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hi everyone my name is megan mccaleb i'm a physician assistant here at mosaic care and today's video is all about how to size up and dilator this topic comes up over and over again with our patients in clinic and it's something that i feel like we didn't have a good resource for you to go to to kind of reference back when you're at home or weeks or months later after surgery when you may have forgotten some of these key details so let's go over a few things first dilator okay this one we call sherbert some of our patients call the tangerine dream but you'll know it well so the dots you can see them here i always want those facing up towards the sky the end here has a curved tip and this is a side view so if this is the entrance of the vagina we need to if you remember get under that pelvic bone so 45 degree angle for a centimeter or two feel some resistance drop the hand and finish inserting up towards your belly button again so that you can see the dots if you're looking at them now let's say you started with the sherbert dilator and you might come talk to me and say this is great i am seeing one dot on the outside it's pretty easy for me to do right now and i want to start sizing up i'll say okay the thing i don't want you to do is say this one's easy put it down pick up the next biggest one which is the larger purple size and forget about sherbet because we're not there yet if you do that you are only going to be able to insert the purple dilator and you might see multiple dots on the outside which means there's less on the inside meaning you're going to lose vaginal depth if you do that and the last thing i want you to do is lose depth so and if you remember depth is something we can only get back with surgery we can go up and down in size with width over time and it may take weeks to months to size up to the partner partner of your choice or toy of your choice so when you're ready to size up i want you to complete your dilating session for 10 minutes let's say that for you your max depth is at seeing one dot on the outside so you're going to insert the sherbert 10 minutes when you're done with that you're going to take the sherbert out and insert purple towards the end of your dilating session so you've already done your 10 minutes you've already maintained your depth and now we're just working on width so now you're going to insert the purple and at the first time you might see all the dots on the outside and that's okay you're going to do...