1. < Osteoporosis & Bone Health

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

Posted by gravity3 @gravity3, May 16, 2024

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.

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gravity3 | @gravity3 | Jun 1 8:51am
In reply to @surah05 "I keep trying to find research that shows that it’s okay beyond 10 years past menopause,..." + (show)
@surah05

I keep trying to find research that shows that it’s okay beyond 10 years past menopause, but all the very latest research does not show that. It only shows that it is okay WITHIN the 10 years after menopause. Beyond the cardiovascular risks, outweigh the benefits. It’s very upsetting to me because they should’ve put me on it long ago for many reasons and now I am settled with a lot of problems as a result and I am terrified I’m going to die like my mother because of it. I have lost all faith in the medical profession.

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May i ask how old you are? For me...at 77...it is a question of what I perceive as quality of life rather than quantity (of years left). I sought help from functional medicine. I'm a pragmatist and accept that I am going to die in the very near future.

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1 reply
ny2ganana | @ny2ganana | Jun 2 6:06am
In reply to @zelda7 "Finally after mammogram and blood work nurse practitioner perscribed .025 estradiol patch and progesterin at night..." + (show)
@zelda7

Finally after mammogram and blood work nurse practitioner perscribed .025 estradiol patch and progesterin at night as well as estradiol cream. I am 72 and went through the scare years ago and stopped therapy. After a recent bone scan had deveoped pretty high scores for osteo and same nurse said possibly prolia injections might work and referred me to a rheumatologist. More blood work to see if i would "qualify" for Prolia ensued. After researching those side effects went in total bone strenthening mode of resistance training thinking the side effects for some have been scary. So now am hoping that estrogen therapy and resistant training might be the best option. Seems calcium levels in blood as well as test for hypopararhyroid are a bit high and that prohibits taking this injection are not a good idea. Keeping calm to keep cortisol at bay may help. Prayers too...for all of us 10+ years left behind. Incidentally, the nurse who was around 62 was on HRT and seemed to gloat (smile) when telling me it was too late for me. I am not giving up though. If anyone who might be a few years older and took HRT after 10 years of menapause with promising results would so love to hear of your journey!

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I am going back to GYN Dr today to ask more questions but I am thinking of doing BHRT. I am 65 and post menopausal for 20+ years. I will post how it turns out in a few months to let it adjust

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2 replies
gravity3 | @gravity3 | Jun 2 7:19am
In reply to @ny2ganana "I am going back to GYN Dr today to ask more questions but I am thinking..." + (show)
@ny2ganana

I am going back to GYN Dr today to ask more questions but I am thinking of doing BHRT. I am 65 and post menopausal for 20+ years. I will post how it turns out in a few months to let it adjust

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Good luck. If you haven't already ask him if he/she is still using the flawed women's health initiative study as a guide to treatment. Look forward to hearing what happens.

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ashash | @ashash | Jun 2 8:04am
In reply to @ny2ganana "I am going back to GYN Dr today to ask more questions but I am thinking..." + (show)
@ny2ganana

I am going back to GYN Dr today to ask more questions but I am thinking of doing BHRT. I am 65 and post menopausal for 20+ years. I will post how it turns out in a few months to let it adjust

Jump to this post

I'm in the same boat, a decade older than you, and very interested in what your decision will be. Best of outcomes to you, and please keep us posted!

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2 replies
gravity3 | @gravity3 | Jun 2 8:48am
In reply to @ashash "I'm in the same boat, a decade older than you, and very interested in what your..." + (show)
@ashash

I'm in the same boat, a decade older than you, and very interested in what your decision will be. Best of outcomes to you, and please keep us posted!

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77 and started bhrt middle of last year

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kisu | @kisu | Jun 2 11:54am
In reply to @surah05 "I keep trying to find research that shows that it’s okay beyond 10 years past menopause,..." + (show)
@surah05

I keep trying to find research that shows that it’s okay beyond 10 years past menopause, but all the very latest research does not show that. It only shows that it is okay WITHIN the 10 years after menopause. Beyond the cardiovascular risks, outweigh the benefits. It’s very upsetting to me because they should’ve put me on it long ago for many reasons and now I am settled with a lot of problems as a result and I am terrified I’m going to die like my mother because of it. I have lost all faith in the medical profession.

Jump to this post

Are you looking at old research? Newer research suggests that, after conducting your personal risk assessment, you can start at any age. I started at age 74 with coronary artery disease, osteopenia, GSM, and degenerative back disease. My cardiologist says it's fine to take my hormones. Physically, I've benefited greatly.

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1 reply
prarysky | @prarysky | Jun 2 4:07pm
In reply to @kisu "Are you looking at old research? Newer research suggests that, after conducting your personal risk assessment,..." + (show)
@kisu

Are you looking at old research? Newer research suggests that, after conducting your personal risk assessment, you can start at any age. I started at age 74 with coronary artery disease, osteopenia, GSM, and degenerative back disease. My cardiologist says it's fine to take my hormones. Physically, I've benefited greatly.

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May I ask what newer research supports the use of HRT starting at any age? My understanding based on the research I''d seen several years ago (not the flawed WHI research which was misinterpreted by so many) was that it was unsafe to start HRT more than 10 years after menopause.

Among our limited choices for safe approaches to osteoporosis, I've considered bioidentical HRT to be the best, so regretted the advice to avoid if more than 10 years past menopause. It's like money in the bank for our bones and joints, our brains, and more. Unfortunately, I am 25 years post menopause so never considered it an option. I am currently treating breast cancer and have afib. Chemo and the next part of treatment (aromatase inhibitor) will definitely affect bones. Have osteopenia now and oncologist is already recommending the need for using an osteoporosis drug like zometa.

Kisu, I'm so encouraged that your cardiologist gave you the green light on HRT. Did s/he know about the research or did you have to educate them about it?

Thank you! And wishing some positive outcomes to all trying HRT!

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2 replies
barbaradh | @barbaradh | Jun 3 7:25am
In reply to @gravity3 "May i ask how old you are? For me...at 77...it is a question of what I..." + (show)
@gravity3

May i ask how old you are? For me...at 77...it is a question of what I perceive as quality of life rather than quantity (of years left). I sought help from functional medicine. I'm a pragmatist and accept that I am going to die in the very near future.

Jump to this post

Gravity3, may I ask how the HRT is improving your symptoms? Thanks

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1 reply
jozer | @jozer | Jun 3 7:53am

I also asked my gynecologist about HRT at my age as my endo said I could check that with her; he does not do HRT (67 years old, 17 years post menopause which was completely uneventful). She said they never prescribe it for osteoporosis alone. I thought perhaps a tiny dose would be of some help but it's not going to happen for me. Seems like it depends on the doc group; some do some don't regardless of medical history.

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gravity3 | @gravity3 | Jun 3 10:07am
In reply to @barbaradh "Gravity3, may I ask how the HRT is improving your symptoms? Thanks" + (show)
@barbaradh

Gravity3, may I ask how the HRT is improving your symptoms? Thanks

Jump to this post

No more senile purpura/purple bruises.
Almost no urine leaks now
I have my libido back!!!
Clearer thinking.
More energy.
Cleared up vaginal dryness and atrophy.
These are some of the improvements.

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