Sage-Tips

How long after starting HRT can you get top surgery?

That said, surgeons often recommend waiting at least 6-12 months after the start of testosterone therapy before having masculinizing chest surgery, otherwise known as top surgery, in order to first allow the contours of the muscles and soft tissues of your chest wall to settle in to their new pattern.

Is it better to start testosterone before or after top surgery?

For patients who want a more muscular chest after top surgery, we recommend starting testosterone, engaging in a healthy and active lifestyle, and weight lifting before chest reconstruction surgery.

When should HRT be stopped before surgery?

Stopping oral contraceptives and replacement estrogens three weeks before surgery to two weeks after surgery is not difficult for most patients and should be part of the custom and practice of all cosmetic surgeons.

Can I take HRT before surgery?

Surgery. Major surgery under general anaesthesia, including orthopaedic and vascular leg surgery, is a predisposing factor for venous thromboembolism and it may be prudent to stop HRT 4–6 weeks before surgery; it should be restarted only after full mobilisation.

Can I get top surgery before T?

Do I need to be on testosterone before I can get Top Surgery? No, WPATH Standards of Care do not require hormone therapy to be eligible for Top Surgery.

Should you stop TRT before surgery?

Many Top Surgery surgeons require patients to stop testosterone 1-2 weeks before Top Surgery, and some surgeons also require that the next scheduled dose be delayed by an additional week or two after Top Surgery.

Do you have to go off testosterone for top surgery?

How do I prepare for top surgery?

How should I prepare for transmasculine top surgery?

1. Get lab testing or a medical evaluation.
2. Provide a letter of recommendation from your therapist.
3. Take certain medications or adjust your current medications.
4. Stop smoking.
5. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

Should I stop HRT patches before surgery?

If you are having surgery or will be on bedrest, talk to your doctor about stopping estrogen and progestin at least 4 to 6 weeks before the surgery or bedrest.

Should estradiol be stopped before surgery?

Stopping oral contra- ceptives and replacement estrogens three weeks before surgery to two weeks after surgery is not difficult for most patients and should be part of the custom and practice of all cosmetic surgeons.

How long do you have to be on T before top surgery?

Your Surgeon may request that you stop taking testosterone for 2-4 weeks prior to surgery. If you are on any other medications, you should discuss them with your Surgeon, and potentially the anesthesiologist.

When is the best time to start HRT?

In these cases, HRT should typically be started immediately. Menopause that happens before the age of 40 is known as premature menopause, while between 40 and 45 it is known as early menopause.

When to stop oral hormone replacement therapy (HRT)?

Risk of venous thromboembolism (VTE) if oral HRT continued. Continue if risk of prolonged immobilisation is low. Preferably discontinue 4 weeks before major elective surgery, including orthopaedic and vascular leg surgery 1.

When should I start hormone replacement therapy?

Due to these risks, it is typically recommended that women who experience premature, early, and surgical menopause start hormone replacement therapy as soon as possible. As the American Society For Reproductive Medicine, mincing no words, said of bilateral oophorectomy patients:

Should women on HRT be given thromboprophylaxis if stopped?

If stopped, provide advice on alternative contraceptive methods (1) women on HRT or oestrogen-containing oral contraceptives who undergo emergency surgery should receive peri-operative thromboprophylaxis