Have you been told no to hrt if you are 10+ years post menopause?

Posted by gravity3 @gravity3, May 16 7:04am

Starting hrt 10 years post menopause and the flawed Women's health initiative study.
I have been told no and yet the current findings seem to indicate that hrt can still help.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@debbie1956

Do you mean your cardiologist is suggesting HRT or OP medication to keep the gains? I am new to all this and am currently gathering information about starting HRT at 67. I have my first specialist consult next month so am trying to arm myself with knowledge to prepare.

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Yes he is recommending Bioidentical hormones to maintain my gains and build up my hormone numbers since they are pretty much depleted. Praying for some good days ahead.

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@dooshie

Yes he is recommending Bioidentical hormones to maintain my gains and build up my hormone numbers since they are pretty much depleted. Praying for some good days ahead.

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I hope the Bioidentical hormones will help you to maintain your gains. Let us know.

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@doglover1962

I'm 2 years post menopausal but I'm 62 and carry factor V leiden which can cause blood clotting. All 3 medical practioners including functional medicine aprn do not feel comfortable prescribing ultra low dose transdermal estrogen. My pcp says absolutely NO WAY! Yet, my bone consultation with Dr. Keith McCormick says my main cause of osteoporosis is loss of estrogen and taking it transdermally will help maintain good bone health. He recommended finding a study with people like me with this inherited gene deficiency but so far have not seen anything reputable or with information I can't understand.

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Keith McCormick is not a medical doctor but a chiropractor. I would not consider him to be an authoritative source of advice and he has a vested interest in selling his supplements. Please place your trust in those with MD expertise, even if they give you advice you do not want to hear. And if you dabble in supplements (I do too), be sure and do so cautiously and make sure you get measurable or observable benefit with the smallest dose possible.

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I have responded twice at length and lost both responses when my Internet cut out.

@dooshie I hope you will consult with a doctor who specializes in V leiden factor before considering HRT. A quick google does show increased risk of clotting.

@researchmaven I have talked with McCormick over the years and there are often differences of opinion between him and my endo, or, for that matter between my two endos (for instance on the use of bone markers). If you read research studies, they also often also have different conclusions!

I think we all would like certainty in our paths, and would like a provider whose opinions we can trust 100%- whether McCormick or PCP or endo. Unfortunately there are no magic answers. Some consult McCormick, I think, in the hopes of avoiding meds, but he suggests meds whenever needed and did them himself.

I have found McCormick and my 2nd opinion endo to be helpful in raising questions that I bring to my doctor, who may say yes to an idea, or no. In the end I trust my endo but he has shown flexibility in responding to what I ask.
With all these different sources of info, I, an untrained patient without extensive medical knowledge, am left in a position to sift through it all and I rely most on my endocrinologist. If you talk to Mccormick, make sure you also have a good endo! And we need more research!

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@donnajones

I am 73 and have been on HRT for at least 8 years, started them about 15 years post menapause. The difference was amazing in how I felt on the HRT. I use a topical cream I apply daily to my inner thigh and take progesterone capsule at night. Have had no problems.

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This is very encouraging. Thank you for sharing this.

I have heard that, not only is bone loss lessened, but estrogen is cardio-protective as well. I went through menopause about a decade ago and am dealing with cardiovascular issues, bone loss issues, and other issues I would like to improve. But I, too, am getting the "But you're going to get cancer!" responses from doctors.

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@larak

This is very encouraging. Thank you for sharing this.

I have heard that, not only is bone loss lessened, but estrogen is cardio-protective as well. I went through menopause about a decade ago and am dealing with cardiovascular issues, bone loss issues, and other issues I would like to improve. But I, too, am getting the "But you're going to get cancer!" responses from doctors.

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They have really debunked those fears with a lot of the new literature. Most information now says it is a shame women have been denied this treatment because of myths.

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@donnajones

They have really debunked those fears with a lot of the new literature. Most information now says it is a shame women have been denied this treatment because of myths.

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Perhaps we as a a group of women should get the best info on this one hat we can pass on to our docs.

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I do think that after a certain age breast cancer is a real issue. One in 8 women get breast cancer (most of them on the older side I think) and 80% of those are hormone-driven.

The video someone linked of Paul Miller conversing with other endos had an endo describe a patient in a wheelchair who took testosterone ( she explained this converts to estrogen) and came back in two weeks on a walker. Even though I had cancer, I wish I could do hormones. I understand quality of life being important and it might help my pain, but I am a no go.

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@windyshores

I do think that after a certain age breast cancer is a real issue. One in 8 women get breast cancer (most of them on the older side I think) and 80% of those are hormone-driven.

The video someone linked of Paul Miller conversing with other endos had an endo describe a patient in a wheelchair who took testosterone ( she explained this converts to estrogen) and came back in two weeks on a walker. Even though I had cancer, I wish I could do hormones. I understand quality of life being important and it might help my pain, but I am a no go.

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Hi @windyshores do you have a summary for the causes of breast cancer that you could offer? Does the estrogen driven breast cancer due to brca gene activation? My obgyn ordered a brca test for me, even though I don’t have a family history. My neighbor who is 65yo found out she carries brca gene after learning her 38yo daughter’s bc is brca +ve related. They both had a mastectomy, for prevention and treatment respectively. So one could carry the gene without knowing it if not tested.

My cardiologist firmly told me not using testosterone for heart health.

Thank you!

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@donnajones

They have really debunked those fears with a lot of the new literature. Most information now says it is a shame women have been denied this treatment because of myths.

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Do you happen to have links to that info? I would like to share with my endocrinologist. Thanks

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