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While minor swelling, localized tenderness, and a clear-to-whitish discharge (lymph fluid) are normal during the early weeks, you should watch for signs of complications:

Estrogen therapy can cause tissue shrinkage, increased skin sensitivity, and changes in blood flow. It is vital to discuss these changes with an experienced piercer. Furthermore, if gender-affirming surgeries (like vaginoplasty) are planned for the future, certain piercings may create scar tissue or need to be permanently removed prior to the procedure. Critical Safety, Aftercare, and Piercer Selection shemale piercing

Placed through either the inner (minora) or outer (majora) labia. If surgical scars run along these tissue lines, the piercer must carefully avoid dense scar tissue, which is less pliable and has reduced blood flow. While minor swelling