Yes, I was fully through the change at 42. As I understand it-that is considered early menopause. I received no counseling on HRT benefits. I had modest symptoms and did not have a hysterectomy or tubal ligation. I was on birth control some when I was younger. I went 3 years without a period in my 20’s when I had children. Low blood pressure-low cholesterol-no known history of heart or stroke risk. At 65 I fell and fractured my spine-although my scans did not indicate fracture risk just osteopenia. No real emphasis was given to diet and exercise counseling even then.

From what I’ve read-it sounds like the risk benefit of HRT for me is statistically significant. It makes me sad to think about the lost opportunities for better results. I hope that some of the doctors practicing today will read this and do better. I tell my younger relatives male and female about optimal bone and encourage their healthy habits. Some listen. I was bitter-but cannot turn back the hands of time. Just doing the best I can with the options I have now. I have lost about 50 pounds over the last 10 years and had started weight lifting before the fall & fracture. I had done strength training on and off since my 20’s - and am a healthy weight. I found a cash based PT who also does strength training in small groups of 4 or less and one on one. I am hopeful. I wish there was an ONERA type program in my region-but am making progress for now-and grateful for the health I enjoy.

Best wishes to all of you-as you pursue your best health. Being proactive about your every day habits makes a difference!