Susan's Place Transgender Resources

hello all. I've been on hrt one month now and have decided to go off for personal reasons.bive been off for two days and would like to know how long I should wait before smoking a cigarette to avoid all those nasty side effects like blood clots.

1000 years.  But seriously, I smoke and am on HRT.  It's not ideal, but smoking never is.  You're likely good to go.

Welcome to Susan's Place. It would depend on how you received the hormones. Pills leave your system pretty fast, injections remain in your system longer and implants seem like forever. You need to talk to your doctor about it as I am not one but I have heard of people without implants being off hormones a month or more before surgery so I suspect it would be that long or longer.
My opinion is you are over the addiction so do yourself a favor and don't restart.

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I would definitely ask your physician.  For me, I am on a "low-dose" of Estradiol and Spironolactone, and my physician told me to be off of the HRT at least two weeks prior to any surgery.  I am making an assumption that most of the HRT effects are mostly negligible by the time I'd be ready for surgery.

By the way, cigarettes reduce effectiveness of bio-identical estrogen and progesterone when taken orally, meaning concentrations of both these hormones are significantly less in the blood when smoking.

Certain hormones, medications do not affect clotting and bio-identical estradiol when taken non-orally (similar to ciswomen who produce hormones and still undergo surgery) barely affect clotting so that these logically needn't be stopped before surgery BUT check with your surgeon before and follow their advice. 

I was wondering if that goes for vaping too? I had quit smoking for 10 years, then started smoking again last year, only for a few months. I quit by using patches and vaping non nicotine juice. I stopped using the patches last week and still vape the juice.

Quote from: KayXo on January 03, 2016, 09:52:22 AM
By the way, cigarettes reduce effectiveness of bio-identical estrogen and progesterone when taken orally, meaning concentrations of both these hormones are significantly less in the blood when smoking.

Certain hormones, medications do not affect clotting and bio-identical estradiol when taken non-orally (similar to ciswomen who produce hormones and still undergo surgery) barely affect clotting so that these logically needn't be stopped before surgery BUT check with your surgeon before and follow their advice.

No nicotine, no problem. :)