Can women have their period after gender-affirming surgery?

Patient's question:

I recently got obsessed with a variety show called "Jin Xing" (Jin Xing's Talk Show). I find the way Jin Xing speaks so interesting. I wanted to learn more about her, so I searched online. Many people said that Jin Xing was originally a man and later underwent a sex change to become a woman. It's too unbelievable! If you didn't know, you wouldn't realize she used to be a man.
I'm now very curious about whether she menstruates after the sex change.
What kind of help do I need: Can Jin Xing menstruate after the sex change?

Doctor's answer:

Hello, transgender people do not have menstruation. In this case, although they have undergone the transition, there are currently no conditions that allow them to possess normal female organs such as the uterus, ovaries, etc. Unlike real women, transgender people do not have a uterus, and the vagina naturally does not secrete fluids, nor does it menstruate. If they want to become pregnant, they must undergo artificial uterine transplantation, but there have been no successful cases yet. "Besides using lubricants for sexual intercourse, everything else is about the same as for ordinary couples." In the past, due to immature surgical conditions, some male-to-female transgender people had to use human colon to create a vagina. Later, small intestine was used instead, and now the technology has become more mature.

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