Whether or not you need to stop taking hormone blockers before vaginoplasty depends on your surgeon’s preference. Some surgeons prefer that their patients stop taking hormone blockers for a few weeks before surgery, while others do not. The reason for this is that hormone blockers can thin the blood, which can increase the risk of blood clots during surgery. However, stopping hormone blockers can also cause some of the changes that were reversed by the blockers to come back, such as facial hair growth in transgender women.

It is important to talk to your surgeon about their specific preferences before vaginoplasty. They will be able to advise you on whether or not you need to stop taking hormone blockers and what the risks and benefits of doing so are.

Here are some of the things to consider when talking to your surgeon about hormone blockers before vaginoplasty:

  • Your individual risk of blood clots.
  • The changes that you want to achieve with vaginoplasty.
  • Your comfort level with the risks and benefits of stopping hormone blockers.

Ultimately, the decision of whether or not to stop taking hormone blockers before vaginoplasty is a personal one. You should talk to your surgeon about your options and make the decision that is best for you.

The decision to stop hormone blockers before vaginoplasty will depend on your individual medical situation, the specific hormone blockers you are taking, and the recommendations of your surgical and medical teams.

Hormone blockers, also known as anti-androgens, are medications used to suppress the effects of androgens (male hormones) in the body. They are often prescribed as part of hormone therapy for transgender women to reduce masculine characteristics and allow feminizing hormones, such as estrogen, to have a more significant impact on the body.

Before vaginoplasty, your surgical team will conduct a comprehensive pre-operative evaluation, which will likely include a review of your hormone therapy regimen. The decision to stop hormone blockers temporarily before surgery will be made in consideration of several factors, including:

  1. Blood Clot Risk: Some hormone blockers, such as spironolactone, can increase the risk of blood clots. Stopping these medications before surgery may reduce the risk of blood clot formation during the procedure.
  2. Surgical Healing: Hormone blockers can affect the body’s healing processes. Stopping them before surgery may optimize wound healing and overall recovery.
  3. Anesthesia Considerations: Some medications, including hormone blockers, can interact with anesthesia drugs. Your surgical team will consider how these medications may impact the anesthesia used during the procedure.
  4. Hormone Levels: Your surgical team may also assess your hormone levels before surgery to ensure that your hormones are well-balanced and optimized for the best surgical outcome.

It’s essential to communicate openly with your surgical and medical teams about your hormone therapy and any other medications you are taking. They will guide you through the pre-operative preparations and provide specific recommendations regarding hormone blockers, which may include temporarily stopping or adjusting the dosage before and after vaginoplasty.

Any decisions regarding hormone therapy should be made in close consultation with your healthcare providers to ensure your safety and optimize your surgical outcome. Always follow the instructions and recommendations of your medical team to ensure a smooth and successful surgical journey.