Transsexual Pussy

Transsexual Pussy
Thanks to Pascale from France for finding these photos of Dr.
Burou.
[They are from a July 1970 "National Police Gazette" article
(a U.S. men's magazine).]

עברית
(Hebrew),
Nederlands
(in progress) ,
This page sketches the historical development
and surgical details of vaginoplasty surgery (also often called 'sex
reassignment surgery' (SRS) or 'gender reassignment surgery' (GRS )). Before reading this page, please read the introduction
to the concepts of gender identity, transgenderism and transexualism
elsewhere in this website, so that you'll understand why transsexual women
undergo these operations. This page clarifies that post-operative MtF
transsexual
women really do have female genitalia, and will also help readers visualize
some of the ordeals trans women endure
to achieve their new physical gender status.
4A -WEDNESDAY MAY 24, 2000 - USA TODAY
Sex-Change nickname makes
Colo. town cringe: 'Nobody cares'
Transformation via surgery has
become common in community
By Pauline Arrillaga
The Associated Press
TRINIDAD, Colo. - The young waitress examined her customers
as she refilled their coffee and haltingly asked whether anyone
wanted more tea.
There was Elise, a buxom brunette in a crop top and hip-huggers.
Kate, a Harvard graduate writer in khakis, hand-knit sweater
and pearl earrings. Thea, a graphics designer sporting chic suede
boots. And Jackie, a towering figure in trousers and blazer.
In the lunchtime crowd of merchants, housewives and farmers
at the Main Street Bakery and Cafe, the four stuck out like fashion
models on a pig farm.
Retreating to the kitchen, the waitress pulled her boss aside
and stammered, "Those women I'm waiting on? They're men!"
Hardly anyone else gave the foursome a second glance. Not
in the so-called "Sex-Change Capital of the World."
Repeat that phrase to, almost any of the town's 9,500 people
and one would likely get a lecture on what the southern Colorado
hamlet should be known for - its idyllic scenery, comfortable
climate and friendly people.
Most don't mind that more sex-change operations have been
done in their town than anywhere else (about 4,500 to date);
they just hate that nickname.
"Nobody cares," says Monica Violante, owner of the
Main Street Bakery. "It's just a part of Trinidad."
Although no formal statistics are kept on the number of sex
reassignment surgeries, experts in the field agree that Trinidad's
Stanley Biber - because of the year he began and his age - has
performed more than anyone.
The International Foundation for Gender Education lists 14
surgeons in the USA and Canada that do the procedure, and, as
spokeswoman Sara Herwig points out, "Biber's been doing
it longer than most."
What makes Trinidad unique is not that it's the sex-change
capital of the world, but the fact that this former mining town
has come to accept its destiny, depend on it and even embrace
it.
In 1969, Trinidad was a town in transition. Coal had been
king in these parts since the turn of the century, but after
World War II, the mines began closing. By the late '60s, only
a few remained.
Families left, and Main Street, once a bustling collection
of. department stores, car dealerships and restaurants, became
a lifeless shell of shuttered storefronts.
Yet Biber was thriving from his fourth-floor office inside
the First National Bank building.
As Trinidad's-s only general surgeon, Biber did it all - from
delivering babies and removing appendixes to reconstructing the
cleft palates of poor children.
Biber moved here in 1954 after serving as a MASH surgeon in
Korea and finishing a stint at Camp Carson in Colorado Springs.
In those first 15 years, Biber built a comfortable life around
a practice he loved and a town he adored. In 1969, he encountered
the patient who would forever change both.
A social Worker Biber had met asked him to perform her surgery.
"Well, of course," he told her. "What do you want
done?"
"I'm a transsexual," she replied. And Biber asked,
"What is that?"
After consulting a New York physician who had done sex reassignment
operations and obtaining hand-drawn sketches from Johns Hopkins
University, Biber agreed to do the surgery. "She was very
happy," he recalls. "And then it started spreading
all over."
With less than a handful of doctors performing the procedure,
Trinidad became THE place to come for a sex-change operation,
and Biber was THE man to do it.
The town's sole hospital, Mt. San Rafael, was run by Catholic
nuns, and Biber hid the charts of his first transsexual patients.
But he knew he'd eventually need the approval of the hospital
board and his neighbors. Biber explained his Work to the sisters
and local ministers.
I went through the psychology of it all. They decided as long
as we were doing a service and it was a good service, that there
was no reason we couldn't continue doing them," he says.
Soon, Biber was lecturing to the hospital staff and the public.
"We figured that's his way of making a living; more power
to him," says Linda Martinez, 54, a lifelong patient of
Biber's.
Not all agree. The Rev. Verlyn Hanson, pastor of the First
Baptist Church for the past three years says the town turned
a blind eye to Biber's work because of the economic boost it
provided. "The love of money is the root of all evil, and
people will overlook a lot of evil to have a stronger economy,"
he says .
At one point, Biber's operations brought about $1 million
a year to the hospital, according to his estimates. The basic
procedure costs about $11,000, with the hospital taking in a
little more than half.
At the height of his practice, Biber performed about 150 transsexual
operations a year. His patients brought families and friends
who remained in town during their loved ones' eight-day hospital
stay.
Whether or not people liked what Biber did, they liked the
squat, balding doctor who wore jeans and flannel shirts to work
and always said hello.
At 77, Biber has scaled back his transsexual business to about
100 surgeries a year. The majority of his practice remains tending
to the ills of Trinidad's citizens. He knows retirement may not
be far off, and he's in search of a surgeon who will continue
his work. "it started here, and I want the hospital to continue
with it," he says.
Dr. Biber was
one of the pioneering surgeons of the 20th century. Over a 35 year period
beginning in 1969, he performed over 5000 sex reassignment surgeries,

almost single-handedly establishing SRS as an acknowledged and accepted
treatment for transsexualism in the U.S. Much beloved by the trans
community, Dr. Biber passed away on Monday January, 16, 2006 at the age of
82.
Consider also these words from the
webpage Zen and the Art of
Post-Operative Maintenance : " Another factor in sexual function is your
endocrine system...After surgery, some women find that their adrenal glands (the
other source of testosterone) do not produce enough to provide adequate libido
or orgasm. You may require a small amount of supplemental testosterone to regain
functioning. The amount required is typically far below the amount
that will cause any other unwanted side effects, such as hair growth. Not
everyone requires this, but keep in mind that some do. "
Many natal women who are having difficulty
in feeling turned-on and in achieving orgasms (especially post-menopausal women)
are now taking
Estratest tablets, which contain a combination of estrogen and small amounts
of testosterone. Although Estratest is a somewhat controversial treatment, many natal women began
taking it after it was
featured in a story on Oprah Winfrey's hugely popular television show in the
U.S . As a result of this news, and of advice like that on the Zen page, some
post-op women who were experiencing difficulty in arousals and orgasms began
using Estratest too, and some report that the therapy helps them. These tablets contain either 1.25 mg or 0.625 mg of
estrogens (as in Premarin tablets), but also include a small amount of
testosterone in each pill (for more information,
see this link ).
There may be some kind of threshold effect involved here, whereby some women
need a small amount of testosterone to maintain orgasmic capability. On the
other hand, many other postop (and post-menopausal) women enjoy strong orgasms
even in the complete absence of testosterone.
In any event, once a postop woman
begins experiencing arousals, the nerves in the clitoris
and vulvar surfaces become highly sensitized, and sensual and
sexy feeling permeate her body. Then, just as during pubertal
sexual awakening, she will automatically feel urges to play with
her body and to masturbate. The arousals will gradually intensify
as her genital area fully heals from the SRS. Masturbation and
sexual activity can likely play a role in helping neural regeneration
and sensitivity during this period.
There are many ways to masturbate, but one favorite way for
girls to do it is to "rub on a pillow". The girl does
this by lying face down on her bed, with a firm pillow between
her legs. This way she can rub her vulva and clitoris on the
pillow while squeezing it, putting pressure on her clit and also
being able to thrust and thrash around. At the same time she
can play with her breasts and body with her hands. Alternatively,
she can rub her clitoris with the fingers of one hand while squeezing
her legs and thrashing around to stimulate her body. And there
are many other ways to stimulate arousals and produce orgasms,
including using vibrators
and other women's sex toys . Girls discover these ways just
as automatically as boys discover "jerking off", even
though girls have been more secretive about it our society in
the past.

While masturbating, the pubertal girl will suddenly begin
to experience her first orgasms, and she is then on her way to
developing her full sexuality as a woman. In just the same way,
the postop woman needs to explore her new sexual anatomy and
masturbate, and learn her new sexual responses and experience
her first orgasms as a woman - learning what most girls do in
their teens during puberty.
This ongoing pubertal aspect of immediate postop life can
be very thrilling and exciting, but also very confusing and scary
for the woman, much in the same way that the onset of sexual
maturity is for any teenager.
For some insights into this process, I highly recommend that
you read the very candid webpage by entitled " M
-> F Transexual Post-Op Orgasms - A Personal Perspective",
by Monica Stewart . Monica's site stresses the need to gain
experience with your new sexual responses prior to having intercourse.
It is also important to try to get over hang-ups about what's
"OK" and what's "naughty". Then too, many
woman enjoy experiencing playful anal stimulation, including
using sex toys to overcome
inhibitions and enhance arousals. Most women also learn to use
fantasies to trigger and enhance arousals and orgasms. Those
fantasies can be used during masturbation, and then later used
to help heighten one's experiences during intercourse with a
lover.

Thus we see that transition and SRS are just the very beginning:
They enable the girl enter her new puberty. What she will make
of herself as a woman is yet to be determined!

Andrea James TS Roadmap (the
internet "bible of MtF transition"):
Andrea James SRS (vaginoplasty)
page, which includes an international list of surgeons:
The WPATH international
Standards of Care for transsexualism:

IMPORTANT NOTE: This page contains
graphic visual material and other medical information that might
shock or be very disturbing to some readers.

DO NOT READ ANY FURTHER if you
are squeamish about surgeries, or if you have any anxieties about
your own genitalia.

Access to this medical information
is NOT AUTHORIZED for those UNDER THE AGE OF 18. By entering
this page, you hereby certify that you are 18 or over.

Transsexual pioneers Coccinelle
(l), Bambi and April Ashley
(r)
were among the very first of Dr.
Burou's SRS patients (in 1958-1960)

Aleshia (pre-op) as the star "Lee
Shaw"
at Finocchio's in 1961

Aleshia
Brevard ,
shortly after her SRS in 1962

Aleshia as an actress in stealth
mode,
in the early 1980's

Results of modern SRS surgeries performed by
Eugene Schrang, M.D., of Neenah, WI

Abstract: First physiologic study of orgasm in
postoperative male-to-female transsexuals.
Birnbaum, R.

Ph.D. dissertation, The Institute
for Advanced Study of Human Sexuality, San Francisco (Oct. 18,
2000).
Contact: poststudy@aol.com

Objective: To determine whether data generated
by a physiological sex research study would support the hypothesis
that orgasmic capacity can be retained and/or gained after sex
reassignment surgery in the postoperative male-to-female transsexual.
Design: Controlled laboratory-based analysis of responses to
masturbation to orgasm(s). Setting: A mobile sex research laboratory
setup predominately in two central San Francisco locations. Participants:
A volunteer sample of eleven postoperative male-to-female transsexuals
as well as twenty-nine control group participants divided into
five groups: eleven nontranssexual males, nine nontranssexual
females, five preoperative male-to-female transsexuals, two intersexual
people and two female-to-male transsexuals. These totals include
one participant who joined the study first as a preoperative
male-to-female participant, and returned again later as a postoperative
male-to-female participant. Intervention: One protocol including
measurements of preorgasmic, orgasmic, and postorgasmic responses;
response time determined per individual. Dependent variables:
Pressure waveform patterns produced by involuntary contractions
of the anal musculature, heart rate, and blood pressure. Results:
Of the eleven postoperative male-to-female study group participants,
eight self-reported orgasm and three of these eight produced
orgasmic contraction episodes similar to those produced by control
group participants in this study and subjects in previous physiological
studies of orgasm. Furthermore, no statistically significant
differences were found between contraction patterns produced
by study and control groups in terms of duration of orgasmic
contractions, intraorgasmic amplitude changes, number of orgasmic
contractions per series, mean intervals between the first four
contractions, mean intervals between all contractions, or orgasmic
heart rates. Conclusions: Data from this study strongly support
the hypothesis that orgasmic capacity can be retained and/or
gained after sex reassignment surgery in the postoperative male-to-female
transsexual. However, given the limited sample sizes, projected
percentages of orgasmic capacity in the postoperative male-to-female
transsexual population are unavailable.

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