Dr. Tabatha Barber explains why women should balance hormones before breast explant surgery. Estrogen drops significantly in women over 35, and a 3-4 month window of balanced testosterone and estrogen improves recovery. She uses testosterone pellets rather than injections, which can cause irreversible genital changes if dosed wrong.
Questions this video answers
35 to 55
Three to four months
About 1/12 the dose of a male
Pellet delivery
Progesterone β because of side effects including increased edema and abdominal distention
Chapters
Explain to my listeners why that's so important to have your hormones balanced. Right? So, so in the Gap group, 35 to 55 and certainly in postmenopausal women, of course we're always going to look, but estrogen goes down, but testosterone like it will be undetectable. And so for my patients who are having any elective procedure, whether they're coming to me for surgery or I have people reach out to me for my recovery program, you'll say, hey, we're going to look at this and you can either come to Austin and I'll do your hormone balance or you can find a, you know, provider there. And not everybody needs estrogen given back, as you know, it depends on how you convert your testosterone. Some people convert quickly and create estrogen, others don't. It goes straight to dht. So you may need to give it back or not give it back, depending on the person. Women need about 1/12 the dose of a male. So that's why, you know, and I prefer pellet for women versus a cream versus a shot. I have all sorts of weird people getting shots around here with testosterone. And you know what happens? It's never the right dose and then they get female genitalia problems that can't be reversed. So but for recovery, we want to have that three to four month window where the balance is good in terms of testosterone, estrogen. I don't ever put anybody on progesterone if they need or have problems with sleep. I have sleep supplements I use, I don't, I don't like progesterone. Side effects are not things I want. They increase edema, they increase abdominal extension sometimes and I don't really want to have that in any of my post op clients. You know, that's if they want to do that down the road, I have them do that later.