HRT Safety

@janieben, Have you read this Medscape study published in Menopause I posted above last year: https://www.medscape.com/s/viewarticle/hormone-therapy-after-65-good-option-most-women-2024a10007b2?ecd=mkm_ret_240608_mscpmrk_obgyn_menopause_etid6577682&uac. Dr. Lauren Streicher, menopause expert, also has a podcast interview on her site discussing BHRT for those beyond 10 years post menopause. I am very surprised that your NP gave you this Menopause Society advise regarding BHRT 10 years post menopause. It sounds outdated, based on old studies, to me. Have you tried searching for an NP or other practitioner certified by the North American Menopause Society? My NP has this NA Menopause certification which makes a huge difference in my experience. My previous naturopath had comparatively little knowledge of OP. I doubt she would have prescribed BHRT for me. Yes you are correct about my stronger dosage of Estradiol than you are on. I hadn't heard of the low dosage you are on and was thinking it was .5. However, you are taking 3 times the Progesterone I am on, though my understanding is that Progesterone is not a risk concern. Again, I am not qualified to determine appropriate medication and dosages for anyone.

I find Dr. Felice Gersh, Functional Medicine MD, OB-GYN, another good resource for BHRT information. Here is her video on BHRT for over 60: https://www.youtube.com/watch?v=QMOA7ZUCcAo

Wow! What a great video with Dr. Gersh! Wish she was MY doctor! Thanks for your input!

This was my PA's advice to me: "HRT is beneficial after 65, but unfortunately that is only if you started within a time from 10 years within menopause and or under 60 years of age. Unfortunately research has shown that if you start later the benefits don't outweigh risk, especially in your case. Osteoporosis if not an FDA approved reason to start HRT. If you start later, there is no benefit. HRT should only be started for extraskeletal issues."

I also have a sister who had breast cancer (estrogen kind), and my PA believes that is a good reason for me not to take any kind of BHRT.