Hello dear Yes it can be continued. As per the recent trend Medication especially for mazir surgery allow intake of estradiol. I suggest you to please mention the current regime to the concerned physician Dose is to be specified and discussed as the current dose is ok . Also in case of Clotting risk Complications Bleeding risk Modification have to be mentioned by anesthesiologist or surgeon Avoid modifying medication of your own Regards
Yes, you can have surgery while on estrogen, but whether you need to stop or adjust your dose first is going to depend on several individual factors. It’s essential to talk with both your surgeon and the doctor overseeing your hormone therapy. There are some considerations regarding how estrogen might affect blood clotting and interactions with anesthesia, so pre-operative assessment will focus on risks versus benefits. If they recommend stopping the estrogen temporarily, it could be because the risk of thromboembolism (blood clots) is higher with estrogen. This typically involves discontinuing it about 4 to 6 weeks before a major surgery, but this varies based on your personal health profile and the specific surgical procedure. Your medical team will evaluate any other medications you’re on, your overall cardiovascular health, and any history of clotting disorders. If they decide you should pause the estrogen, they’ll usually have you resume it after surgery once it’s safe and the risk of clotting decreases, typically when you’re up and moving around regularly during recovery. The goal here is to minimize any surgical risks without compromising your overall well-being or transgender healthcare needs. So, have a detailed conversation with them to discuss your case. They’ll provide the steps tailored specifically for you, ensuring you understand and agree with the surgical plan and any adjustments in your medication regimen.
Yes, you can usually have surgery to remove a malignant neck tumor while taking estrogen, but the surgical team needs to know you are on hormone therapy because estrogen can slightly increase the risk of blood clots around the time of surgery.
The medication involved is typically Estradiol, and the main concern is clot formation (deep vein thrombosis or pulmonary embolism) during and after major surgery. Because your tumor is malignant, surgery generally should not be delayed, but your doctors may adjust hormone use temporarily to reduce risk.
Whether you need to stop estrogen depends on: • Type and length of surgery • Your personal clot risk (smoking, obesity, prior clots, immobility) • How urgent the cancer surgery is
Common practice is:
• For major cancer surgery, some surgeons recommend stopping estrogen 1–2 weeks before and after surgery if time allows. • For urgent surgery, they may continue estrogen but use blood clot prevention measures (compression stockings, blood thinners, early walking).
What you should do now (important): Tell your surgeon and anesthesiologist as soon as possible that you are taking estrogen 4 mg daily. This is essential information for safe planning. Do not stop the medication on your own unless your surgical team instructs you.
Bottom line: • Surgery is still possible and usually proceeds. • Estrogen may or may not need to be paused briefly.The decision is individualized based on risk and urgency of the malignant tumor removal.
