u/Spirited_Resist605

Hi guys

I feel like I'm in limbo. So I'd like to ask each of you: was it simple/natural/immediate to choose phalloplasty? Or was it a journey of ups and downs and acceptance that led you to this choice? I keep going back and forth and can't decide. I feel like I'm not comfortable with these genitals, but I feel a mixture of desire and reluctance towards phalloplasty. I keep thinking about it obsessively, but I can't figure out if it will bring me peace or not. It's as if my capricious mind is finding a thousand "ifs" and "buts." Does it make sense to have phalloplasty to escape dysphoria but with the doubt that it won't bring me euphoria? I'm so confused and tired... Every word you say is appreciated.

Do you ever feel like you're going backwards? I felt pretty good for the third week of sertraline 50 mg, but then I started feeling down again (mood, lack of motivation, rumination). I'm now in my fifth week of 50 mg. If I compare my current situation to the beginning, so far I've only seen improvements in my daily functioning, but not in my mood. I go to work and get through my day, but my mental state is bad. Has anyone been through a similar situation?

Perché gli espansori tissutali non vengono utilizzati più spesso?

Comprendo il rischio di infezione e rigetto, ma la possibilità di ridurre la cicatrice nella sede del prelievo mi sembra un enorme vantaggio.

In your opinion, what type of phalloplasty is the most debilitating and physically demanding? Maybe ALT?

Hi there Did anyone here suffered from depression before phalloplasty?

I'm sure my depression is related to genital dysphoria. I recently had a relapse and think I've realized I need this surgery. After 6 years of transition I still don't feel at peace with myself. The problem is, I can't find the strength and energy to move forward. It all seems overwhelming. How did you cope with all this if you lacked the energy and motivation?

P.S.: A few weeks ago, I started antidepressants and psychotherapy.

If the nerves in the arm are more sensitive (I've read that they have a finer and more specific sensation), then is it possible to use the ALT technique to create the phallus and use the nerves in the arm for the nerve connection? Is this possible?

Hi everyone, I've been on sertraline for 3 weeks. I've noticed that I'm having a really hard time waking up and getting out of bed in the morning (I usually take the pill around 9 a.m.). I set lots of alarms, but I snooze them all. The difficulty is actually getting out of bed, but then things get better. I sleep very soundly at night (only a few brief awakenings, but I fall asleep right back) and I have a lot of dreams. I sleep 8-9 hours, so I'm rested, but I'd sleep again. Who does this happen to?

Does bottom growth affect phalloplasty (with nerve hook up)? If I've had poor bottom growth and want to do the burial, will it be more difficult for me having an'orgasm?

Would anyone here who's had ALT surgery in Europe (perhaps Germany) be willing to share some information and photos of their penis? But even just information is fine. I searched for the keyword but only found a couple of posts.

Hello everyone

Have any of you managed to have phalloplasty surgery at a European clinic, having the procedure financed by your country (through the European S2 module, which covers specialist procedures abroad)?

At the moment, Italy has only financed MLD surgeries in Belgrade, because it is a highly specialized technique that is not performed here in Italy. Probably if I ask for funding for other techniques it will not be accepted, because they are offered by our teams (with long waiting lists and poor quality)

Qualcuno si é operato con Dott. Falcone?

Sapete se oltre a RFF e Addome utilizza anche la tecnica ALT?

Hello everyone,

I'm an Italian guy looking for information on phalloplasty. I know many of you have sex reassignment surgery in German clinics. For those of you who have had this procedure, did you use the European S2 form for financial coverage? Were you able to get the procedure approved by your country? Thank you.

Hello everyone,

I'm an Italian guy looking for information on phalloplasty. I know many of you have sex reassignment surgery in German clinics. For those of you who have had this procedure, did you use the European S2 form for financial coverage? Were you able to get the procedure approved by your country? Thank you.

Hello everyone, Sorry if I don't speak German. I'm an Italian guy and I'm looking for information about the possibility of undergoing phalloplasty (ALT) at a German center. Do German clinics accept foreign patients? I understand there's a European "S2" form that covers specialized procedures abroad. Are the waiting lists that long? The situation in Italy isn't good. Does anyone know anything?

Thank you! 🙏🏽

Am I the only European trans guy envious of the surgical centers and teams in the US? I'm from Italy, and phalloplasty seems like a distant goal. Plus, it's not a center of excellence and they only operate on a low percentage of guys each year. Nordic countries have the same difficult situation. I've read that almost all European centers (London, Ghent, German clinics) have the problem of endless waiting lists of at least 2 to 5+ years. Not to mention the waiting times between the various stages. I know of Italian guys who have been waiting years for their testicles or prostheses. If this is the national welfare system, then perhaps the American insurance system is better. Furthermore, it seems to me that the experience, precision, and beauty of the work of surgeons like Dr. Chen or Dr. Crane is unparalleled. Perhaps in Europe only the Ghent center can compete. And Djordjevic's Belgrade for MLD technique.

For those taking Zoloft for depression, how long does it take to feel better? I started with a week at 25 mg, then a week at 50 mg. No side effects, other than mild nervousness and muscle tension. I had a slight initial placebo effect, but overall I still feel down (sad mood, ruminations).

Hello

I'm considering phalloplasty. Unfortunately, I can't have a satisfying sex life: my genitals are off limits (my partner can't see or touch them), and I don't experience pleasure with sexual prostheses; I can't feel them, and I can't orgasm with them. I'm not interested in being able to urinate standing up. My goal is to be able to have sexual intercourse and enjoy it with my partner. Unfortunately, my arms are too thin for RFF, but I have good thighs; I think I'm a good candidate for the ALT technique. MLD is an option, but I wouldn't have any sensation along the penis. Is there anyone in my situation who has had phalloplasty to save their sexuality? It seems like a leap into the unknown; there's no guarantee that I'll be able to experience pleasure. On the other hand, however, I'm tired of a sexuality based on autoeroticism. Every experience/adivice is appreciated 🙏🏽

Hi everyone

I wanted to ask for some advice.

I have genital dysphoria, and this makes me not want to be looked at or touched down there. I''ve tried a prosthesis for intercourse, but I don't think it works for my anatomy. I've noticed that almost all prostheses have a recess or hole. But I haven't had much bottom growth, so I don't feel anything. I'd rather have a prosthesis with a protrusion so it rubs my genitals. Do you know of anything similar? I'm searching for realistic prosthethic, no vibrators

Thank you for any advice.

Ciao Per chi ha difficoltà a raggiungere l'orgasmo con i propri genitali naturali, la falloplastica ha migliorato o peggiorato la situazione? Quando mi masturbo, impiego un po' di tempo per raggiungere l'orgasmo e devo esercitare una forte pressione. Temo che la falloplastica possa rendere le cose più difficili (sia per la masturbazione che per i rapporti sessuali). Grazie

Per chi usa o ha usato una protesi sessuale (strap on) durante i rapporti sessuali: quante persone provano piacere e raggiungono l'orgasmo con essa?

Potete condividere la vostra esperienza nei commenti, se volete.

Grazie.

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