Excessive Bleeding

[corvette09]

Hey doctors, I had my surgery a little over 6 months ago. I'm pretty happy with the results except I now have scars ON my nipple. I had hematomas right after surgery and again a few days later. My doctor ended up draining it and then putting a drain in me. I bled so much I had blood pool down both arms and down in my stomach. I was very swollen for a few weeks. My doctor could not explain why I bled so much..

I had blood work and my platelet count was normal. I'm on testosterone for TRT. Would this effect clotting factors?

Thank you for your time.

[DrPensler]

Bleeding sometimes occurs.It sounds as though everything worked out well.I am not personally  aware of testosterone causing bleeding issues.

[George Pope, M.D.]

If the bleeding was really excessive, and you have had no other surgery before, you could have a rare bleeding disorder that isn't diagnosed with routine blood work.  I don't want to alarm you, and you're probably fine, but there are bleeding disorders that exist in spite of a normal platelet count.  In certain disorders the platelets don't function normally.  You may want to consider a hematology workup, but first ask your plastic surgeon if he/she recommends it.  Just good to know that everything has been checked out, for the next surgery.

Dr. Pope, MD

[corvette09]

Thank you doctors..

[Litlriki]

The risk of bleeding in patients who have gynecomastia related to testosterone use for performance enhancement is ten-fold higher than the risk in non-steroid related gynecomastia (it's actually 10 - 20% in various series, versus 1% or less in non-steroid related gynecomastia).  Depending on the history of your gynecomastia and the history of your testosterone supplementation, there may be a relationship.  I include patients on TRT in my "steroid-related" group, since I'm not always entirely clear about the details behind the testosterone use, and in my practice, the incidence of bleeding in that group is 10.9% versus less than 1% for all patients. As per Dr. Pope, depending on your history, you might want to explore your bleeding profile, but if it's just a one-time issue, it could be related to the etiology of your gynecomastia.

Rick Silverman

[corvette09]

The risk of bleeding in patients who have gynecomastia related to testosterone use for performance enhancement is ten-fold higher than the risk in non-steroid related gynecomastia (it's actually 10 - 20% in various series, versus 1% or less in non-steroid related gynecomastia).  Depending on the history of your gynecomastia and the history of your testosterone supplementation, there may be a relationship.  I include patients on TRT in my "steroid-related" group, since I'm not always entirely clear about the details behind the testosterone use, and in my practice, the incidence of bleeding in that group is 10.9% versus less than 1% for all patients. As per Dr. Pope, depending on your history, you might want to explore your bleeding profile, but if it's just a one-time issue, it could be related to the etiology of your gynecomastia.

Rick Silverman

Thank you Dr. Silverman..