HRT Safety

Posted by debbie1956 @debbie1956, Jun 8, 2024

I wanted to share this Medscape article I received today about new study on HRT. I am considering HRT for my osteoporosis at age 67 and am so encouraged by this article: https://www.medscape.com/s/viewarticle/hormone-therapy-after-65-good-option-most-women-2024a10007b2?ecd=mkm_ret_240608_mscpmrk_obgyn_menopause_etid6577682&uac=36

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

@allegraz

hi there. Just wanted to share with you that I started HRT 2 months ago for the very first time - 25 years since my last period. when I was 41. Im just about to turn 67. Like you I was looking for an alternative treatment for osteoporosis but never imagined I would be a candidate for HRT at my age. I was very anxious about it due to the fact that even HRT advocates have a very mixed position on the risks that could be involved starting HRT so long after menopause. But within days of starting HRT at a very low dose I began to feel subtly calmer and generally happier than I have been in decades. And as the weeks have gone on it has significantly improved a whole welter of health conditions that I have really struggled with since menopause - chronic insomnia, vaginal atrophy, anxiety, over active bladder... the works. It will take at least 12 months until I can tell what, if anything, it will do for my osteoporosis given that I missed out on the standard 10 year menopause window when they know for sure it helps protect bones. I know I ameffectively in unchartered territory. But given how much better I feel, it seems to be worth whatever undefined risks may or may not be involved.

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@allegraz Amazing! thanks for sharing your experience.

I’m curious how your provider will assess if the HRT is making an impact on your OP at 12 months?

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@debbie1956

@kshea2 This is wonderful news that you found a provider through the Menopause Society to prescribe the BHRT. You are on the same dose of Estradiol patch and Progesterone as I am. It's great that this provider gave you these bone marker tests. In my experience only the Menopause Society naturopath doctor ordered the CTX. The other doctors never mentioned them and seemed uninterested. My CTX was similar to yours when I began BHRT at 688. Eight months later this February, my CTX had taken a staggering 80% drop to 138! I am not taking any OP medication, so I can be confident the drop is due to the BHRT. There is a good chance your CTX will drop as well. I also had a .4 increase in my REMS Echolight spine T score. All the best to you. Keep us posted on your follow-up results.

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It tooka bit for my primary care doc to prescribe HRT. At 72 with previous high bp and cholestol the first thing for me was to get both numbers down. Did that and started HRT with .25 estrdiol patch, 100 progesterin and the estradiol vaginal creme. Did all of this from recent dexa scan that was a bit alarming in that it revealed osteoporosis at fairly high levels. Did not want any chemucals from Prolia, Fosomax. etc because of high PFAS levels in my blood from living near a conraminated area and drinking the poisoned water. Anyway, these mixtures of chemicals just intuitively seemed unhealthy. Noticing loss if bone mass as well it seemed possible that doing my best with weight bearing exercise, a decent diet, HRT, and rest maybe my chances not fracturing would be better.
All of the acronyms take me for a spin and wonered what the two measurements stand for as they relate to checking hormones in your bones? This frankly is fascinating and would like to know more about these tests and if your insurance is on board with you?
I have only been on HRT therapy for 6 months so i have a while before the next dexa scan. I can say that now my blood pressure has been stable and cholesterol is low. A recent blood test has shown a third reduction in PFAS levels over a year. I left that contaminated area and filter all water known to take out these "forever chemicals".
Thanks for sharing about these markers and acronyms.

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@kshea2

@debbie1956 Wow, that is an amazing drop in CTX! Fingers crossed I experience similar results.

My provider was actually not familiar with the bone marker tests. I specifically requested those tests. While i was in the office she did some quick research and then consulted with the bone specialist i had seen previously and he agreed it was a good idea.

She is a young PA and very passionate about women’s health and HRT. I hope that I will be a success story for her to highlight HRT for other post-menopausal osteoporosis patients.

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Please share more!

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@mpc1

A little too far from NE Fl. Good luck!

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I have heard good things about this practice in Jacksonville Florida and i have an appt to see a dr there about BHRT next week. They have a compound pharmacy so they can make it according to what you need, I will know more after my appt but maybe you could check them out.
https://agelessandwellness.com/?_gl=1%2Acnlo5w%2A_ga%2AMTQ1MzQ1NDE4LjE3NDI3NjM4NTU.%2A_ga_YNX5PPD7VD%2AMTc0NjA5Mzg0OC41LjEuMTc0NjA5Mzg2MS40Ny4wLjA.

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@ny2ganana

I have heard good things about this practice in Jacksonville Florida and i have an appt to see a dr there about BHRT next week. They have a compound pharmacy so they can make it according to what you need, I will know more after my appt but maybe you could check them out.
https://agelessandwellness.com/?_gl=1%2Acnlo5w%2A_ga%2AMTQ1MzQ1NDE4LjE3NDI3NjM4NTU.%2A_ga_YNX5PPD7VD%2AMTc0NjA5Mzg0OC41LjEuMTc0NjA5Mzg2MS40Ny4wLjA.

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Thank you. I am not interested in compounded HRT for myself. I am still interested to learn of your experience. Is this the one with Baptist?
I am almost 68.

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@kshea2

@debbie1956 Following up with my progress. Great news, I found a provider willing to put me on HRT! I found her through the Menopause Society provider search. Unbelievably she is actually in my primary care clinic.

She started me on .25 Estradiol Patch 2x weekly and daily 100 mg micronized Progesterone this week and tested bone turnover markers.
Ctx: 705
P1np: 82
The plan is to retest Ctx in 3 months. I’m very hopeful that the combination of of lifestyle changes and HRT will lower the Ctx number.

I’m feeling very hopeful and fortunate to have a provider willing to partner with me on this journey.

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So happy for you to find a provider! Can I ask what state you are in? I'm in MA and still looking..

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@mpc1

Thank you. I am not interested in compounded HRT for myself. I am still interested to learn of your experience. Is this the one with Baptist?
I am almost 68.

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I’m not sure if they are under Baptist but from what I understand the bio-identical hormone replacement therapy can be good for bone health. I am 65 and would rather do the diet changes and BHRT rather than the meds for osteoporosis.

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@ny2ganana

I’m not sure if they are under Baptist but from what I understand the bio-identical hormone replacement therapy can be good for bone health. I am 65 and would rather do the diet changes and BHRT rather than the meds for osteoporosis.

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Is your visit covered by Medicare or other insurance?

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I have been on BHRT for seven months. I am 73, started in Sept 2024, primarily for bone health and sleep issues, or should I say, non-sleep issues. I have spotted off and on over the months, about four times. It was scant and lasted about a day each time. But yesterday, I had more blood than usual, and today, my tissue had little skinny clots of blood. Nothing on the pad, just when I wiped with a tissue. I know this is probably TMI, but I am really looking for answers from those of you who may have experienced this. I have not yet contacted my new provider, as I don't want to be a "needy" patient. I just started with her a few days ago. Any experience you have had or knowledge would be very much appreciated!

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@mpc1

Is your visit covered by Medicare or other insurance?

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Yes they accept Medicare

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