Whether or not you can have MTF top surgery if you have a history of bleeding disorders depends on the severity of your condition and the type of surgery you want. In general, bleeding disorders are not a contraindication for MTF top surgery, but it is important to talk to your surgeon about your specific situation.

If you have a bleeding disorder, your surgeon will need to take special precautions to prevent excessive bleeding during surgery. They may also recommend that you see a hematologist before surgery to make sure that your condition is under control.

Here are some things to keep in mind if you are considering MTF top surgery and you have a history of bleeding disorders:

• Your surgeon will need to take special precautions to prevent excessive bleeding during surgery.
• You may need to see a hematologist before surgery to make sure that your condition is under control.
• You may be at an increased risk of complications during and after surgery.

If you are concerned about MTF top surgery and bleeding disorders, be sure to talk to your surgeon. They will be able to answer any questions you have and help you understand what to expect.

Here are some additional resources that may be helpful:

• The Trevor Project: https://www.thetrevorproject.org/: A national organization that provides crisis intervention and suicide prevention services to LGBTQ youth.
• Trans Lifeline: https://www.translifeline.org/: A national organization that provides crisis intervention and suicide prevention services to transgender people.
• The National Center for Transgender Equality: https://transequality.org/: A national organization that advocates for transgender rights.

If you have a history of bleeding disorders, it is important to disclose this information to your surgeon during the pre-operative consultation for MTF top surgery. MTF top surgery typically involves surgical incisions and tissue manipulation, which can increase the risk of bleeding. Your surgeon will evaluate your specific case, collaborate with other medical professionals if necessary, and determine if it is safe for you to undergo the surgery. Here are some considerations:

1. Medical Evaluation: Your surgeon will conduct a thorough medical evaluation, which may include reviewing your medical history, assessing the severity of your bleeding disorder, and possibly performing additional tests or consultations with a hematologist or other specialists. This evaluation helps to understand the specific risks and develop an appropriate surgical plan.

2. Collaborating with Specialists: Depending on the nature and severity of your bleeding disorder, your surgeon may consult with a hematologist or other specialists to ensure that appropriate precautions are taken during the surgery. This may involve adjusting your medication regimen or implementing other strategies to minimize the risk of excessive bleeding.

3. Anesthesia Management: The anesthesia team will also consider your bleeding disorder when planning and administering anesthesia. They will evaluate the appropriate anesthesia technique and medications to minimize bleeding risks and ensure your safety during the procedure.

4. Post-operative Care: Your surgeon will provide specific instructions for post-operative care, including managing any potential bleeding risks. This may involve avoiding certain medications that can increase bleeding tendencies, using compression garments or dressings, and closely monitoring your incision sites for signs of bleeding or hematoma formation.

The decision to proceed with MTF top surgery when you have a history of bleeding disorders will depend on the specifics of your case and a thorough evaluation by your healthcare team. They will prioritize your safety and well-being while considering the potential risks and benefits associated with the surgery.

It is important to have open and honest discussions with your surgeon and other healthcare providers involved in your care. By providing accurate and up-to-date information about your bleeding disorder, you can help guide the decision-making process and ensure that the necessary precautions are taken to minimize the risk of bleeding complications during and after MTF top surgery.