General anesthesia/having surgery whilst on TRT.

[jj123]

Might be overthinking here but I'm looking to go on TRT soon/as soon as possible (age 26). Will be starting of with Sustanon 125mg injected EOD IM and will be adjusting from there, if needed. I'm also looking however to have a Septoplasty under general anesthesia as soon as (within the next few months), since I have a deviated septum and it's effecting my breathing slightly. Not sure if I should wait and have surgery first before starting TRT. (Would obviously let the surgeon/Anaesthetist know that I'm on TRT etc)

Are there any issues/complications with going under general anesthesia and being on TRT? Also was thinking with regards to recovering from surgery and trying to do injections etc...

Anyone have any opinions on this/have any experience with this.

 

[Systemlord]

Might be overthinking here but I'm looking to go on TRT soon/as soon as possible (age 26).

You are overthinking it.

TRT is testosterone, a testosterone molecule chemically identical to the molecule produced by the body.

This practice by some doctors is do to evaluating risk, with no credible data showing that TRT can cause blood clotts, or heart attacks.

It's the bad data out there, junk studies that propagate fear of TRT.

In 20 years there's been no data credible showing that TRT causes blood clots or heart attacks.

TRT has been prescribed to people with heart disease and over the past 20 years has shown time and time again to greatly improve heart function.

 

[Systemlord]

Also was thinking with regards to recovering from surgery and trying to do injections etc...

People with higher testosterone are discharged from hospitals and physical therapy sooner and are expected to make it through emergency situations better than those with low testosterone.

This is all bad news for big pharma.

Androgen Therapy and Rehospitalization in Older Men with Testosterone Deficiency

 

[MIP1950]

Eight weeks ago I underwent surgery for a large umbilical hernia. The procedure was minimally invasive robotic under general anesthesia. The surgeon and anesthesiologist knew I was on TRT, as I listed it on my medication history form. Before surgery I was given an injection cocktail of drugs to relax me and after surgery, Dilaudid(synthetic heroin) for post op pain. Testosterone wasn't an issue.

 

[boomerjst]

66 year old, I have been TRT for 17 years. 15 Surgery's in the last 12 years, no problems. I usually bump my dose up a little the weeks leading up to and months
after. I feel it helps me recover faster. 4 back, total fused L1-S1, both hips replaced, left knee replacement, left hip 3 times with a 4th scheduled in February.

 

[Systemlord]

Also men with a higher estrogen to testosterone ratios when having difficulties with covid are more likely to die most probably do an inflammatory state do to having low-T.

 

[Systemlord]

Also men with a higher estrogen to testosterone ratios when having difficulties with covid are more likely to die most probably do an inflammatory state do to having low-T.

I'm all for trt, but you have no clue what youre talking about.

I would work on your comprehension skills and educate yourself before commenting further.

People in an inflamed state tend to have higher estrogen and lower testosterone, the higher estrogen can trick the pituitary into decreasing testosterone production. The inflammatory state and low-T doesn’t bode well for those with covid.

I actually know what I’m talking about and have studies to back it up. Perhaps it would be best next time to do some of your own research if you don’t understand something before commenting and coming across as ill-prepared.

Low testosterone levels and high estradiol to testosterone ratio are associated with hyperinflammatory state and mortality in hospitalized men with COVID-19 - PubMed

Low total testosterone levels and elevated E2/T ratio values at admission are associated with hyperinflammatory state in hospitalized men with COVID-19. Low total testosterone levels at admission represent an independent risk factor for in-hospital mortality in such patients. Therefore, total...

pubmed.ncbi.nlm.nih.gov

Low testosterone may increase risk of COVID-19 hospitalization for men | WashU Medicine

Boosting testosterone in men with low levels may reduce serious illness

medicine.wustl.edu

 

[Systemlord]

I didnt know you retain water with low T.

High estrogen and low progesterone levels can lead to water retention and bloating. You make the assumption low-T men can’t have high estrogen alongside low-T, when in fact there can and do quite regularly because of high body fat percentages.

 

[Deleted member 43589]

Eight weeks ago I underwent surgery for a large umbilical hernia. The procedure was minimally invasive robotic under general anesthesia. The surgeon and anesthesiologist knew I was on TRT, as I listed it on my medication history form. Before surgery I was given an injection cocktail of drugs to relax me and after surgery, Dilaudid(synthetic heroin) for post op pain. Testosterone wasn't an issue.

I have had 5 surgeries in my life and all of the 5 times I was using anabolic steroids, not at all TRT. The surgeon was very much aware of it. Absolutely no issues.

 

[Ricko Steamboat]

66 year old, I have been TRT for 17 years. 15 Surgery's in the last 12 years, no problems. I usually bump my dose up a little the weeks leading up to and months
after. I feel it helps me recover faster. 4 back, total fused L1-S1, both hips replaced, left knee replacement, left hip 3 times with a 4th scheduled in February.

I’m looking to having TKR in about 3 weeks and I’m not sure if I can stay on it or not, I haven’t spoken to my anethesiest yet, but I’m concerned about blood clots in the leg etc , how long before surgery I wonder should I stop to be safe ???

 

[Systemlord]

I’m looking to having TKR in about 3 weeks and I’m not sure if I can stay on it or not, I haven’t spoken to my anethesiest yet, but I’m concerned about blood clots in the leg etc , how long before surgery I wonder should I stop to be safe ???

There’s zero evidence that TRT or should I say testosterone causes blood clots. If it did, they would be giving androgen deprivation therapy to everybody that went through surgery.

 

[Ricko Steamboat]

Ok , I don’t even know what that is but I was interested to see how many members on here have actually had major surgery (as a knee replacement is considered major) while being on TRT

 

[Systemlord]

Ok , I don’t even know what that is but I was interested to see how many members on here have actually had major surgery (as a knee replacement is considered major) while being on TRT

Numerous studies show that testosterone decreases physical injuries, the severity of the injury, shortens the length of time that is necessary to completely recover from injury and surgery.

The people that died from Covid complications had lower testosterone and a higher mortality rate.

The people with the highest testosterone recovered the quickest from Covid.

 

[seppuku]

Ok , I don’t even know what that is but I was interested to see how many members on here have actually had major surgery (as a knee replacement is considered major) while being on TRT

Me, left hip replacement in August. Getting the other one done in 3 weeks - i was originally told time between ops would be 4 to 6 months, but this will be 10 weeks.

 

[Ricko Steamboat]

Me, left hip replacement in August. Getting the other one done in 3 weeks - i was originally told time between ops would be 4 to 6 months, but this will be 10 weeks.

Spoke to anethastist and all is good no need to stop