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stopping t befor hysto

Started by David27, August 15, 2017, 10:02:15 PM

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David27

I am pretty excited to be having surgery on the 29th of August (Tuesday) after fighting my insurance for a while.

My doctor wanted me to stop T 2 weeks before. I inject weekly on Thursdays, so I negotiated my last shot for this Thursday (12 days before surgery) since my levels are too low all the time 400-500 mid week and 270 trough (dated lab).

Anyone have experience with going without t for a short period of time? I've got 1 day of work and potentially an interview on Monday. I'm worried about my energy levels on Monday and dealing with my work place environment on Friday. I'm concerned because I work with a fairly bigoted dude (shared office) and in general I am getting screwed at work (doing work 2-3 levels lower than pay grade and being treated like my only job is to do that) , which is stressful with T (less emotional range).
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CMD042414

I've had top and a hysto. Both times I was told to stop T by the surgeon. Both times my doctor rolled his eyes. I never stopped and I was fine. Surgeon's are notoriously careful. They have to be, malpractice and all. My doctor always says cis men aren't asked to turn off their testosterone for a surgery.
Started T: April 2014
Top Surgery: June 2014
Hysterectomy: August 2015
Phalloplasty: Stage 1-August 2018
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JayBlue

Quote from: CMD042414 on August 15, 2017, 11:04:54 PM
I've had top and a hysto. Both times I was told to stop T by the surgeon. Both times my doctor rolled his eyes. I never stopped and I was fine. Surgeon's are notoriously careful. They have to be, malpractice and all. My doctor always says cis men aren't asked to turn off their testosterone for a surgery.

So why do they tell you to stop? What is their rationale? Because like you said, Cis-men can't stop.
T Day: 5/26/2017
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Dex

From what I've heard from different surgeons and doctors is that exogenous testosterone does increase the chances of a blood clot in general. Since surgery also increases chances of blood clots, some surgeons prefer patients stop hormones in advance of surgery. Anyone taking hormones not produced by their body (including cis-gendered males on hormone replacement therapy) is at an increased risk of clotting.  Every surgeon is different and, as mentioned, has to be concerned about potential risks, even if it is only a significant risk for a small population (for example smokers or people with genetic clotting disorders, or the rare otherwise "healthy" patient that ends up having an issue).

With that being said, my top surgeon did not require me to reduce or stop hormones for any period of time and my hysterectomy doc only asked that I delay my injection after surgery by a few days. 

I think it's worth a discussion with your doc based on your age and lifestyle if it is truly something you need to do but I don't know that I would ever recommend not following your doc's advice, even if the chances of it being an issue are slim. Perhaps he'd be willing to negotiate some kind of middle ground you're both comfortable with?
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FTMax

I stopped for 2 weeks before top surgery with no issues. I stopped for two weeks before bottom surgery with no issues.
T: 12/5/2014 | Top: 4/21/2015 | Hysto: 2/6/2016 | Meta: 3/21/2017

I don't come here anymore, so if you need to get in touch send an email: maxdoeswork AT protonmail.com
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David27

Thanks for the replies. I probably will not take my shot because they would know my rbc and hematocrit level on the day of surgery. My levels were low pre-T for female. I don't know if less rbc is better or worse. I didn't stop for top surgery, but I guess abdominal surgery is more risky.
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JayBlue

Quote from: Dex on August 16, 2017, 09:31:21 AM
From what I've heard from different surgeons and doctors is that exogenous testosterone does increase the chances of a blood clot in general. Since surgery also increases chances of blood clots, some surgeons prefer patients stop hormones in advance of surgery. Anyone taking hormones not produced by their body (including cis-gendered males on hormone replacement therapy) is at an increased risk of clotting.  Every surgeon is different and, as mentioned, has to be concerned about potential risks, even if it is only a significant risk for a small population (for example smokers or people with genetic clotting disorders, or the rare otherwise "healthy" patient that ends up having an issue).

With that being said, my top surgeon did not require me to reduce or stop hormones for any period of time and my hysterectomy doc only asked that I delay my injection after surgery by a few days. 

I think it's worth a discussion with your doc based on your age and lifestyle if it is truly something you need to do but I don't know that I would ever recommend not following your doc's advice, even if the chances of it being an issue are slim. Perhaps he'd be willing to negotiate some kind of middle ground you're both comfortable with?

Thanks for the response. That makes sense. I haven't had my consultation yet, but on the surgeon's website he states that T has to be stopped one week prior and then held the week of surgery as well.  I agree that it's important to follow the doc's advice because he's the one doing the surgery. 

Cute dog!
T Day: 5/26/2017
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Dex

Thanks! She was a rescue with some anxiety issues but she was a great dog. Very loyal, loved to cuddle. She passed away a little over a year ago. Probably time to update my photo :)

Good luck on your consult (when you have it). I wasn't expecting the hysterectomy to be as big of an impact because it's not as "visible", but I got a huge psychological boost out of not having those organs anymore. Good luck :)
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