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Should I stop taking my testosterone injections before a scheduled surgery?

Asked in r/trt · Answered by the HeydayMD team ·

I have an upcoming surgery next month and my surgeon asked for a complete list of my medications, but I'm unsure how TRT protocols are typically handled in the perioperative period. Do I need to pause my testosterone injections, or can I stay on schedule?

The short answer

Whether you need to pause TRT before surgery depends on the specific procedure, your cardiovascular risk profile, and your surgeon's protocol, as exogenous testosterone can elevate hematocrit and clotting risk. While some medical teams prefer holding TRT temporarily, others are comfortable maintaining a stable replacement dose if your blood counts are well-monitored. At HeydayMD, our clinical care team works closely with you and your specialists to safely review your lab markers and optimize your protocol around any upcoming medical procedures.

Every body is different. A licensed provider can look at your own labs and symptoms.

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The information on this page is for educational purposes only and is not medical advice. Questions are paraphrased from public Reddit discussions, which are linked for reference — HeydayMD is not affiliated with Reddit. Answers are general education written by the HeydayMD team, not individual guidance. Always talk to a licensed healthcare provider before making treatment decisions.