HRT

Posted by vjo16 @vjo16, Nov 3 10:35am

Has anyone had trouble with their physician concerning hormone replacement therapy?

My physician says I am too old to be treated for that. I am 69 but I feel that some of my problems are related to low estrogen, progesterone and testosterone.

After going through menopause many years ago and having the night sweats, etc. they were gone for several years and now I’m having them back as well as other issues like aches and pains, hair loss, anxiety, fatigue and muscle weakness.

Thoughts?

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My doctor was not able to offer anything on it. My new endocrinologist says no, that I should have started right after menopause….no one told me that! (So frustrating). HOWEVER, there are different opinions on this issue and I’m going to explore the research. I’ve read it’s okay, even if many years later. I’ll post if I find the professional source.

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@celia16

My doctor was not able to offer anything on it. My new endocrinologist says no, that I should have started right after menopause….no one told me that! (So frustrating). HOWEVER, there are different opinions on this issue and I’m going to explore the research. I’ve read it’s okay, even if many years later. I’ll post if I find the professional source.

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That’s great thank you, as well I

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@vjo16

That’s great thank you, as well I

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I think the Mayo Clinic also offers integrative medicine as well now as regular medicine they probably could help with this situation

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Consult with a functional medicine provider?

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Yes, we all have these problems with our doctors. They aren't up to date and don't want to deal with it due to time constraints. It's just easier to say no. For older women, it needs to be individualized case by case. There are contraindications, but they are rare and often do not raise the level of concern even then. You have a better chance of getting what you want by seeing a gynecologist or a urologist. The latter seems strange but true. There are many current books on the subject. Some other information sources are YouTube, Spotify podcasts, amazon podcasts, Instagram, and Facebook groups.
https://cme.lww.com/files/AContemporaryViewofMenopausalHormoneTherapy-1718207786634.pdf
https://journals.lww.com/menopausejournal/fulltext/2024/05000/use_of_menopausal_hormone_therapy_beyond_age_65.3.aspx#T2
https://thebms.org.uk/publications/consensus-statements/bms-whcs-2020-recommendations-on-hormone-replacement-therapy-in-menopausal-women/#:~:text=Evidence%20from%20the%20Cochrane%20data,10%20years%20after%20the%20meno
https://www.lancastergeneralhealth.org/health-hub-home/2021/september/is-hormone-therapy-safe-for-women-over-65#:~:text=You%20can%20safely%20get%20relief,who%20meet%20certain%20health%20criteria.

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@kisu

Yes, we all have these problems with our doctors. They aren't up to date and don't want to deal with it due to time constraints. It's just easier to say no. For older women, it needs to be individualized case by case. There are contraindications, but they are rare and often do not raise the level of concern even then. You have a better chance of getting what you want by seeing a gynecologist or a urologist. The latter seems strange but true. There are many current books on the subject. Some other information sources are YouTube, Spotify podcasts, amazon podcasts, Instagram, and Facebook groups.
https://cme.lww.com/files/AContemporaryViewofMenopausalHormoneTherapy-1718207786634.pdf
https://journals.lww.com/menopausejournal/fulltext/2024/05000/use_of_menopausal_hormone_therapy_beyond_age_65.3.aspx#T2
https://thebms.org.uk/publications/consensus-statements/bms-whcs-2020-recommendations-on-hormone-replacement-therapy-in-menopausal-women/#:~:text=Evidence%20from%20the%20Cochrane%20data,10%20years%20after%20the%20meno
https://www.lancastergeneralhealth.org/health-hub-home/2021/september/is-hormone-therapy-safe-for-women-over-65#:~:text=You%20can%20safely%20get%20relief,who%20meet%20certain%20health%20criteria.

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wow, I read your comments and just read the article in the link you sent Contemporary View of Menopausal etc...REALLY insightful...an MD friend of mine started her own practice last year, specializing in hormone treatment, and menapause issues for women and she supports this view, that there is so much ignorance in current OBGYN providers, and the mentality/data against helping women with hormone replacement etc. is dated, old, irrelevant, wrong...so I am going to have to find another OBGYN to help me..maybe john hopkins in baltimore will be more educated..so thank you

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I have found a physician in the Tampa Bay area that does hormone replacement for women in my age group 7ish and he has patients from 40 years old to 80.

Come to find out, his father actually delivered my son, who is 32 now.

My friend uses him and she has gotten hormone replacement or bioidentical hormone replacement from him and she’s in her 70’s.

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@tinamaria1

wow, I read your comments and just read the article in the link you sent Contemporary View of Menopausal etc...REALLY insightful...an MD friend of mine started her own practice last year, specializing in hormone treatment, and menapause issues for women and she supports this view, that there is so much ignorance in current OBGYN providers, and the mentality/data against helping women with hormone replacement etc. is dated, old, irrelevant, wrong...so I am going to have to find another OBGYN to help me..maybe john hopkins in baltimore will be more educated..so thank you

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I had luck finding a functional medicine provider after being refused by my PCP, endocrinologist and a gynecologist who said I was told I am to old...76!

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I was able to stay on hormones until 60, then the doctors didn't want to precribe it anymore. Within a few years my vagina became dry and I had miserable burning in my vulva and vagina. Yeast infection or bacterial testing showed nothing. I developed an odor because without vaginal secretions you aren't flushed clean. Douce is not the answer. I couldn't tolerate the localized estrogen creams and foams self injected into the vagina which burned because of allergies to the inactive ingredients. For the last 4 years I have had my healthy vagina restored, not from oral hormones or the allergic creams. Estring is silicone ring of time released estrogen which is self inserted every 3 months. Several times a week I check it in the shower and push the ring up higher with a finger if it has dropped. No more ordor, no more painful intercourse. It is expensive, even with my Medicare pharmacutical insurance. Yet so worth it.

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@kisu

Yes, we all have these problems with our doctors. They aren't up to date and don't want to deal with it due to time constraints. It's just easier to say no. For older women, it needs to be individualized case by case. There are contraindications, but they are rare and often do not raise the level of concern even then. You have a better chance of getting what you want by seeing a gynecologist or a urologist. The latter seems strange but true. There are many current books on the subject. Some other information sources are YouTube, Spotify podcasts, amazon podcasts, Instagram, and Facebook groups.
https://cme.lww.com/files/AContemporaryViewofMenopausalHormoneTherapy-1718207786634.pdf
https://journals.lww.com/menopausejournal/fulltext/2024/05000/use_of_menopausal_hormone_therapy_beyond_age_65.3.aspx#T2
https://thebms.org.uk/publications/consensus-statements/bms-whcs-2020-recommendations-on-hormone-replacement-therapy-in-menopausal-women/#:~:text=Evidence%20from%20the%20Cochrane%20data,10%20years%20after%20the%20meno
https://www.lancastergeneralhealth.org/health-hub-home/2021/september/is-hormone-therapy-safe-for-women-over-65#:~:text=You%20can%20safely%20get%20relief,who%20meet%20certain%20health%20criteria.

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kisu offers good advice. Educate yourself and keep searching for doctors who can think outside the box. My misery kept me searching for help. Over a few years I visited 4 gynocologist's before I found one with the right suggestion for me personally. I was told by a male gyno I looked fine. Next male gyno told me it was heat rash since my tests for yeast or bacteria were negative. I was told to wipe from front to back! Egad, we all learn that as children. I was told by his nurse to continue using prescribed topicals that burned horribly. After patch testing by an allergist I learned I was allergic to cortisone the gynocolgist prescribed and when I called and told his nurse it caused intense burning within 10 minutes, her response was "No one is allergic to cortisone, so I must keep using it to feel better". I sent the patch test results from the allergist to her and never heard back, went in search of another gynocologist and saw 2 female gyno's after that. The last one was my saviour.

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