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Step 1
Speak with your physician. It's a difficult subject to speak openly about, especially if you don't have a close bond with your doctor, but speaking with your doctor about orgasming after vaginoplasty is crucial. Your doctor will not only give you a medical opinion on when you can begin to have sex, but he or she will also give you a more reasonable expectation of how long it will take to get back to being you. So, have the conversation with a doctor or sexual health specialist.
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Step 2
Be patient. There is no set time line for how long it might take to regain sexual function after a vaginoplasty. The important thing is to be patient and not set yourself an artificial goal for when to be having orgasms again. Sometimes, getting sexual response back to where it was before the surgery can take months. Focusing too much on the orgasm can make a physical problem into a psychological and emotional one. So, for the time being enjoy sex for what it is and don't worry about the orgasm.
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Step 3
Consider low level hormone treatment. In some cases, a vaginoplasty may disrupt regular flow of testosterone, which is needed by both men and women for a healthy libido and sex life. Some women have undergone light hormone treatment, which can help jump start the sex life and get you back to having orgasms after a vaginoplasty.
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Step 4
Try new things sexually. A vaginoplasty remaps tissue and nerves that are involved in sexual pleasure and orgasm. It will take a little while for you to adjust to the new feelings and sensations. One thing that can help this along is trying new things such as sexual positions and accessories. People tend to fall into sexual patterns over time, so consider that you might need to shift your sexual pattern to start having orgasms after surgery.
