Hormone Replacement and Mommy Makeover?

I am on prometrium (po)& vivelle patch for perimenopausal symptoms (for 2 years). I will be 49 at time of surgery (TT, BA, BL, and lipo)- scheduled 11/2011. Gyn last year wanted to start to taper me off of my hormones at the end of this year (2011). Should I talk w/my gyn about tapering earlier? What is the recommendation about hormone replacement and surgery - does it increase the risk of blood clots? Thank you!

Tags:

Comment on this

7 Doctor Answers | Asked by cabo_honey in Northern Nevada

Doctor Answers (7)
Community Comments (0)

Mommy Makeover and Hormone Replacement?

It is probably in your best interests to stop the hormonal replacements (under the guidance of your OB/GYN) this prior to undergoing extensive mommy makeover surgery. As you know, deep venous thrombosis and pulmonary embolism are 2 of the more devastating complications that can occur; it is wise to take every precaution. Best wishes.

Mommy Makeover

Have your GYN and Board Certified Plastic Surgeon discuss your status and make any medication alterations in plenty of time.

Wean your Hormones

I agree with the others, I feel you should be off of the hormones as well. The extensive surgery you have planned (lipo, BA, BL, TT) will put you at a slightly higher risk of blood clot formation anyway. I am sure your surgeon will discuss with you how to minimize your risk potential with early ambulation, in bed hip, knee and ankle movement etc. Try to be off all hormones over a 6 week period tapering so that you end up off everything by one month prior to your anticipated surgical date.... more

Hormone replacement and plastic surgery or mommy makeover

You are best off discontinuing your hormone replacement therapy preoperatively. Hormone replacement can increase the chance of getting a blood clot. We ask that all our patients stop taking any form of hormone replacement, including bio-identical, over the counter, herbal, etc. Surgery has enough risks associated with it; why take shortcuts?

Risks from hormone replacement therapy

Hormone therapy is important for many women, but can increase the risk of blood clots during and right after surgery. Other important factors in evaluating the risks include previous history of blood clots and family history of blood clots. Smioking is especially worrisome. You are having a significant amount of surgery in terms of length of time on the operating table, during which time you will have decreased venous circulation, and also in terms of decreased mobility after... more

Hormone Replacement & Mommy Makeover

Yes. The surgery you have scheduled is extensive for a single surgery so you want to minimize any potential risks that you can. By tapering off any hormone replacement at least a month before surgery, you are minimizing your risk of blood clots.

Blood clots

Hormone replacement therapy, birth control pills, and many other factors increase the risk for blood clots and pulmonary emboli. They must be stopped before any elective surgery. Hormonal therapy should be stopped one month prior to surgery. Measures should be taken to decrease the risks of blood clots always depending on your particular risk factors. That should be discussed with your plastic surgeon and GYN and internist.