Quote from: blankaizabell on June 09, 2014, 05:56:17 AM
i like to travel to south korea soon, i already send them my voice record and thay said is ok, we can do the surgery!
Sounds great. Good for you. I hope you will be willing to do a couple of different pre-op recordings (like just speaking regularly, reading the rainbow passage or something like that) and do the same some moths after the surgery. It is always interesting to see the difference, for yourself as well as for the ones who are planning this as well
Quote from: Lena from Kiev on June 01, 2014, 11:14:25 PM
The word "hormones" means that they don't know what they are talking about.
Well said!
Usually they refer to Estradiol (E2), the main ingredient in regular HT. I guess they dont want to yonfuse patients with specifities, so they just generally say to stop "hormones".
It is a blatant oversimplification though:
Estradiol is only one out of many possible hormones that they do not mention - and most of them pose no issue at all during healing. For example progesterone, testosterone, thyroid hormones - its all hormones...
The next thing that bugs me is that the main reason for this advice is the fear of blood clots, mostly caused by oral estradiol - pills. the probably reason for this is that they have to pass through the liver first and produce a lot of metabolites. Gels or patches should not pose that much of a problem, and since you do not stay in bed for a long time after the surgery, the risk of thrombosis is very small anyways.
And then there is the fact that other women who happen to have their own estradiol are not advised to use estrogen suppressants or something therelike before any surgery. So they go in there with high estradiol levels and come out well.
If you stop HT, your body will be in a state of hormone deprivation, the hypothalamus will start to ask the gonads to make more hormones, your hormone balance will shift and overall the body will probably be stressed. I am not sure if this is the best thing to do.
Of course, if they give you the advice, I would ask them what exactly they want you to stop and why (and if this applies to your form of application as well). Personally, I would not stop progesterone and ask if it is ok to only reduce estradiol gel and also ask how long post op that should be done still. I think I definitely would stop AAs weeks before such a surgery, specifically Spiro, as it actually changes your vocal chords.
