A painful and interesting lesson for me

[KayXo]

I'm curious to what kind of estrogen you were taking orally and if you were taking anything else at the time, other medications that increase risk of clots?

[DawnOday]

My endo said not too. Aspirin is not without risk, and overall it not worth it.

I beg to differ, but every cardiologist I have ever met recommends at least a baby aspirin  Mine said to take the regular strength. 25 years later. No problems.

[immortal gypsy]

If you can't get implants have you considered patches? I have now gone on them after years of implants and I find then no problem at all, and they are very safe.

Patches may be a better alternative. Any "unusual" cons that you can think of with patches. Such as injections would probably not be suitable for someone who has a bad phobia of needles and other sharp things near them.

I'm curious to what kind of estrogen you were taking orally and if you were taking anything else at the time, other medications that increase risk of clots?

Just my usual bag of pills
Progynova
Androcour
Keppra
Vimpat
Zonevram
that night
Phenotoen via drip
Medazalim
And some aspirin for a headache

[AnonyMs]

I beg to differ, but every cardiologist I have ever met recommends at least a baby aspirin  Mine said to take the regular strength. 25 years later. No problems.

If only we could let them argue it out.

[Serverlan]

My endo said not too. Aspirin is not without risk, and overall it not worth it.

Ah, the Aspirin controversy. From what I've read the risks linked to Aspirin are very low. Also you only need to take between 70-100mg daily to get the benefits. There are also types of Aspirin that are much easier on the stomach. I think low-dose Aspirin is a good way to go, but research all the facts yourself and don't take my word for it.

[AnonyMs]

Ah, the Aspirin controversy. From what I've read the risks linked to Aspirin are very low. Also you only need to take between 70-100mg daily to get the benefits. There are also types of Aspirin that are much easier on the stomach. I think low-dose Aspirin is a good way to go, but research all the facts yourself and don't take my word for it.

Its possible that he knows I don't have any clotting disorders, and I'm on bio-identical implants which don't have problems, so there's no real risk on that side of things. So asprin risk, however small it is, is not worth it. I don't know what he'd say if you had a clotting disorder, and I very much doubt he'd prescribe any kind of dangerous HRT.

[Ms Grace]

Implants have thought about them, but considering I can't cross the harbour when friends go see Dr. H for a refill due to fear. I think I might be sticking to the pills. If this ever happens again this may be something I will have to try and get over. (It's just a little knick right)

Yeah, just a little nick. He gives a local anaesthetic first. I wouldn't say it doesn't hurt, there's a little bit of pain...and it feels sore for a day or so after the local wears off. But these days he doesn't need to stitch it up afterwards, that's how small the incision is.

[Serverlan]

Its possible that he knows I don't have any clotting disorders, and I'm on bio-identical implants which don't have problems, so there's no real risk on that side of things. So asprin risk, however small it is, is not worth it. I don't know what he'd say if you had a clotting disorder, and I very much doubt he'd prescribe any kind of dangerous HRT.

The first thing my endo did was send me away for a heap of tests, including my risk for thrombosis, so you may well be right about that.

[AnonyMs]

Implants have thought about them, but considering I can't cross the harbour when friends go see Dr. H for a refill due to fear. I think I might be sticking to the pills. If this ever happens again this may be something I will have to try and get over. (It's just a little knick right)

I didn't quite notice what you said there before. If you're in Sydney and not seeing Dr Hayes I think you should really really try to. He's got thousands of trans patients, and has significant experience with clotting problems (I didn't post it before but I spoke to him recently about it). Given what you've just experienced I think you're taking an unnecessary risk not seeing him, as there's no one else in Sydney remotely as qualified in trans medicine. I very much doubt there's many in the rest or the world either (I don't in general care for doctors, but Dr Hayes impresses the hell out of me).

https://www.susans.org/forums/index.php/topic,207756.msg1843224.html#msg1843224

I have something of a needle phobia, and I love implants. You lie down on the table and he gives you a local anesthetic injection (which stings for me, but I'm alone in that apparently), and he does the implant which is absolutely painless. Its nothing to be concerned about, and that's from someone who gets dizzy from a blood test (I have to lie down for quite awhile so I don't feint).

You can forget taking estrogen tablets for perhaps 6 to 12 months after that, and I've got really high estrogen levels. It feels fantastic. He also does electrolysis with nitrous oxide gas.

[KayXo]

I beg to differ, but every cardiologist I have ever met recommends at least a baby aspirin  Mine said to take the regular strength. 25 years later. No problems.

There is a risk of ulcers. My mom got that from aspirin and she almost died.

injections would probably not be suitable for someone who has a bad phobia of needles and other sharp things near them.

I had such a phobia and I now inject myself. You can get over it, I'm proof of that and it was soooo worth it!

The first thing my endo did was send me away for a heap of tests, including my risk for thrombosis, so you may well be right about that.

The risk of thrombosis on bio-identical estrogen is small and when taken non-orally, negligible, based on studies and observations. Half the world population is on estrogen. I have levels in the range of 1,000-4,000 pg/ml, inject myself estradiol. My clotting times are normal.

[Claire_Sydney]

Yeah, just a little nick. He gives a local anaesthetic first. I wouldn't say it doesn't hurt, there's a little bit of pain...and it feels sore for a day or so after the local wears off. But these days he doesn't need to stitch it up afterwards, that's how small the incision is.

I felt a bit conned, particularly as he had described it as a 'surgical procedure'.

It was a small sting for the needle, a microscopic cut that barely even bled, and on I was on my way in about 5 minutes with my new ovaries implanted !