Lubrication is similar to that found in the vagina in the Transgender Penile Peritoneal Vaginoplasty (PPV) method. Is there no need to apply lubricant gel during sexual intercourse?

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.