Transwomen who have undergone GRS may present with vaginal discharge, dyspareunia, a ‘short’ vagina, vaginal hair, voiding difficulties or a lack of lubrication.
And what would a gynecologist know about how to deal with any of these issues in that scenario? It's not like "how to deal with hairballs inside the vagina " is something they'd have learned about in medical school, because internal vagina hair is not a thing unless the "vagina" used to be something else entirely.