was all right but left me in all quite drained, in a meaningful way. He cut the external stitches, which I had not realized were there but which I now realize were connected to some of my stinging/restricted sense of motion pain. Weird if I am already healed enough for that, but apparently. Not so painful except one in the clitoris, which felt like being cut directly. I cried out and he asked “Which means?” and I responded that it was a sign that nerves were intact. It took a while longer. Maybe it was several stitches. The pain was intense, and I groaned, staring up at the surgical lights stating within praises to Inanna and dedicating, as I have promised, this pain to her as sacrifice. It helped me to do this, made it easier. Surreal. He needed to clean that a little extra, and I think there is special packing surrounding the clitoris inside the inner labia. Apparently I must take care to ensure the catheter extends up symmetrically between the inner labia so it does not strain them. Will have to look out for this. One issue: urethra is unusually swollen and bleeding, and this must be fixed somehow. I think it was now cleaned out and hopefully will be in better shape next time we meet, in two days. He was not sure why though I am concerned maybe the catheter is hurting it when I move? The bulbus region (unique to this method: urethral segment used in the vaginal vestibule to bridge) being perhaps also unusually swollen. This is one thing the second surgery often corrects. Another would be the surplus skin folds now in the outer labia (this I see already without mirror) which allows for those revisions more readily. Then removing from the vagina itself the tightly packed compresses that filled it. This did not hurt as I feared, but I also was not yet (and won’t yet be for a while) ready to really map those sensations. Angle and direction is… unlike what I’ve known. Somehow I think I expected a rectum-like vector but of course not, this is some sort of perineum surface inverse normal vector. I worried before that I would be at risk of breaking if penetrated other than carefully (and let’s face it, I will want at some point penetration where such care needs not be taken!) so it was interesting to see the speculum parts and feel them being used to hold the sides apart quite painlessly. Apparently the canal does heal well, but the inner deep graft (which is made from scrotal skin) might not yet have. This worries me of course a lot, but less so than for the outer parts. Surgeon seemed optimistic, and filled me up, as he explained, more tightly with rolled up compresses containing some medical solutions. This higher pressure, he explained, should probably help. I will, of course, worry. But I assume that even if it does not work, he can rescue the outer part. I would have some depth at least, even if the recovery and stay here might need to take longer. I will leave this worry as I have done all I can in choosing the practitioner and procedure, it will go as well as it can. I will learn in two days whether it helped. Then he cleaned up more and more, and took me back up to the part of the clinic which looks more like a hotel. Tomorrow the resident who attended will change the bandages externally, then on Wednesday the surgeon looks again inside. At least that long with the catheter. However, I feel already with the stitches out that I can be a little more relaxed in laying down or moving around. Returning, I was tired. More emotionally than physically, unlike yesterday. And should spend tonight doing very low-effort, low-engagement relaxing tasks, I think. But all in all, gradually it is becoming more and more how my body is unfolding, and I feel joy and faith in slowly initiating that unfolding. The major parts are all behind me now. Sending you all love! ♡

Finally slept almost a full night. Probably the stitches being off, I think. Still tired but this may be sign of healing. Also helping: instead of hot cover, covering legs with the lunghi I got for that tantra workshop so long ago now, which helped me so much in working out I wanted this. It has served me well since as shawl and dress and pillow and picnic blanket, so I am glad to see it come to use now come full circle to help me rest. I should probably look into more of them, very nice quality and material.

I think exactly a week ago I must have been mid-surgery. There has been so much healing and progress since, I am honestly surprised to be this relatively pain free and functional already. Tomorrow, hoping to learn if deep skin graft (back of vagina) has begun to heal properly. And hopefully in a few more days, will be rid of catheter. Having the speculum inside me today was interesting; a little painful though largely from the opening (and I feel they kept having to use serious muscle force to dilate me?). Did not have much sensation from the canal wall itself, more from the surrounding structure, though I suppose this is something which will continue to evolve. This was again in the context of cleaning out and changing packing materials. That which seeps out is still reddish but maybe clearer now, as though I am shifting into more lymph, less blood from the sutures inside, however those are made. Was seated on a chair for first time post-op while waiting for the inspection and it was remarkable in how it was at once not very painful, and at the same time very draining. I wonder if my internal support musculature is atrophying already from a week of lying down? Or if there is competition for resources given internal healing happening. Beginning to understand therefore how people have described the recovery period as limiting activity – not from pain or steric hindrance, but from systemic quick exhaustion somehow? And is it possible this has overlap with ME/CFS mechanisms actually? Needs exploring! Later! And eventually I shall need to start practising simple activities like sitting and walking, probably still while here in hospital. Not out of the woods yet, and overall very tired, but still feeling better and better both physically and mentally? Wondering a little if I have some phenotype where damage and healing produces some internal painkiller equivalent, as otherwise so far that has been so relatively minor a factor. Maybe the injuries to parts which do not have nociceptors still trigger this? Not that I have an idea what I am talking about. Hmmmm.

Ugh. There are voluminous wound-liquid wet tissue wads hanging out of my uncomfortable hospital panties making a mess but I cannot really change them myself yet as I don’t know what packing material should go where, so it will have to wait for tomorrow somehow. Oh well. And my entire backside is a mass of dry itchy skin I am trying not to scratch to pieces, from lying down all the time, sweating and not having been able to shower. I so look forward to some stage when I can wear saner things like tights/tops/panties with just regular pads. Hopefully once catheter and packing stent is out.

Some concerns. Hoping and praying they will resolve perfectly, working on least-bad strategies if they cannot. And what fear may then still remain, I dedicate, just as the pain, to Inanna as sacrifice. For the cleaning session this morning I was woken at 7 and asked to come down to the surgical suite, freshly awoken. Surgeon heads back to his other city so wanted our appointment done before his main operation; moreover, theatre was also not available so this time I had inspection in the actual airlock to the surgical suite. Very surreal. Catheter still in place, no news on the urethral swelling, but updating on the vaginal healing. To give context to less obsessive readers, the combined method is called as such because it follows a “penile inversion” skin flap + urethra for the outer parts of the canal (same as classic Western methods) and then lengthen that with a scrotal skin graft (same as the advanced Thai methods); this is what makes it “combined”. In my case, from what I could gain from rather hurried conversation, the deep graft so far has not attached properly, meaning while it is sutured together with the outer part of the canal, it is neither binding to nor receiving vasculature yet from the body cavity. This was the concern two days ago, and the hope then being that to repack it, but back it tighter to the back wall with compresses, might speed that process. This has not worked as well as hoped, though it is still possible it might; another two days will now follow of such packing. If it does not work, what I learned during quick conversation is, it will have to be adjusted during the second stage operation in six months, making that more complex and also presumably expanding period of intensive dilation from six to twelve months, assuming it is successful then. I also am not sure what happens with the graft itself if it does not take; if it can be preserved inside and reused, or if it needs removal and the much shorter vagina needs closing in some other way then. Nor whether there is any risk of the unattached graft going necrotic under those circumstances. Nor what options then would exist for alternate graft sources: having external skin wounds as a result? Ultimately, this would seem to make for two possible outcomes: one where I am lucky and this present deep graft still takes, and one where I am looking at longer followups during next year, possibly more full anaesthesia, possibly painful skin graft sourcings and recovery therefrom, and a worst-case scenario where the vagina simply ends up quite shallow – unclear how shallow, but possibly such that penetrative sex may be difficult or more limited. It’s not possible to say yet either way on any of this, and all I can do in one sense is, try to deal with it. This too makes for multi-pronged efforts. I would need to mourn the extra time lost, try to find ways of making that time useful, and to make the most of any outcome there is. The latter is most accessible – this would still not be as bad as, say, losing the clitoris to necrosis as some do, but I honestly do feel that I want as much of this as I can, so depth also matters. However every woman has her limitations of her body, parts and aspects she is uncomfortable or have trouble with. I have had both cis and trans lovers who mourn and navigate how issues ranging from vestibulitis to damage to anatomical limitations prevent them from either vaginal or anal penetration to the extent their desires called for. I can draw on their experiences and kinship if I end up having to live with a similar limitation. I would just find the sex I can have comfortably and follow that up. The fact that I no longer am alienated by having my old anatomy there, or feel awkward having another touch or see it, already empowers me now. Likely I retain sensation, so the chance of me having clitoral orgasms at some point seems good. And if lovers want to do with me things I physically cannot offer them, I suppose I can get good at other things instead to keep them interested, if need be. I will manage, either way. I feel finally I am the one steering the ship of how I live within my body, no matter how the graft takes and what depth I achieve in the end. And if anyone can work out a solution to deepen me if needed in followup, it would be this surgeon. I’m still emotional, of course, and during the day now I anticipate that this all will be in the back of my mind causing rumination and trouble but that is just how having a mind and a heart is. I would not have undertaken this if I were not prepared for a range of outcomes, this is part of what my process on deciding on having this surgery was about. I considered a far wider range than this already. Then there is the question on whether I can now make a difference to the immediate outcome. Surgeon is unsure what the issue with the deep graft is. Probably not the skin itself, but as noted, I have had substantial issues with bloating and intestinal gas and blockage during the healing. My fear all throughout that, and remaining now, is that perhaps that has physically made it difficult for the graft to find adherence to the cavity, as it has been pushed out too often too quickly. So perhaps what I can try to do is to quiet my digestion as far as is possible. I can try to eat slightly less, and being even more diligent keeping fibre high. I will start now the use of probiotics which I brought along rather for their vaginal colonization potential, taking them orally in the hope they may shift gut functional state away from gas producers. Nurses are unwilling to provide more than two stool softeners per day but do provide “buttermilch”, which is not vegan but can serve a similar purpose, allowing me perhaps to ensure smoother, less gassy digestion. This is lay speculation, but at least a little closer to my actual expertise, and as complement when the treating physicians also are at a loss, can hardly hurt. And beyond that point, further still, is the point of the even less formally evidenced namely the spiritual. As stated, I don’t really conceive of that as anything outside of ourselves or of ways of systematizing the world, but that no longer holds me back from choosing to relate to myself and the world through such a lens when helpful. And it is here literally about something within myself – healing processes and calm centered between what some would consider sacral and root chakra. And I have framed this entire procedure within the scope of that ceremony which trans priesthoods of Inanna may have underwent so long ago, asking for her grace as they did, and offering to her all my pain and confusion and fear and response to ordeals along the path as sacrifice. Here I proceed – I continue to pray and sacrifice that this Goddess within whom I see so much of my ideals for my own womanhood transcendentally embodied may grant me relief and lead me through this to the best possible outcomes. So I act, on several fronts, and through acting, have a way to cope with the uncertainty. There are a few other things, also. Still of course no certainty yet catheter removal will be a success, if swelling has continued. If it has, it will then be a matter of further waiting. Frustrating and anxiety inducing but again naught else to do. Where I can act however is on the level of how my skin suffers. I must get them to show me how, somehow, I can shower. My whole body itches now and it is hard not to scratch. Lying in bed, sweating, for over a week, makes this near unavoidable. I need to shower, then moisturize. For both of these I need the instructions and collaboration of the nurses and doctors, so they can help me do so without harming packing materials or cathether. Perhaps there is a way I can separately wash my hair finally, or separate parts on their own, and then if they get me some moisturizer, I can use that. If not, I will try to ask my Berlin girlfriend to bring me some. Restoring moisture to the dry, dry skin should help at least make everything else more comfortable. And I sense within me, with some mourning, that I am moving to want to look into some efforts that can bring me later glory, though still not available to the world. I could do some work that I would not have done otherwise, but also would not have done now if fully relaxed and at peace with the healing flow. This in a sense serves to prepare for the potential reality of next year having a longer recovery period for the second procedure (as well as, perhaps, from procedures to deal with the sizable lipoma now seen on my side), freeing me up to not worry so much over productivity loss in that. As I wrote this, nurse came by and noted just how much my skin now was scratched from the itch. She offered much-needed sympathy, helped me apply a topical solution, gave me an antihistamine tablet, changed all bed materials away from synthetic materials to cotton and says the doctor will get back to me re: maybe changing my antibiotic, in case it is that which is triggering an allergic reaction. Thus all who saw now seem to agree it is allergy either to something in the protective sheets, antibiotic, or both, meaning we can address that part at least. A little concerned the antihistamine tablet may be counterproductive to wound healing and therefore also to the graft acceptance process but in such open-ended circumstances, must be pragmatic and consider how little certainty I have either way. So, all in all – one part of healing (urethra) still ongoing and uncertain; another part (deep graft) also ongoing but may end up a significant complication or limitation, which I am dealing pragmatically, emotionally and spiritually with, and finally for the mess of skin reaction, at least now I have allies to deal with it. Feeling affected, impacted but resolved, in action, in movement, in hope. No matter what happens I will be far better

off than where I started. Sending you all love! ♡

Update: Going off all meds for now due to the allergy – no more systemic antibiotics, no more painkillers. Luckily I don’t really need them at this stage. Pestered the junior doctors to clarify; if then there is an infection, they will use topical antibiotics for the suture sites or canal, so that is solvable if so. Re: the back end graft; indeed if it does not take now, they need to close that part (shortening the canal) and later use another skin graft (so probably would end up with another scar somewhere) to lengthen in repair or revision surgery, once everything is healed. It is conceivable this would cost me more out of pocket and need to involve more approval bureaucracy, which is concerning, but I would deal with that then. Resolving now that if I do get a disfiguring scar from needing external grafting, I will look into ways of framing that with a tattoo somehow. They suggest, we won’t know until later – another two days to wait first, then another two – if this new approach changes things. But at least this means they are not convinced it will NOT take, they see it still as a possibility. So I will try to help them by sleeping, avoiding itches, avoiding bloating etc. as above. And while the packing is in, no way to remove the catheter, and no way to shower. So there will be at least until next week with that. Which is not great. But no matter. I am the witch who faces the storm head-on, whether I weep or laugh or stare disapprovingly as I do.

Now staying off all meds for a while (well, off of pain meds and antibiotics) to verify none of them was driving the allergic reaction. Mostly OK but feeling how swelling and pain increases as a result. Hoping somehow that can be healing and aiming to sleep through it anyway.

So, some sort of allergy either to bedding, antibiotics or both, most likely. Got topical and pill form antihistamines, then back to the IV port in the hand (ugh) for IV hydrocortisone. While skin itches all over showing flame patterns. Frustrating. Though really my main worry is if this can further complicate any of the vaginal healing. It’s out of my hands though. Tired, itching less, coping. Well, even if this contributes to either a longer surgical journey or a less ideal inner outcome in the end, I will make the most of everything. Probably another week or so before catheter is out and I get to shower, I expect. Ugh.

With blood-mixed fluid slowly dripping out of me as I lie down with insufficient packing materials provided, I find myself googling whether people get similarly uncomfortable and undignified experiences while menstruating wearing pads and I suppose the scope of this diverse squicky reality does help me a little in coping with it, at least, in not being afraid or thinking that this amount of liquid going wrong places isn’t necessarily dangerous or a warning sign. Shedding a uterine lining of course is in no way the same as trying to attach grafts or skin/mucosal flaps sewn together but at least the experiences may share some overlap in being cumbersome and uncomfortable.

The adventure continues! Was wheeled down for followup not of the vaginal compresses, but the urethral compresses. Lots of messing around with pushing in fluids and… urethral speculums? Which felt remarkably painful. Especially when one slipped. But one reason may be apparently a 10-14mm bleeding tear in the urethra. They spent a lot of time trying to fix this, with several phone calls to the old surgeon and sending him pictures. Pressing down hard for five minutes a few times. Using some sort of electrified tweezers that make sparks and burnt flesh smell, making me nostalgic for laser. However, nothing to do but put in stitches. Without anaesthesia (they debated it but had no good options). I did the Golden Dawn Fourfold Breath and rode the pain. It hurt less than the way the torn opening hurt when stretched by the speculum at least. Apparently bleeding finally stopped (but now I do need blood thinners for the night) which they had not expected (but from how I understood it, old surgeon did). I hope this will solve the issues with the urethral healing at least. We will see. I was complimented on my pain tolerance and on not getting panicked, so I guess I’ll just endure whatever needed to get through this? Also they noted my clitoris as unusually sensitive at this stage and I really hope it stays that way. Thanked them, elevated back up and probably will need to largely rest tonight as all this still took a lot out of me. I hope I will not harm these stitches with how I move during the evening and night. That worries me in a way the pain does not. I wonder if perhaps my preparations really did work? In the sense of, for years even pre-transition treating every painful experience as practice for this, Gom Jabbar-style (“What’s in the box?” “Pain.”). And then slowly starting to associate prolonged pain with pleasant fuzziness afterwards. Have I succeeded in training a certain kind of pain response, I wonder?

More followups; urethral healing seems well; but most likely the deep graft won’t make it. Sad but not end of the road. Meaning about half the depth needs replacement by later skin graft. I have lots of questions but so far could not get them answered across the language barrier. But from what I can tell, they do not plan to excise the dead graft part, but just to let it shed? Which raises the question: will half the vagina before revision lack a lining? If so, what will the walls be made of? And what does this mean for dilation? I am sure I shall learn. And will navigate it optimally. And realizing that being Twitter-open with even things like this is part of how I handle it – parts of the surgery being dissatisfactory or requiring followup is easier to bear if it does not feel like something shameful that I have to hide. Life in public is safer than life in private for me, somehow.

My parents and sisters and families sent me roses! https://t.co/bz1LwKJyMH

Spots on the arm with the IV which grew dark and flushed when we added the prednisone to treat the antibiotics allergy, are beginning to fade from dark red to mid brown now. I wonder if their chief presence there implies most response was there, and if there is such a think as antibiotics deposits from antibiotics IV and if those are unevenly distributed across the body from where the IV port is located?

I am beginning to be recovered enough that my body is a bit restless, making sleep harder, but still not enough to casually move around (esp. with regards to sensitive bits). Possibly I should start trying to sit up more, but still leaking so much discharge that I fear it would get messy quite quickly. Frustrating but OK. If I understand it right, we now await full urethral healing and end of hematoma, slow sloughing of deep graft, and full healing of shallow graft, before catheter can be dispensed with. Wonder how long it will take? Well, keeping at it, slowly getting better. Allergic itch mostly subsided!

In the interest of reporting trivia, thus far to make time pass during recovery I binge Castlevania, Bojack Horseman and Queen’s Gambit. There is something missing though and as my strength returns I am getting terribly restless.

I need to try to get then to explain to me what to expect if there is a region of vaginal cavity without skin graft even during an intermediate period. I want to know what it means re: risks, challenges, discharge, dilation. I will eventually get those answers, but am impatient for them, as I want to be able to start preparing mentally. I must try to ask again once I have a doctor with good enough English around.

Inspection today was remarkable because the doctor doing it now was actually gentle with me instead of prying up my urethra with the speculum. This was nice. It does make me wonder; of the ones I was so far cleaned by, the men all have been substantially rougher and I cannot help but wonder if it has any connection with whether they know of anatomy like this firsthand or not. That said, this is way too anecdotal, way too little data to say properly. They all seem concerned about the urethra swelling though, even the old doctor. He now suggests: on Monday, we take the current catheter out. If I am able to urinate, then that is great. But if I am not, they will give me a puncture catheter and I may have to take that one home. I am not happy with that, but I will deal with it if I have to. Actually I am quite afraid of that possible scenario so I really don’t want it to happen. Meaning I should focus 100% on urethral healing and gentle handling until then, I suppose. Anyway, I still could not really get clear answers on what to expect with the deep graft. They all say different things, either positive or negative or just (as the old doctor notes) to wait and see. I hold out hope it will heal. Otherwise, at least getting confirmation I will need to dilate, and also to do regular checkups. And the area without graft skin would be some sort of hybrid material involving scar tissue. So no real clarity yet except cannot say yet either way. And very much hope, from my end, that I will be able to urinate without the catheter on Monday, because I really don’t want a suprapubic catheter; the thought of a port going surgically through my abdomen – that I could, in principle, damage by rolling over on the side! – is very scary to me, and it is a scary thought of, what if the regular urethral passage closes somehow? Not that it should though. This will be OK. Sooner or later, one way or the other, it will be OK. I will move through this until the needed outcome is achieved. There is nothing I cannot endure in the pursuit of my goals.

Idly-boredly-hopefully googling “how wipe after urination” and cross-referencing different tutorials. Still stuck in catheter limbo, but would like to have a plan for when not. Apparently children are taught this by parents. Wrote long pretentious tweet chain involving COVID and chrysalis and being a body but Twitter ate it. Might rephrase later, maybe.

It was a little unsure whether I’d get wound cleansing today but the old doctor insisted the young doctor should, and I am glad he did. The concern was mostly, is my urethra strong enough to handle specular inspection yet? Turns out that it was; sensations on the verge of being painful and sign of breaking but staying just here of that. Old blood washed out but no new blood, so maybe I am lucky and now that part is en route to healing. I am beginning to believe that the parts I feel stretchy pain in sometimes really are outer labia and that what hurts (and stains some of the packing) are the seams there. Lower perineum is a little torn but that is not new and hard to avoid under these circumstances. Have not showered for two weeks, and not showered hot for months and months. It seems likely my movements have minimal effects on the urethra except through the catheter sitting inertial within it. This time, feeling urethra stretched with the speculum actually helped me sort of feel where it was, though I have no idea which sensations correspond to its opening yet. No news on the deep graft. I don’t think they changed the vaginal packing this time, and I am not sure why, but judging from the stains on my sheets, that now mostly leaks the salve it it packed with, but little if any blood lymph. I will take this generally as a good sign, whether it signifies full or partial healing. Looking forward to know more, and at least it is new – previous days, that compress was always wet with red liquid and now it doesn’t seem to be. We will see for that part. As for putting bandages back on, the main irritating sensation now is how the catheter tube lies directly against my clitoris. It is not pain sensation (and certainly not pleasure), just the kind of sensory overstimulation and salience I remember from skin that always used to be almost-intolerable to touch directly without anything between (or substantial lubricant). Unless something goes wrong later, it seems I really will retain a lot of sensation there, which eventually I am sure I shall explore and make use of. So next somewhat unclear step is, sometime tomorrow clean again (urethra? vagina? both?), possibly remove the catheter, possibly remove the packing, possibly add another catheter? Nothing really certain either way until it happens. Until then, remaining in chrysalis. Clearly feeling stronger and a little more embodied today though! Love to you all! ♡

I guess the fact that I tweet every detail about my genital surgery recovery on a public account does mean I can’t credibly claim to be a particularly private person, can I? Well, I looked inside myself to see who I’d find there. And this self is the one I found. ♡

Catheter staying in until Wednesday when old doctor is here again. They will then presumably give me a suprapubic catheter thereafter which I can then be weaned off at whatever pace works. Not the most comfortable path forward but at least one which means I am cared for and treated as inpatient as long as possible, which is otherwise, I think, good for healing. Preparing for cleaning again now.

It is quite interesting that so far, that which has hurt, rather than been just uncomfortable, has been: 1) cutting stitches in very sensate places; 2) making stitches; 3) stretching of already-hurting urethra with the speculum. In principle, unless it really involves tearing tissue, I can just navigate it as something other than pain. Still actively working to stay calm on the operating table: fourfold breath and invocation of calm. I can absolutely see how people could end up traumatized by experiences like these, and I think on some level I am trying to protect myself from that by ensuring that I am able to contain emotions and sensations when they happen. Essentially, I am trying to stay unafraid so as to not associate genital sensations with fear. I think I am successful.

To not get too warm/sweaty and trigger allergy again, as I lie in bed these days I cover my legs in the lunghi I got for a tantra course three years ago, and which has served me as multipurpose scarf and pillow and blanket and much more since, one of my favourite pieces of clothing. That workshop was also instrumental in helping me realize I wanted this. Interesting to look back: https://t.co/HRfRPJhDmH

Somewhat chaos of what I am told continues; new catheter should go in probably tomorrow or the day after. Old surgeon prefers starting with that to give urethra time to heal without either catheter or

urine throughflow, and I’m here basically because I trust his judgment, so fine. My worrying mind is concerned that waiting too long to get off the catheter would make it harder, with long-term dependency a worst case scenario, but really, if there are issues, we will just increase efforts until they are resolved. This will all be fine. Still, keeping my emotions a bit in check (and staying in sphere of distractions meanwhile) until resolutions are definite. I observe with some interest this fear in me of complications and imperfect outcomes more generally, not just in and of themselves, but because I fear somehow that others in their heart of hearts would question my choice to do this, or pity me, if I do not solely present a success story. In response to that irrational fear and resulting pressure, I do the opposite – I try to share everything with anyone who tries to listen, thereby removing the hold those fears could have over me and making me free to just be present. It will all be all right, and either way, here I am living my life. https://t.co/x4j4hqIyVL

(Also watch the video because it is amazing and beautiful.)

(Why are my nipples itching?)

Cleaning once more. Speculum hurt less, but apparently some place in urethra is bleeding again. My guess is the catheter roughs it up, so switching to suprapubic tomorrow or Thursday probably is precisely what is needed. Some really painful sensation when the doctor pressed against bleeding, felt like something might end up torn in the connection surfaces between… things, but in practice, I suppose it will all heal up. The body is made to endure continuous damage and heal continuously after all, and especially in these parts. And without the catheter, it really should end up less of a continual insult to the poor tissue. And really, the effort as a whole is remarkable. The vestibule is so tiny yet contain at least three separate systems and interfaces each with different needs. It really is remarkable surgery. But I shall feel calmer and safer once I know all is fixed and done, and I know all parts can finish healing on their own, and all functions are restored properly. I wait patiently until then. I am good at this.

I guess I have some emotions on the urethral healing situation, worrying that there will be longer, more durable complications that take more hassle and pain and scheduling to fix. Or that any of the other parts will be hurt in the course of that healing. But then again I also know this is largely just me being anxious, it will be fine, I just need to wait this all out and let healing and interventions take place as needed so I can get to where I should. I have what I need to do so, I am well-prepared and well capable.

I – war diaries of kybele – collated tweets – vigil by the huluppu tree

META: These series of posts are collated reposts from a dedicated twitter account: https://twitter.com/kybele_deployed that document, specifically, my experiences from the point of preparing for SRS, then experiences in hospital for said procedure, then the recovery process thereafter, followed by some discoveries in new embodiment and the followup surgery. As such it spans for now the mid-2020 to mid-2021 time frame, overlapping largely with COVID-19 lockdown. The original posts are still up as tweet chains. Their relative order has been preserved, but not their exact time positions. The first operation took place November 10 2020, the second June 21 2021. For purposes of being possible to upload sensibly, the collated accounts have been subdivided thus preserving, again, relative time order but not relative time position, and the time stamp of these blog posts therefore does not correspond to the actual times of the tweets.

Knowing myself, I risk flooding my regular account with way too detailed surgery-related content now that my SRS finally is scheduled, throughout preparation and recovery. Rather than alienate regular followers, I therefore make this alt for that content. Read at own discretion.

Actually preparations are soothing escapes from other stressors. In part because it leads concretely towards something I have longed for. (Maybe I should get a good freezer before Nov 10 so I can keep food stocked more easily during period of low mobility?)

Just as deciding on SRS was almost as slow and complex as deciding to transition in the first place, so is there an analogy between coming out and letting people know I will be away for this. However, at this point no real worry over the process, rather this coming out I enjoy.

Perhaps not least due to my sadism wherein I _know_ people, especially men, will be uncomfortable thinking of what the operation entails, and one side of me delights in causing this discomfort. I am, apparently, a troll.

(Increased priority: do not catch COVID-19 before November 10. Should probably start isolating even more diligently. I wish there were even clearer strategies that I knew of!)

It’s really quite absurd, in a way. Just seeing a needle used for blood draw makes me tense. And in 52 days I’ll have IVs, surgical drains, catheters and probably like several blood tests per day. Not to mention deep surgical incisions through core musculature, removed organs and microsurgical repair surfaces. It’s hard to even imagine. I certainly have no real frame of reference. It feels surreal. But on the other hand… maybe everything is surreal? We just think some things are not because we have a system of habits where they are expected. From those sisters and other siblings who walked this path before, I know it can be done. And once I know that, all the rest is just pain and instinct and fear, and my will ranks beyond each of those. So much of what I did these past years was in order to make it so, to steel my will so that I can have conscious agency, and on some level, having this in mind. I know it will be fine, because I know I am much more than that frightened path, who amuses me now more than anything else. I have learned to take pleasure from pain and excitement from at least some forms of fear. Still, it’s pretty wild. And you know? I bet I’ll _still_ be scared of having blood drawn even after going through vaginoplasty. It would be on brand for me. I… am going to handle this. Beyond the habits and expectations of that small-town child, I am intellect and burning desire for new sensations. Always within me the desire to face the world and be liberated and improved by it, following its dance. That is what I will do again.

Things are getting real. Now have a checklist of documents to bring on day of admission – which is 48 days from now OMG – and a list of blood tests to get before then and I am asked to also order my dilators. I think I will name them Kirk and Spock, in ascending order of size.

Example of problematic but interesting thought/response/emotion. In continental Europe and internationally, unlike my Scandinavian past, women often perform femininity by greeting each other through mannerisms like cheek kissing. Not during COVID of course. But otherwise. When being invited to these, I feel validated, but also always extremely self-conscious, worried that I overstep boundaries somehow simply by accepting, worrying I will somehow commit a faux pas and be revealed as impostor. I would never initiate these, because one thing from my experience as awkward AMAB person is the fear of being read as predatorial, even where there is no reason whatsoever for that fear. Somehow this fear is also jumbled up with my sense of body and body as seen by others. There is some part within me that feels hope and expectation that ridding my body of a genital configuration that is coded male to many will make it so that I no longer worry about being read or perceived or interpreted as such, by others or myself. And I recognize this whole complex of thoughts and associations and expectations as deeply toxic and problematic and uncalled for, and I can see through it, but I still somehow feel this is one of many small facets by which changing my body might make me feel less uncomfortable, less out of place in my own perception as well as in others’ perception of me. Not rational. But one strand in a large bundle of both rational and irrational needs and yearnings and fears and hopes. Our bodies are flesh and constructs interwoven and there is a myriad paths they can take and this is one of many of those facets, one way in which it shall be interesting and to see how and if the surgery changes how I feel, where and how I feel comfortable. Which is also a regard in which I possess agency, and I shall exercise this agency. All is love!

Insight: This current box of androcur tablets is probably my last, because in 47 days I will no longer need them and I will taper of them in 26 days.

Given two offers to do academic career talks/panels at about a week into planned recovery. I wonder if it is a sign of my deeply flawed judgment that I am considering accepting those invitations anyway, in part because I will want the audience at that time.

Class privilege in transition care: Happening to know a senior cardiologist who can casually arrange your pre-op ECG tests.

OMG 41 days.

“Being ready” might on some level just be realizing that the need to “be ready” is as illusory as “being ready” is. This is going to be surreal and heavy and major. I should prepare that ritual I have been looking to do. And ensure all is in place. Well, that is what I am doing.

I dreamt in several long sweeps tonight how I was in recovery already (but in social context still) and I want back to those dreams rather than wake up. This is new for me.

Also I am panicked about either catching COVID or my surgeon doing so before we get there. But I can do nothing but continue to move.

38 days. This is doing heavy rotation and may the last I choose to hear before going under: https://t.co/Auiqsnnezd

My dilators were delivered now, to my office. Tomorrow I pick them up to see them for the first time. I believe they are very different from the most common designs – they have some yield, for example. Soft bois to keep my garden in shape? Foam-based dilators as per the Combined Method of SRS. I decided already to name the smaller Kirk, the larger Spock, but what about the intermediate? They will boldly go where no man has gone before, but my knowledge of TOS characters is still quite shallow. Sulu? Chekov? https://t.co/0xuiPhtJqE

My nutritionist colleague kindly offered useful advice on how to handle the stages before, during and after my hospital stay. I suppose simplest to say is: vegan high-fiber DASH diet is good, 16/8 or 5/2 is good, do not calory restrict while in hospital, seek antioxidants. Realized while talking to her that not everyone calms down and sleeps well on coffee, or drinks the amounts I do per day without feeling the slightest bit agitated. Given the same applies to other stimulants, this is yet another point in favor of me maybe not being neurotypical. “Bones”. Middle dilator is the doctor, the real McCoy, “Bones”. I believe that both “to Kirk”, “to Spock” and “to Bone” are verbs.

Giving birth to myself. I fear essentialists would deny me the analogy, call it appropriative, but it rings true for me in many ways, including scope and impact and also in several very bodily senses. I am pregnant with myself and I feel some form of fatalist serenity in this. One of my major papers I finished final submission of because the lead authors both gave birth just before we were done. With my own lead author papers now, it seems very likely my collaborators in turn will need to do the final submission as, by that time, I will be in hospital. Knowing I will not be fully ready, that no-one ever is, and that it will have to be as it is, that it is all right that it is. I have until rest of the year still with my therapist before she leaves the praxis. We will schedule a few remote call sessions for the time I am in the hospital and in recovery. In case I am hit harder or weirder than I expect. In particular to look out for post-op depression. My OP date is now within the timeframe by which my meetings are scheduled so I get to tell all my collaborators. Enjoying bc it makes it more real, bc my troll ass enjoys causing mild discomfort, and bc this feels like a teaching opportunity about trans existence in academia. Part of which, honestly, is about more of them knowing concretely that anatomy can and often does change in transition. I want people to know I will have had surgery because I want them to see my body as not so different from that of any other woman’s. How I feel about myself is affected by what I believe others believe about my body. I recognize how this reflects my particular binary modality, perhaps, and must again make clear it is a despicable transmedicalism that states any trans body needs this to be what we say it is. At the same time I need this, and inside me is happiness I almost fear letting myself feel that it finally happens, I fear relying on anything until certain, will worry until I wake up reconfigured. Yet it is now giddy, excited worry… it’s a month away only. Holy shock. This is big and it is time for Feelings to come along, I think. 31 days. Less.

After 32 months, gonadal volume has shrunk to less than a third of what it was pre-HRT, so I hope there has been enough atrophy that three weeks without suppression won’t come with any testosterone spikes. Hopefully, I will just feel as nervous and excited and scared as I do now. So this blister of Androcur pills is likely the last I will ever take; after it is through follows a three-week pre-op washout period. I wonder how that will feel? My hope is, not much, because I hope my endogenous production already may have stopped. Will I Instagram from the hospital 27 days from now? I think it very likely that I will yes. May the Lady have mercy.

I am not sure what it says about me that one major thing I look forward to during recovery is to somehow get to take a break from everything for a while. And that nothing else appears to let me.

Since yesterday, no longer taking androcur (CPA; testosterone blocker) as surgeon recommends going off them for three weeks pre-op. So I might have taken the last of them. Curious on whether that will mean any more changes long term from being off non-bioidentical progestins.

Songs that reference SRS, even extremely indirectly and in weird fashion perhaps only in my head, that used to be somehow very important to me for this reason but without me contacting the dots or even realizing I was trans, just that it was something which made me wistful. Thinking that it was something which… somehow would be meaningful but that wasn’t something which I could be wanting or having. Even the hardships seemed appealing, yet unavailable. Several songs on Forest Families. Zeigeist songs. Others. And now finally I can start moving those images and thoughts and emotions out. Alchemy of lives, of finding ways of becoming ourselves, of moving from dreaming into being. I’ve grown and I am, more than anything, happy with whom I’ve grown into. And I will continue to evolve further onwards.

Not sure which surprises me most: that I could navigate a dermatologist followup in German (understanding ~65%) or being asked about my transition direction by someone who saw ~98% of my bare skin already when I explained I needed the followup done before my imminent SRS. Like, he literally has seen everywhere but front under magnification. Between buttcheeks even, with panties pulled down. And remembered me well, yet still seemed genuinely surprised I was transfeminine. I started HRT at 37. Yet somehow I pass as cis to healthcare providers? My schedule for next two weeks is packed full with items to somehow finish things up or hand things over. It will be intensive, and all of it aiming to be able to move my various projects from a state of requiring immediate attention. Exciting and tiring and… real.

Two weeks.

Scheduled a meeting with my gynaecologist for a week post-release from hospital. Like the parabolic ant, I try to prepare all I can so it can fall into place as well as it can. I hope all will be well.

I think I have 1) ca 30% higher libido and 2) ca 30% higher dysphoric anxiety, these days now. I wonder very much if it is due to being off the testosterone blockers, as both of those things changed in the opposite direction when I started HRT. Curious! Won’t be for long though.

The experience of buying pads, without any idea what size I actually need or what brand is good, so playing it safe in the middle. Not for any uterine lining, but in preparation for substantial bleeding and discharge during healing. I’ve thought many times wistfully of that expectation of coming to bleed a whole life’s worth of periods during a year of recovery. I realize none of this (cis or trans blood) is anything to romanticize, but still there are Emotions surrounding it, by way of symbolic anchoring. Less than two weeks now.

So hard to tell what is nocebo. But while off the T blockers, it really does seem the few strands of facial hair that remains are a little thicker, libido more intrusive, and my anxiety is not great. It latches on to the fear of COVID, that either I will be infected and denied admission, or my surgeon be unable to travel to the city or even catch it himself, or that there will be shutdowns, or that after will become very complicated, all of it. Of course this can just be regular anxiety, but as anecdotal data, it is absolutely at an uncomfortable level right now. However the causality looks, I very much look forward to when this will be over and any elevated T levels will have subsided. I am very anxious over more delays and postponement, so will try to bury myself in work as a distraction.

Really, I am going to believe there will be postponing for whatever reason until I am in the clinic and they put me under. Near unable to believe in a good thing until I am certain it cannot be taken away. I wonder if this masks apprehension I have for what is to come?

Privilege is having a friendly cardiologist effortlessly setting pre-op checks for you. Still waiting for blood tests though so still nervous. And I really do need to deal with this hypertension, else minor valve regurgitation will not stay minor. But so far. And ceasing 60-70h work weeks on stims and salt overdoses should help. But that is for later. For now just noting that dressing down for echocardiogram my breasts looked awesome in the mirror. Frivolous? Sure. But still made me smile a little to see.

Not liking my parts and tucking them out of sight means I only notice now that there is some very dry skin in my groin area. After worrying it might be some form of fungal infection (but probably just dry from tucking), I embark on a project of remoisturization to make the skin material as supple and useful as possible for its soon-to-come origami. Looking at my body for the first time in a long while, using a makeup focus mirror for new angles, it does not look as bad as I feared (dry and flaking) though still will take and follow any recommendations the surgeon makes in response to my email. I can also see how, I suspect, my vulva will look, what stretches of skin will go where, and that is another emotional thought, plus an interesting prediction to try to later assess the accuracy of. Moreover, there is a region of skin noticeably darker since starting estrogen which I suspect is precisely where the vaginal opening will be, and which makes me very curious on what sort of E2-responsive cell differentiation that reflects. It seems like it might be overlaying a void in the musculature, an opening into the body’s inner space. Very much like sensing a sculpture inside a block of stone.

(Oversharing too much yet?)

Just over a week now. Remaining gates to pass: be approved by anaesthesiologist, test COVID PCR negative on Friday, mostly. Still scared to near paralysis that something will block me from this, but I learned over decades that there is no way around fear, only through it. Most preparations are either done or I accept they will not be done. My flat may or may not be cleaned. The hot water may or may not be installed. I will pick up the vaginal douche and my medications, and may or may not get painkillers preemptively prescribed. I expect to resolve the major projects – give my comments on five manuscript drafts with various collaborators I expect to be submitted during my absence, set up funding for my PhD student, and bundle and document some code for my poor coauthors in case they need to rebuild figures. Supervision for students and group meeting schedule is set up, and my postdocs deputized to handle most matters. Setting up email autoreplies for the first time in my life. Scheduled therapy appointments via phone for time in hospital so that if I end up with post-anaesthetic depression, at least someone will notice and we can intervene. Will squeeze in a few more things including meetings for future planned projects also this week. Praying silently to Goddess that I will not get sick, but the way my immune system seems to work, so long as I avoid getting cold, and stay sufficiently high on adrenaline, and sleep enough, I hopefully will avoid that. It is out of my control. Preparing playlist (collaborative! let me know if you want to add songs) to listen to during waiting and waking and recovery, and preparing in my mind the ways in which I hope to make use of this all as a way to work on my issues – largely centred around trust, in a widest possible sense – within scope of what I hope to undergo, and the mythological overlap I create to try to make the most of that, templated on the story of Inanna and the Huluppu-Tree as a woman’s coming of age story and first resolution of conflict with her lack of self-esteem and confidence. I believe within this framework, and linking it to my conclusions from therapy that I could try to consciously learn to stop expecting so little in some ways, learn to be less wary, less afraid, more able to receive and accept all those things the world wants to give me. This I will do. Sorted my moving boxes for first time since coming to Berlin and found a pile of books I have been meaning to read since I got them, and have not made time for. I have not been off work for several years, this will be the first in a long time that I will be unable to stay responsive and I need it and long for it so much. Surgery is no magic bullet for anything, but I hope it can be the opportunity, for how it is placed in my life and in place and time and symbolism and materiality, to let myself finally do the work in my own heart and habit that I need to undertake. I should blog about this, to make my journey of more than three years visible in case it can help others in my situation, but feeling it easier to tweet these days than write on the wordpress site. Perhaps eventually I will collate these tweets as blog entries however. Finally, so much love to all of you who see me and support me and who share this world with me, in all its grotesque glory and hilarious hope.

Met with anaesthesiologist and consented across language barrier. No risk factors or contraindications but realized filling forms: I would have denied them if there were. I am wholly ready to risk my life for this procedure, which surprised me a little. I suppose I am ready now.

First filling of my HRT prescription without the androcur. Having Emotions around no longer needing it (or possible side effects, too) soon. My friend suggests I might be in a dissociative state, given I don’t really feel nervous, but it might also just be that my default state now for a while has been a sense of chronic urgency and swimming in place to stay on top of things. If anything, I feel a dull longing forward and a sense of impending peace and a sense of wanting to dissolve into the process and be cradled for a while.

It’s probably not a great idea to work at this high intensity the week before surgery, but it keeps me at least from worrying something will block my access because my mind is occupied, and if I know later that all my projects and expectations are on track for the rest of the year, then perhaps I will actually succeed in taking time off. First vacation since I don’t know how long. Using 45 unclaimed vacation days from 2019-2020 I would lose otherwise. Time if nothing else to read papers for general curiosity or strategic learning instead of tactical searches for something supporting one point or other. Or just be still and absorb fiction, or be present in my body and see what emotions come to me unbidden. Or something else. Any or all of those things. But so far these last days don’t seem like they will be particularly calm in and of themselves. Though at the same time, I don’t feel stressed. I feel in control, because somehow it will be OK either way, and I recognize my own achievements, or some other mechanism still is operative. I can observe that intensive focus must be followed by some time doing nothing though, before I can be relaxed enough to sleep. Hence why this night of grading a PhD thesis and of commenting on a surprisingly powerful manuscript I found myself involved with now must be followed by something else before I sleep, despite how late it is. Well, these things work. And then we will see what my habits turn into when I don’t have to be so intensely effective. We don’t change our habits easily even when they don’t make us happy. These habits do make me happy, but they are a local minimum in the energy landscape and I hope to find eventually a lower such. I think I will.

Maybe it is nocebo, but after two weeks being off the testosterone blocker pills to reduce thrombosis risk during surgery, I feel stubbly itch in my armpits for first time in forever, and am followed by a whiff of body odor which slightly nauseates me. Very uncomfortable. I am surprised to find that even after 32 months of suppression and visible atrophy, gonadal production still starts up so quickly after suppression ceases. I can’t wait to be rid of this permanently. Less than a week now.

I think that one of the goals I have for personal growth facilitated as side effects of what I plan to undergo, and the opportunity for self-reflection and -adjustment the next months will enable, is to gain the ability to more deliberately decide which fucks to give/not give.

Just one of those things: when you use first name with the really senior clinician because he is not also your treating endocrinologist but simply your collaborator, but feel awkward not doing “Dear Dr X” with his subordinate, who IS your treating endocrinologist. In a conversation about starting up a study on the treatment you are undergoing with them. Mixing almost all roles at the same time (let’s leave aside how it could get even more complicated for now) with resulting confusion on how to address your emails. I assume something similar must have happened somewhere to someone at sometime, but I don’t think it will have occurred often. The surreal experience of being a trans researcher into something relevant to trans health and not leaving well enough alone. #EmbraceYourHubris

I have a slight throatache. I think this is just the kind of microcold I get like all the time, but I am panicky it might be COVID, not because that worries me (though it should) but because then my operation would be delayed. The requirements, with increasing numbers of infection, are to COVID test within 48h (but they say they accept 48h of working days at least) of hospital admission, and warned me now laboratories are getting overwhelmed. So today went physically to testing clinic (because due to bugs could not do it online) to shift my Friday COVID PCR testing appointment to Thursday, which clinic says they will accept. I am calmly frozen fearful over somehow having mild or asymptomatic COVID, but I guess I will know either way. And I feel a weird sense of surreal unrest permeating which I suppose is the beginning of the overall nervosity and emotionality, including the lower layers masked to me, having me dissociate. But it may be just as well, for my way of dealing with this is to work and that means I can address the remaining things, the handover of main long-standing projects mostly, all of which requires a degree of focus and effort that usually comes to me at a cost, and which now forms a welcome distraction and are possible to handle well enough if I bring to bear this numbness in combination with enough (legal) stimulants, for now. Ceasing any alcohol intake at this point. I got all my prescriptions filled, and the only supply I have not yet gotten is the vaginal douche, which required them to resend for it, so that will still happen this week. More of an issue is, no visitors now allowed in the hospital, so my girlfriend cannot accompany me going in (would have liked to hold her hand as they explain the procedure to her, as moral support – will know that she will think of me, at last), and cannot be there when I wake up. However, this is no difference from what, say, someone giving birth in COVID time experiences, not being able to have one’s partner close for important support. I will sense her, and my other partners, there in my heart, and hope for Discord with them after I wake. And with all these emotions and challenges, I long for it like I find myself longing for pain, or for large sea waves – I want it to wash over me, carry me outside my control, and let me change and adapt with it. With all other burdens temporarily set down, I want to see what feeling all this with no way of escaping can do to me, if it can help me become yet more real and present emotionally, as well as facilitate learning to access the embodiment the surgery will give me. Hence the need to be sure everything else that scares me is for a time handled elsewhere, because between the panic zone and the comfort zone, that is where the learning happens. I anticipate coming out of this protective numbness to be faced with something that does not just happen because I keep choosing it, but which has become an independent reality of my situation. I look forward to all of this, including pain, fear and loss of dignity. I look forward to see how I can evolve when exposed to it. And while certainly there is also fear _of_ the surgery masked by greater fear _for_ the surgery, I am secure in the self-insight that right now, and for a long time, I fear being denied this more than almost any other outcome. And so I am smiling calm in the eye of the storm, and I prepare as I can.

Douche arrived. I shall have to ask the nurses for how to use it, and size looks a bit daunting. Interesting times. Waiting for COVID PCR results now. https://t.co/CZozL6P4Ri

COVID antigen test negative but PCR will take a few days to be processed. I am zero chill but this shows only as weird tiredness and body sensations. I suppose this is an example of some form of dissociation. I have rarely felt this way. It feels remarkable.

I am incredibly restless inside, and using full-on my mix of semi-illicit anxiolytic/stimulant combos and workaholism to see to the remaining things (getting things ready for coauthors to finish revising and resubmitting two Nature papers) needing done before I can leave. In my body, less than my conscious mind, is some sort of panicked fear that something will go wrong and deny me this. I feel little on the surface but coming to rest feels intolerable, impossible beyond words and on the level of instinct. And probably other emotions in turn hide behind those. I don’t think I fear what will come, or even what can go wrong much once I am on the operating table (except perhaps I also do and that is somehow part of this too? It would make sense I would be nervous after all) but I am a complete bundle of nerves. Dissociated and distracting myself. It is so rare with emotions like this for me. I am fascinated observing myself, in this stage of pre-op craziness. I am increasingly tired, erratic, feeling my head is full of clouds. At the same time focused anchored. I wonder what will be my new normal? When did I last know “normal” actually? Have I ever? I don’t know. I just know that every fiber of my being right now is an arrow aimed at the moment I have worked for so long, prepared for so long. The moment that I can finally start processes of healing and growth – and mourning, too, I think – that I have denied myself. Nothing is ever a single moment. Nothing is ever over. Everything is a process. But this, if I can make it so, can be a turning point in the road. All of me long for it, and I am held over room-temperature fire on a spit while I wait with bated breath. Great Inanna, Lady of Heaven and Earth, look kindly with grace upon your priestess and grant her your Rite of Head-Overturning. In your infinite love, grace her with your blessing, and she shall bring you glory by making immanence that which you embody in transcendence. May her nervosity and fear and pain and blood and anticipation all be gifted you for sacrifice.

This has stayed on my mind since I read it. https://t.co/eKQEv1nSro

COVID PCR test negative. Slowly, gradually getting obstacles out of the way.

I now started listening to the playlist as my nerves are beginning to sense the realness of it all. Thanks to all who contributed so far! ♡

My validity as a woman does not hinge on my anatomy. That said, I intend to use this much-anticipated change in anatomy to help me lay to rest, gradually more and more, lingering feelings of inadequacy, impostorship, illegitimacy. The two are not directly connected but I wish for the change to remind me saliently that I can and may put those emotions at bay, a symbolic message to myself that I don’t need to hold back, to deny myself space or to think of my inclusion as conditional, by invitation that at any point can be revoked. Others will do and feel and speak as they will. But I can start in myself, my own heart and will and body, and root myself there regardless. I could perhaps do so without taking this step, but I believe one consequence will be to make that work, eventually, easier. There are many other reasons I undergo this, such as wanting to not be uncomfortable with my own sensory input or the input I infer must be in the qualia of those who see and touch me, and those aspects also will follow from internal work I can soon start undertaking more easily, recognizing all internal work happens as part of a whole where also there is an exterior.

I must have listened several hundred times to this song in last three years. Now, en route to the hospital, it feels particularly appropriate. https://t.co/2dmTzH8cgB

(It is of course on the playlist: https://t.co/QS7WclBXwR )

Surreal turning real. The central narrative of my life. I have jumped through so many hoops in the last years in order to get here now. I will still fear it might somehow be taken away until tomorrow morning when they put me under, but today I have hopes of being able to unlock all these emotions more and more. We will see. Emotions were blocked for a long time as the vulnerable parts of me feared opening up to the hope of undergoing this procedure but then being denied, especially now during pandemic.

Arriving at the clinic. Feels like any number of conference venues I’ve had workshops in. https://t.co/xskQNxhLpm

Tonight was first in a long time (years) I woke and could not sleep due to agitation. Used to happen often. Not sure of the emotion. Mostly fear of catching sick and being denied but probably anticipation and spiraling. Made some comfort food and then I could sleep some more.

View from my hospital bed. https://t.co/NtpyBytz3O

I think I am probably going to become more and more nervous and anticipatory as the day and night continues. Well, that is fine.

I am in a liminal state. Operation is sometime the coming afternoon. I am outside my regular and habitual structures in something holding me. I am giving in to the deep fatigue and not forcing focus. It is unfamiliar. Next awaits fear for the body damage itself and the risk of imperfect healing. I accept those risks and that fear but this does not mean they are not still on my mind, now with greater fears no longer masking them. I suppose this is where I, like Inanna in her garden, must learn to trust in that which I do not myself control directly.

Cannot sleep, and here even moreso, cannot comfort food myself to sleep. Despite being too tired for anything complex. Only had this with fever before. Tomorrow hopefully little needed from me though except be present. It will be fine.

Asked to put on gown and wait. Soon now.

Tired, high, good.