In the Penile Peritoneal Vaginoplasty (PPV) technique, used to create a neovagina in transgender women, the neovaginal lining is made from peritoneal tissue, a membrane from the abdominal cavity. A key benefit of using peritoneal tissue is its ability to naturally produce moisture, similar to the lubrication in a cisgender woman’s vagina. This natural lubrication can make intercourse more comfortable, often reducing the need for external lubricants.
However, some individuals may still opt to use a lubricating gel during sex, particularly if they experience dryness or discomfort. Various factors, such as hormonal balance, hydration levels, and the healing process post-surgery, can influence how much natural lubrication is produced. While some patients find the natural lubrication sufficient, others may prefer the added comfort of a lubricant, especially during longer or more vigorous sexual activity.
In summary, although the PPV technique provides natural lubrication, the need for additional lubricants depends on individual preferences and circumstances.
