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Explore›Medical Conditions in Dentistry›Hormonal therapy considerations (GAHT, HRT)

Hormonal therapy considerations (GAHT, HRT)

Dental riskmoderate

Hormonal therapy in dental medicine matters primarily because of: (1) estrogen exposure (feminizing GAHT, HRT) → increased VTE (DVT/PE) risk, especially with oral formulations and in high-risk patients, (2) testosterone therapy (masculinizing GAHT) → can increase hematocrit/erythrocytosis and may affect thrombotic risk, and (3) spironolactone (antiandrogen in feminizing GAHT) → hyperkalemia risk. Key dental principle: hormones usually do not change antibiotic or analgesic selection, but they change peri-procedure VTE risk planning and comorbid medication awareness.

The full condition entry includes

  • Safe vs avoid lists: antibiotics, analgesics, local anesthetics
  • Vasoconstrictor limits and treatment modifications
  • Pre/intra/post-op monitoring and deferral criteria
  • Emergency management, explained for study
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