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क्या मैं जेंडर ट्रांजिशन के लिए एस्ट्राडियोल लेते हुए सर्जरी करवा सकता/सकती हूँ, या ब्लड क्लॉट के खतरे की वजह से इसे लेना बंद करना पड़ेगा?
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Gynecology & Pregnancy Care
Question #29171
70 days ago
113

क्या मैं जेंडर ट्रांजिशन के लिए एस्ट्राडियोल लेते हुए सर्जरी करवा सकता/सकती हूँ, या ब्लड क्लॉट के खतरे की वजह से इसे लेना बंद करना पड़ेगा?

Client_8cb7a9

मैं 52 साल का पुरुष से महिला ट्रांसजेंडर हूं। मैं रोज़ 4 मिलीग्राम एस्ट्राडियोल ले रही हूं और ऐसा चार महीने से कर रही हूं। क्या मैं दवाओं के साथ सर्जरी करवा सकती हूं या मुझे पहले एस्ट्राडियोल छोड़ना होगा क्योंकि खून के थक्के बनने का खतरा है?

What type of surgery are you considering?:

- Other surgical procedures

Have you had any previous surgeries while on estradiol?:

- No, this is my first surgery

Have you experienced any side effects from estradiol?:

- Mild side effects

Do you have any history of blood clots or related conditions?:

- Yes, previous blood clots

How long have you been on estradiol?:

- 1-4 months

Have you discussed your medication with your surgeon?:

- No, not yet

Are you currently taking any other medications?:

- Yes, prescribed medications
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
69 days ago
5

Hello

Yes, you can have surgery while taking estrogen, but in your case the decision needs extra caution because you have a history of blood clots, which significantly increases risk during surgery.

The medication involved is Estradiol, and estrogen can raise the chance of developing another clot, especially around surgery when mobility is reduced and the body is under stress. Because you are 52 years old and have had previous clots, most surgeons and anesthesiologists will consider you higher risk.

In many situations like yours, doctors commonly recommend temporarily stopping estradiol about 2–4 weeks before surgery and restarting it after you are fully mobile, unless the surgery is urgent. They may also use preventive measures such as blood thinners, compression stockings, and early walking after the procedure. However, the exact plan depends on the type of surgery, how long it will last, and your individual clot history.

The most important next step is to inform your surgeon and anesthesiologist as soon as possible that you are taking estradiol and that you have had prior blood clots. Do not stop the medication on your own until they give instructions, because timing and coordination with the surgical team matters.

Bottom line: surgery is still possible, but with your prior clot history, there is a higher likelihood that your team will advise pausing estrogen temporarily and using clot-prevention strategies to keep you safe.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
69 days ago
5

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

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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.

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