Hello dear Yes it can be continued. As per the recent trend Medication especially for mazor surgery allows intake of estradiol. I suggest you to please mention the current regime to the concerned physician Dose is to be specified and discussed ( mention current dose - 4mg). Also in case of Clotting risk Complications Bleeding risk Modification have to be mentioned by anesthesiologist or surgeon only Avoid modifying or stoppage medication of your own Regards
When considering surgery while on estradiol, it’s crucial to evaluate the increased risks associated with venous thromboembolism (VTE), also known as blood clots. Estradiol can elevate the risk of developing blood clots, which can be particularly concerning during and after surgery when you might be less mobile. The decision to discontinue estradiol before surgery depends on the type and duration of the surgery, as well as your individual risk factors like existing health conditions, smoking status, and family history of clotting disorders. Typically, discontinuing estradiol therapy 2-4 weeks prior to elective surgery can be advised to minimize clot risks, particularly for surgeries requiring general anesthesia or involving significant recovery time. However, this must be weighed against the potential negative impact of discontinuing hormone therapy on your psychological well-being and gender dysphoria management. It’s important to have a detailed discussion with your surgeon and endocrinologist. They will assess your overall risk and advise a tailored approach. Additionally, some may suggest prophylactic anticoagulation, like low molecular weight heparin, during the perioperative period instead of stopping estradiol. Post-surgery, estradiol can often be resumed once mobility is regained and the risk of clots diminishes, but again, this should be guided by medical professionals involved in your care. Ultimately, the goal is to safely balance transitioning needs with surgical safety.
