Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: Fimble on February 26, 2020, 07:47:33 PM

Title: Stopping HRT before surgery
Post by: Fimble on February 26, 2020, 07:47:33 PM
Hello Ladies, I have a friend at work who has to have her gall bladder removed. She had a hysterectomy some years ago and uses estradiol gel. She had her pre-op and they have told her to stop taking it 4 weeks before surgery, is this the case or is it ok to carry on using it as it's not ingested? Thank you for any advice   :)
Title: Re: Stopping HRT before surgery
Post by: CLKD on February 26, 2020, 09:06:21 PM
Maybe she should be ringing the Surgeon's Secretary  or the Anaetheatis? :-\
Title: Re: Stopping HRT before surgery
Post by: jillydoll on February 26, 2020, 10:15:23 PM
I think Fimble she does have to stop using it, I'm sure it's to do with developing thrombosis.
I remember reading that somewhere.
Hope she's ok anyway and it all goes ok for her.
xx
Title: Re: Stopping HRT before surgery
Post by: sheila99 on February 26, 2020, 10:26:01 PM
I thought the increased risk of thrombosis was only with oral hrt? Could she ask a meno specialist? Might be worth an email to Dr Currie if she has no one else.
Title: Re: Stopping HRT before surgery
Post by: Taz2 on February 26, 2020, 11:27:10 PM
I had to stop my patches one month before my hysterectomy to lessen risk of blood clots.

Taz x
Title: Re: Stopping HRT before surgery
Post by: Fimble on February 27, 2020, 06:30:06 AM
Thank you ladies, I will pass these messages on to her xx
Title: Re: Stopping HRT before surgery
Post by: Dotty on February 27, 2020, 06:47:24 AM
Hi there is no need to stop any form of transdermal HRT as gels and patches do not increase the risk of clotting x
Title: Re: Stopping HRT before surgery
Post by: Maryjane on February 27, 2020, 07:49:45 AM
If she is using systemic HRT she does not need to stop as per a conversation in my VA group with a GP and also the NICE guidelines also make it clear.

Depends on type of HRT basically
Title: Re: Stopping HRT before surgery
Post by: Taz2 on February 27, 2020, 10:01:15 AM
Does it also depend on age? I was 60 and had to come off the patches for one month before and one month after. I'm glad guidelines have changed now. Maybe the manufacturers should update the advice on the patient information leaflets too.

Taz x