Intimate Hygiene and Transition: Why It’s Essential

Transition, whether hormonal or surgical, involves profound and unique transformations in intimate anatomy. For transgender men and women, these changes require special attention to intimate hygiene, often different from that adopted before transition.

From maintaining the health of the neovagina after vaginoplasty to preventing irritation and infections related to the effects of testosterone, a proper routine plays a key role in daily comfort and preventing complications. This guide explores tips and best practices to support each stage of the transition, with an emphasis on care tailored to the physiological needs of people in transition.

1. Hormonal Transition: Physiological Changes

A. In Transgender Men (Testosterone Intake)

Documented Changes

• Enlargement of the clitoris (clitoromegaly)

One of the most noticeable changes induced by taking testosterone is the enlargement of the clitoris, a process also called clitoromegaly. Under the influence of testosterone, the erectile tissues of the clitoris react in a similar way to those of the penis during male puberty. This results in an increase in size, which can vary significantly from person to person.

The clitoris can thus reach a size of between 1 and 5 centimeters, depending on the duration of treatment and individual sensitivity to testosterone. This phenomenon is sometimes described as "peniform" growth, because the enlarged clitoris can resemble a micro-penis, with increased erection capabilities. In addition to the physical appearance, this transformation is often accompanied by an increase in the sensitivity of the clitoris, which can modify the perception of sexual pleasure and orgasm.

• Atrophy of internal genital organs

Taking testosterone can also cause progressive atrophy of the internal genital organs, including the ovaries and uterus. This process is a result of the decrease in estrogen and the impact of androgens.

Atrophy is manifested by a reduction in the size and functional activity of these organs. As a result, menstruation becomes irregular and then stops completely after a few months or years, a condition known as amenorrhea. Although this change is often expected and desired, it may be accompanied by symptoms such as hot flashes or vaginal dryness.

• Fat redistribution and muscle development

Testosterone also changes the distribution of body fat and promotes the development of muscle mass. These changes, clearly visible at the overall body level, also impact the appearance of the pelvic region.

Fat, previously concentrated around the hips and thighs under the influence of estrogen, tends to move to more typically masculine areas, such as the abdomen. At the same time, increased muscle mass can give the pelvic region a more toned appearance. These transformations contribute to a more pronounced masculine body profile, helping transgender people feel more aligned with their gender identity. This change also induces changes in the perception of pleasure, due to a new proprioception of pleasure: previously more plump areas become more exposed and therefore more sensitive.

• Changes in sexuality and urinary function
  

Libido is often one of the first things to change under testosterone, with a noticeable increase in sexual desire. At the same time, the sensations associated with arousal and orgasm change, partly due to the increased sensitivity of the enlarged clitoris (called Dicklit or Phalloris). Some people report more intense or different orgasms compared to their experience before the hormonal transition.

Regarding urinary function, testosterone may affect muscle tone in the pelvic area and urethra. Although data are still limited, some transgender men report changes in urinary frequency or sensation. This may include mild burning sensations or changes in urinary stream pressure, which sometimes require adjustment of care or medical follow-up.

The Intimate Comfort Aftercare Routine at IntyEssentials

Practical Advice

• Intimate hygiene: Use gentle, unscented products to preserve microbial flora and prevent irritation. IntyEssentials organic aloe vera intimate wash gel is an excellent option.
• Lubrication: Consider water-based lubricants to reduce discomfort associated with vaginal dryness, such as Intyessentials Natural Lubricant .
• Hydration: To soothe the skin and mucous membranes, the organic coconut shea natural balm can be applied after intimate hygiene.
• Medical consultation: Regular follow-up with a specialist is essential to monitor the impact of hormonal treatments and avoid complications.
• Trusted sources: Planned Parenthood , WPATH .

B. In Transgender Women (Estrogen Use)

Documented Changes

• Hair reduction: Estrogen reduces hair density and changes its texture, creating softer skin that is less prone to facial and body hair.
• Fat redistribution: Appearance of a more feminine silhouette, with a concentration of fat around the hips, buttocks and chest.
  
• Changes in sexual sensitivity: Sexual sensations may change, with altered libido and a different orgasmic response.

Practical Advice

• Hydration: Maintain good skin hydration to prevent irritation.
• Daily hygiene: Adopt gentle products like IntyEssentials organic intimate wash gel .
• Soothing care: In case of redness or dryness, the organic coconut shea natural balm can reduce discomfort.
• Endocrinological monitoring: Ensure regular monitoring to adjust hormonal doses as needed.
• Reliable sources : Endocrine Society Clinical Practice Guidelines .

2. Surgical Transition: Intimate and Post-Operative Care

A. Transgender Women: Post-Vaginoplasty Care

Essential Care

• Regular dilation: Crucial to preserve the depth and width of the neovagina, especially during the first months. Use dilators recommended by a specialized health professional.
• Cleaning: Post-operatively, internal cleaning may be recommended with gentle solutions without perfume or aggressive agents. Avoid vaginal douches without medical prescription.
• Infection management: Monitor for signs of infection (redness, pain, unusual odors). Seek professional help promptly if necessary.

Practical Advice

• Use cotton underwear to promote skin respiration.
• Adopt the Aftercare comfort routine for complete care after complete healing post-surgery.

Intimate Hygiene and Transition: Why It’s Essential

Transitioning, whether hormonal or surgical, is a profoundly transformative experience, requiring careful attention to personal hygiene and post-operative care. Among the many stages that transgender people can go through, phalloplasty, gender reassignment surgery, is a major procedure that requires precise care and an adapted hygiene routine to ensure optimal results and prevent complications.

In this article, we discuss in detail the importance of post-phalloplasty hygiene, key steps for a healthy recovery, and practical tips for maintaining comfort and health.

Phalloplasty: A Key Step in the Transition

Phalloplasty involves creating a functional penis from tissue taken from other parts of the body, such as the forearm, thigh, or back. This complex surgery can include steps such as lengthening the urethra, adding prostheses for erection, and sometimes reconstructing the scrotum.

Strict hygiene is essential for:

• Prevent infections at graft sites and incisions.
• Maintain good tissue healing.
• Avoid common complications such as urethral stricture or fistulas.

Post-Phalloplasty Hygiene: Why is it so Crucial?

Specific hygiene challenges after phalloplasty include management of temporary catheters, care of skin grafts, and maintenance of the reconstructed urethra. Without careful attention, problems such as infections or delayed healing can occur.

Main objectives of post-operative care:

• Reduce the risk of infection.
• Promote rapid and effective healing.
• Maintain urethral functionality and prevent blockages.
• Improve overall comfort and reduce pain.

Care Routine Immediately After Surgery

Cleaning of Operated Areas

• Use mild antiseptic solutions recommended by the surgeon.
• Clean incisions and grafts with sterile compresses.
• Gently dry wet areas to prevent maceration.

Catheter Management

• Keep the catheter site clean and dry.
• Monitor for signs of infection, such as redness or unusual discharge.
• Follow specific instructions for catheter use until removal.

Wearing Appropriate Underwear

• Choose breathable cotton underwear to avoid friction.
• Avoid tight clothing that could irritate the incisions.

Long Term Care for the New Penis

General Hygiene

1. Gently wash the reconstructed penis with a mild, pH-neutral soap.
2. Rinse thoroughly to remove any soap residue.
3. Pat dry with a clean, soft towel.

Prevention of Infections

• Apply antibiotic creams or ointments if prescribed.
• Ensure good follow-up to quickly detect complications such as urethral stricture or fistula.

Urethral Dilation

To prevent narrowing of the urethra (stricture), some people need to have regular dilation according to medical recommendations.

Skin Graft Monitoring

• Moisturize the grafted skin to maintain its elasticity.
• Monitor color and texture for signs of rejection or infection.

Warning Signs: When to See a Doctor?

• Severe or persistent pain.
• Excessive redness and swelling around the incisions.
• Smelly or tinted discharge.
• Difficulty urinating or pain when urinating.

Practical Tips for Optimal Hygiene

1. Choose gentle, unscented products.
   Soaps with a neutral pH protect the skin flora and prevent irritation.
2. Change dressings regularly.
   Keeping incisions clean and protected promotes healthy healing.
3. Adopt a balanced diet.
   Good nutrition supports the healing process by providing the nutrients needed for tissue regeneration.
4. Stay well hydrated.
   Drinking enough water helps maintain good urinary function.
5. Wear loose clothing.
   This minimizes friction and improves comfort during recovery.

3. Practical Advice on Personal Hygiene

• Gentle Cleansing Products: Use suitable products such as IntyEssentials organic cleansing gel , formulated to respect the balance of intimate flora.
• Suitable Lubricants: Water-based lubricants, like IntyEssentials Natural Lubricant , are ideal for reducing discomfort associated with dryness.
• Moisture Management: Dry the intimate area thoroughly after cleaning to prevent infections.
• Post-Surgery Care: In case of redness or irritation, the organic coconut shea natural balm can moisturize and soothe.

4. Medical Monitoring: A Priority

• Regular consultations
  
• Endocrinology: adjustment of hormonal doses.
• Gynecology or urology: monitoring of post-operative complications.

Conclusion

Hormonal and surgical transitions lead to profound changes that affect intimate health. Proper hygiene, combined with regular medical monitoring, helps prevent complications and improve well-being. IntyEssentials products are specially designed to meet the needs of people in transition, ensuring gentle, respectful care that is adapted to each stage of this journey. By relying on recommendations supported by reliable sources and trained professionals, each person can navigate their transition journey with serenity.