There are a few medications that you should avoid before scrotoplasty surgery. These medications can increase the risk of bleeding or other complications during surgery.

The medications that you should avoid before scrotoplasty surgery include:

• Aspirin: Aspirin is a blood thinner that can increase the risk of bleeding during surgery.
• Ibuprofen: Ibuprofen is also a blood thinner and should be avoided before surgery.
• Warfarin: Warfarin is a prescription blood thinner that should be stopped at least two weeks before surgery.
• NSAIDs: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can increase the risk of bleeding during surgery.
• Vitamin E: Vitamin E can increase the risk of bleeding during surgery.

If you are taking any of these medications, you should talk to your surgeon about stopping them before surgery. They will be able to help you determine which medications you can safely stop and which ones you need to continue taking.

It is also important to tell your surgeon about any other medications that you are taking, including over-the-counter medications and herbal supplements. Your surgeon will need to know about all of the medications that you are taking to make sure that they are safe for you to take before surgery.

Here are some resources that may be helpful:

• The World Professional Association for Transgender Health: https://wpath.org/
• The Trevor Project: https://www.thetrevorproject.org/
• Trans Lifeline: https://www.translifeline.org/

Before scrotoplasty surgery, it’s important to inform your surgeon about all medications and supplements you are currently taking, including prescription medications, over-the-counter drugs, and herbal supplements. Your surgeon will provide specific instructions on which medications to avoid or adjust before the surgery. However, here are some general guidelines regarding medications to consider:

1. Blood Thinners: Medications that thin the blood, such as aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, and anticoagulants like warfarin or heparin, can increase the risk of bleeding during and after surgery. Your surgeon may advise you to temporarily discontinue these medications before the procedure. However, it is crucial to consult with your surgeon and primary care physician before making any changes to your medication regimen.

2. Herbal Supplements: Certain herbal supplements, such as ginkgo biloba, garlic, ginger, ginseng, and fish oil, can increase the risk of bleeding and interfere with anesthesia. Your surgeon may recommend stopping these supplements a few weeks before surgery to reduce these risks.

3. Hormone Replacement Therapy (HRT): If you are undergoing hormone replacement therapy, particularly testosterone therapy, your surgeon and endocrinologist will guide you on whether any adjustments or temporary discontinuation of hormones are necessary before the surgery. It’s important to maintain open communication with both your surgeon and endocrinologist to ensure proper coordination.

4. Prescription Medications: Your surgeon will review your prescription medications and determine if any adjustments are needed before the surgery. Certain medications may need to be temporarily discontinued or adjusted to reduce potential complications during the procedure or the post-operative period.

It’s essential to follow your surgeon’s instructions regarding medications closely. Do not stop or adjust any medications without the explicit guidance of your surgeon and primary care physician, as sudden changes to medication regimens can have unintended health consequences.

During your pre-operative consultation, make sure to provide a complete and accurate list of all medications and supplements you are taking. This allows your surgical team to develop an appropriate plan tailored to your specific needs and minimize potential risks associated with medication interactions or complications during the surgery.