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!
Answer: Risks with HRT Deep venous thrombosis and pulmonary emboli can represent life threatening conditions. Several risk factors are associated with the formation of DVT’s including birth control pills and hormone replacement. For these reasons we generally recommend that patients stop taking both birth control pills and hormone replacement two weeks prior to surgery. In addition every patient should be evaluated for their DVT risks. The majority of patients are asked to use anti embolic compression stockings, maintain hydration and ambulate frequently. In patients who have multiple risk factors, anti-coagulants such as Lovenox may be necessary. It’s important to realize that every patient’s situation is unique. For this reason, treatment needs to be individualized for every patient.
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Answer: Risks with HRT Deep venous thrombosis and pulmonary emboli can represent life threatening conditions. Several risk factors are associated with the formation of DVT’s including birth control pills and hormone replacement. For these reasons we generally recommend that patients stop taking both birth control pills and hormone replacement two weeks prior to surgery. In addition every patient should be evaluated for their DVT risks. The majority of patients are asked to use anti embolic compression stockings, maintain hydration and ambulate frequently. In patients who have multiple risk factors, anti-coagulants such as Lovenox may be necessary. It’s important to realize that every patient’s situation is unique. For this reason, treatment needs to be individualized for every patient.
Helpful 2 people found this helpful
August 8, 2015
Answer: 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.
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August 8, 2015
Answer: 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.
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March 19, 2012
Answer: Mommy Makeover
Have your GYN and Board Certified Plastic Surgeon discuss your status and make any medication alterations in plenty of time.
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March 19, 2012
Answer: Mommy Makeover
Have your GYN and Board Certified Plastic Surgeon discuss your status and make any medication alterations in plenty of time.
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July 11, 2011
Answer: 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?
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July 11, 2011
Answer: 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?
Helpful
August 8, 2015
Answer: Hormone replacement therapy and surgery
It is safest to be off hormone replacement therapy prior to an abdominoplasty as this will increase your risk of a deep vein thrombosis Estrogens are the source of the problem as they create a hypercoagulable state.
Helpful 1 person found this helpful
August 8, 2015
Answer: Hormone replacement therapy and surgery
It is safest to be off hormone replacement therapy prior to an abdominoplasty as this will increase your risk of a deep vein thrombosis Estrogens are the source of the problem as they create a hypercoagulable state.
Helpful 1 person found this helpful