Look, I've tried writing this post about three times now, and I keep starting over. To me, it's becoming about as boring and monotonous as dilating itself, and I don't really know what to say. Here's the short version:
I'm dilating six times a day, at about 40 minutes per session. It takes a lot of time. It means I can't get out of the house as much as I'd like, or for much other than short trips. Getting out for even a few hours means spending the rest of the day in what feels like a nonstop cycle of dilating or getting ready to dilate again. On the other hand, it's working. I'm showing better progress than I'd expected, both for depth and girth. I've moved up two dilator sizes, including ordering a larger size online than Dr. McGinn gave me after surgery (based on her recommendation), and even that one's getting fairly easy to insert. It's a real pain, but it's not painful. The discomfort has been very manageable since the first couple of weeks. It's depressing in a lot of ways, but I'm getting through it and next week I can start running again.
Now some specifics:
Frequency: Dr. McGinn prescribes 6x per day for the first 8 weeks (I'm halfway through that) followed by 4x per day for 16 weeks. That's a lot of dilation. Some surgeons recommend less. I don't know of any that recommend more. I don't know that more would be even feasible for many people. As with pre-surgical electrolysis, there may be differences in opinion on this. Some surgeons may think too much dilation carries a risk for complication. I don't know. I'm not sure I really care. Like most people, I'm going with my surgeon's recommendation.
Based on my experiences, I think she's probably right on this point, or at least it's working out well for me. If you're going to stretch yourself out post surgery, this is the time to do it. Going in, I wasn't sure if gaining significant depth was possible or just based on apocryphal stories. I've heard of transwomen losing depth, and it not being uncommon or the result of too little dilation. As your skin heals inside you, it contracts as scar tissue forms. It gets less flexible. I was expecting to be able to maintain depth, but not really increase it. Instead, I've gained a full inch. Better than I'd expected, and I'll be happy to maintain that from here on. If I lose a little depth from here as it heals further, it's also no big deal.
Setup: I dilate in my tub (dry, no water), which is one of those big jacuzzi things with plenty of shelf space around it. I have a board running across the top acting as a desk. I sit on a rubber donut and towels. Cleanup is easy. My laptop and phone are handy. I can watch TV, surf the internet or whatever while I dilate. I can easily adjust the angle I'm sitting at by sliding up or down the back of the tub. I don't have to worry about making a mess. This works well for me, and is the same setup I've been using since the hotel in Bensalem, PA.
Schedule: I try to space the sessions out as evenly as I can. About once every 3 hours when I'm awake. The first and last sessions are always the hardest, motivation-wise. First thing in the morning, it's the last thing I want to be doing. Late at night, I'm often falling asleep already, and I'm tempted to skip it. I don't. Yes, it gets depressing sometimes, but I just do it, whether I feel like it or not. Six times a day, every day. Every goddamned day.
If I need to block out some time to go out, say to get together with Alison for a few hours, I can do as many as 3 sessions in a 5-hour window, but that's pretty much all I'm doing. Dilate, watch an episode of House downstairs, dilate again, etc. I'm convinced "House" is a great show to watch when you're dilating. He's always so miserable, so by comparison you're kind of having fun.
Lubricants: I use mileral oil gel (aka baby oil gel) exclusively. Again, my doctor's recommendation. If I had gone to a different surgeon, I'd probably be using KY. I'm sure it would be fine. Mineral oil gel works fine and is better than pure mineral oil, since it sticks to the dilator instead of running right off it. Less messy.
Technique: I am very wary of causing complications, but now at 5 weeks post-op, things have healed a great deal, and I am not as worried about causing tears. I spend as much time as necessary getting the dilator to depth comfortably, using steady pressure while trying to relax my legs and abdominal muscles. Sometimes I twist the dilator back and forth slightly, but usually this isn't needed until it's very close to maximum depth. Then I push with about as much force as I can exert with one or two fingers and hold it there for 20 minutes. Sometimes I push a little harder and twist the dilator back and forth some more to try to stretch the skin out some more. That seems to work well. I figure if it doesn't really hurt too much, it's good. But I am careful not to push so hard as to tear something. As I see it, tearing things that are inside you is a bad thing. I learned that by watching "House", too.
I'm currently using two different sizes of dilators, since I can get the smaller one in deeper, and I do that for 20-25 minutes before moving on to the bigger one for 10-15 minutes. When I was only using the blue one, it took me less time per session, but now that I'm doing blue and green, it takes longer. The same thing happened when I moved from pink (smallest) to blue. I used both pink and blue until I could get them both to the same depth, then stopped using the smaller one.
Pain/Discomfort: The first week was the worst. There's a muscle that, as a result of surgery, now has a tear in it. Through that tear, I'm inserting things that it doesn't particularly like having pushed through it. At first, keeping the pink dilator in for even 20 minutes was agony. Now, it's getting much more stretchy, and I could sit there with the green one (two sizes bigger) in me for an hour if I wanted to.
Pushing fairly hard, even at maximum depth, is not all that painful. Uncomfortable, yes, but not painful. Pretty much what I'd heard from other people going into this. Dilating is hardest in the morning, when things have had a chance to tighten up, and gets progressively easier fast. Moving up a size in dilators hurts, but that gets better fast, too. There's one size up from the one I'm on now, but I'm not sure if it's worth doing. I know I could do it, I just don't know if I want to.
Overall: Like everything in this transition, it's hard but it's worth it. It's a lot better than the pain of the first two weeks post-op, but it is kind of monotonous and at times it feels like my whole life is on hold until I get done with this. I find ways to entertain myself and take my mind off it. The rest is just finding the time and having the discipline to see it through.