Safe sex with neo-vagina: same risks?
As a post op, I don't menstruate, I don't have periods, so no blood. I just got married to the man of my dreams. My friends say it is okay, if he performs oral sex on me, and when he inserts his penis in me, he doesn't have to wear a condom, are they correct?
She is still at risk for contracting and spreading any STD, that any other person would be. The research is still out as to how infectious the fluids that come from the Cowpers gland can be in the transmisssion from an HIV+ post op. The Cowpers gland is found under the prostate gland, and is responsible for the pre-cum or clear fluids that you see emitted from the penis. In a post op women that fluid may provide lubrication to the neo-vagina. Again, what risk that poses to her partner is not statistically known. It is known though, that the receiving partner, is at a higher risk of infection. And all the other STD transmission rates remain about the same, for syphillis, hepatitis, herpes, etc.
Also a post op woman is also at risk for UTIs, urinary tract infections. Basically, for the most part a post ops vaginas', flora and fauna is the same as a natal female. It smells the same, tastes the same, feels the same, and is prone to pretty much the same concerns. Additionally, the Cowpers gland, which is part of the prostate gland continues to secrete fluids, and may aid in vaginal lubrication of the post op, as it is not routinely removed in SRS surgery, though long term HRT will have caused it to diminish in size.
The Cowper's gland also known thebulbourethral glands are compound glands, each approximately the size of a pea. During sexual arousal each gland produces a clear, viscous secretion known as pre-ejaculate or pre-cum. This fluid helps to lubricate the urethra for sperm to pass through, and to help flush out any residual urine or foreign matter (Additionally in the exhibit below, notice the contrasts between the anatomy and physiology of the genetic male and female)
Finally, a study has been done that hypothesizes that vaginal transmission of HIV is less effective than anal transmission. The study Prevalence of HIV antibodies in transsexual and female prostitutes:
Human immunodeficiency virus (HIV) prevalence was studied in an unselected group of 216 female and transsexual prostitutes. Subjects were asked about age, biological sex, marital status, children, length of occupation, sexual practices, and drug abuse history. Blood was drawn on site. All 128 females who did not admit to drug abuse were seronegative; 2 of the 52 females (3.8%) who admitted to intravenous drug abuse were seropositive. In contrast, 11.1% of the 36 male transsexuals (including 3 out of 32 non-drug abusers) were seropositive. The results support the notion that vaginal transmission of HIV is less effective than anal transmission.