I’m 65 and 15 years post menopause. I never experienced menopause symptoms so taking HRT back in the day, never came up.
I have severe osteoporosis, started meds in 2018. Since that time I’ve had 6 pelvic fractures as a result of stopping one of the meds, and I’ve had severe reactions to all of them.
I too exercise daily, strength and resistance training, and take all the usual supplements we’ve come to know help with bone strength.
Unfortunately none of that will grow bone, especially once you go through menopause.
Because HRT helps to slow down and even prevent bone loss, especially if started early enough, the benefit of taking HRT at this stage of my life outweighs the risks.
Luckily I have no other health issues, especially no cardiovascular disease.
Yes, I’ve read there is a slight chance of increased risk of dementia starting HRT beyond 60 years old or ten years out from menopause, but all my doctors feel the risk is very low.
This has been a tough journey, I’ve spent quite a few years educating myself on all things osteoporosis especially the treatments, for now I’ll stay on this path unless something changes.
Take care,