Blood Clots After Starting Estrogen HRT? | Trans Health

Hey y'all. A lot of students and trans people have approached me in the past about their concerns about blood clots when starting HRT for feminization especially with estrogen. I break down everything you need to know and why some of these risks are often over exaggerated.

Here is the link to the meta-analysis I talked about in the video:
doi: 10.3389/fendo.2021.741866

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Disclaimer: The video content created by Ben Haseen is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Ben Haseen hereby disclaims any and all liability to any party for any direct, indirect, implied, punitive, special, incidental or other consequential damages arising directly or indirectly from any use of the video content provided.

[PilaCiu]

This is the video I needed! Thanks so much for talking about the risks! I'm a trans woman and I've been always scared of the blood clots due to being prone to them.

[shivi]

Thanks so much for this video. My family has been very concerned about this and other risks.

[squarepeg]

I’m a 45 yo non-smoking cis woman & was given a Hailey 1.5 Rx. My GP foolishly had me double the dose until a cycle stopped. I got a DVT after only 5 days. I was then put on Eliquis, my cycle started again & then had uncontrolled and dangerous uterine bleeding complicated by being on the blood thinner. I may have a genetic predisposition. My GP didn’t warn me about the potential risks which was frustrating.

My DVT began with the typical pain in the gastroc but I didn’t have any edema or redness so just want others to know those symptoms aren’t always present. Stay safe out there, everyone!

[zakronthesheep]

I haven't heard of anyone taking testosterone-blockers INSTEAD of estrogen. That would leave you with no hormones of either kind which is quite dangerous.

[nullprophet]

i feel so trapped in my body, i get intense dysphoria everyday, but i'm afraid of starting HRT because of blood clots, i don't know what to do

[issues]

Great vid! I was always concerned with the blood thickening effects of nicotine paired up with estrogen, it's nice to know it's not that bad of an issue! at least to the point where a transfemme wouldn't be barred from medicine. I've got my hormone/androgen pills burning a hole behind my mirror but I can't take them until I get my sperm freezing over and done with.
I've taken the time to try and quit nicotine, not only because of my previous fear of bloodclots, but also because I heard nicotine undoes a lot of the effects of oral-administered estrogen. I want my girl body more than I want momentary relief from withdrawal. 7 days nicotine free right now! We're doing it baby!

[lucymisfit]

i’m prone to blood clots as it runs in my family. I’m only 20 and am looking into starting HRT, is there a way to detect or watch out for future problems like blood clots

[justinroantree]

I have a blood clot, on blood thinners and want to resume estrogen. What are the risks.

[chasingbonee]

Isn't it dangerous to stop hrt after bottom surgery? Since your body will literally not be producing any sex hormones anymore? I hear a lot about bone brittleness if HRT is stopped after bottom surgery.

[saikrishna]

Bro i want to remove testicles not because of becoming trans just because of some other issues. So do i need to take testosterone hormone?

[victoriakeller]

Can we use birtt control pills for hrt? Is there any ways to prevent blood clots?

[TheHICking]

Doesn’t testosterone also cause blood clots?

[saikrishna]

So after removing testicle HRT is not necessary always right?

[JullianLue]

Hey question, as a trans woman, if I want have high blood pressure, is this bad if I start taking HRT?

[ajasen]

This was a bit of a frustrating video. Estrogen therapy is a wide variety of compounds and routes of administration, with older formulations like conjugated equine estrogen (like premarin) no longer being used, but perhaps having contributed to risk in older people. (2) Oral estradiol may have a different risk profile than injectable or transdermal because of first pass effect. And (3) finally when you say older people had higher risk due to just being older... surely the studies controlled for age itself as a variable (comparing equal aged cohorts)?

So what's the risk for injectable/transdermal Estradiol compared to similar aged men and women who aren't on any exogenous hormones? Compared to women on hormonal birth control? Those seem to be the meaningful comparisons.

[ndono]

I have aura or ocular migraines and I have had many stroke-like symptoms around the end of my third month on estrodiol.

My doctor cut my dose in half and switch to me to Patches and I just started those today.

Soon after putting on the patch I started having heart palpitations and shortness of breath which I'm still having 5 hours later.

I've been a heavy marijuana smoker and I've been out of work for 8 months due to a broken leg so my marijuana consumption has only increased due to insbikity to cope with boredom until i csn return to work.

I'm putting away the marijuana and vaping to help reduce stroke risks. Marijuana is associated with increased risk of strokes in heavy users but the reason behind it is currently unknown.

I took the patch off for now and I will be reaching out to my doctor about it.

[justinroantree]

If you have already had a blood clot how is best to take estrogen again.

[saikrishna]

In india so many transgender people are not taking HRT

[jilliand]

Horrible advice! Do not go off hormones after bottom surgery! That will drastically increase your risk of developing osteoporosis!

[saikrishna]

Bro is homronal replacement therapy is really necessary?