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Hormone replacement therapy (in the peri-operative period)

Authoring team

  • NICE suggest that
    • advise patients to consider stopping oestrogen-containing oral contraceptives or hormone replacement therapy 4 weeks before elective surgery. If stopped, provide advice on alternative contraceptive methods (1)
  • women on HRT or oestrogen-containing oral contraceptives who undergo emergency surgery should receive peri-operative thromboprophylaxis
  • if a women is undergoing minor surgery then there is no requirement for additional measures to prevent post - operative venous thromboembolism

Reference:


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