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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Profile picture for rjd @rjd

I personally make it a point to avoid any 'advice' from someone who calls herself a 'Dr' but is not a physician. First things first: verify credentials.

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Yes I noted initially that Lisa Moore was a physiotherapist and assumed she has her phd - hence the Dr. title. I'm not sure why she uses this title but some with this degree do. However it was the information from the medical doctors certified by N. A. Menopause Society I found helpful. I didn't hear Lisa Moore trying to pass herself off as an expert on menopause or medical physician, just gathering valuable information from qualified, experienced medical doctors.

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Profile picture for psanchez33617 @psanchez33617

I am hopeful that the days of "you will get through it, it will be ok," are behind us. The generations in front of us are more persistent than us boomers........Even though we missed a lot, we can still advocate for ourselves by being as educated as possible.
There are a few problems with osteoporosis that we have experienced. The level of understanding is much greater now. When you and I walked into this, the only thing the medical community knew was to through pharmaceuticals at it, which, in my opinion, are scarier than the diagnosis.
The early studies on hrt were done with 30% of the women having some other health concern, smokers, overweight...........and the studies were conducted on synthetic hormones. Science followed the original study through 2024 to find that, yes, there are risks for women that didnt start hrt earlier but the clinical significance of the risks are minimal compared to breaking a hip and hugely beneficial, like 10% gain in bone quality. As life goes, it is always risk vs benefits.

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I am entirely grateful for the pharmaceuticals. Id much rather risk that I will develop one of the side effects than risk compression fractures.
At 77 it is a matter of quality of life rather than quantity.

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Profile picture for rjd @rjd

I personally make it a point to avoid any 'advice' from someone who calls herself a 'Dr' but is not a physician. First things first: verify credentials.

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She is a doctor of physical therapy. PHD's are doctors.

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Profile picture for gravity3 @gravity3

I am entirely grateful for the pharmaceuticals. Id much rather risk that I will develop one of the side effects than risk compression fractures.
At 77 it is a matter of quality of life rather than quantity.

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Well said.
Personal care is exactly that. We all choose our paths to some degree. Mine was rather forced as I have not been able to tolerate any bone building pharmaceuticals without severe consequences. If you are able to make your choices and they benefit you, you said it well. Quality of life is the goal.

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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!

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Profile picture for mondayschild @mondayschild

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!

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I completely agree with your statements. At 76 I decided I wanted quality over quantity of life. I started bioidentical hrt and I have no regrets.

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it is OLD medicine and OLD doctors that haven't kept up on the new research! I went back on after a 10-year hiatus and after 10 years of being on it, after menopause. My feeling is that my bones got soft when I stopped. Hormones help with bone, end of story. I feel MUCH better now that I went back on, struggling to find legitimate doctors I trusted. Bioidentical HRT for me! (and now I take bone meds too...) I am 68. My mother died of ovarian cancer and my aunt had breast cancer - so that all factored into my decisions. I get tested regularly.

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Profile picture for loriesco @loriesco

it is OLD medicine and OLD doctors that haven't kept up on the new research! I went back on after a 10-year hiatus and after 10 years of being on it, after menopause. My feeling is that my bones got soft when I stopped. Hormones help with bone, end of story. I feel MUCH better now that I went back on, struggling to find legitimate doctors I trusted. Bioidentical HRT for me! (and now I take bone meds too...) I am 68. My mother died of ovarian cancer and my aunt had breast cancer - so that all factored into my decisions. I get tested regularly.

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My mother died of ovarian cancer. I did not let that deter me from getting bhrt and improving my quality of life.

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Profile picture for gravity3 @gravity3

I completely agree with your statements. At 76 I decided I wanted quality over quantity of life. I started bioidentical hrt and I have no regrets.

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Was the bio identical a patch or implant?
I’m 78 never took HRT. Have tried multiple meds for osteoporosis. Last one Tymolos which gave me excruciating pain in all my joints. Was only started on 4 clicks and only did 1 month. $1600 later back at the drawing board.
I can’t do weight bearing exercises any longer as small tear in shoulder and right calf. I eat well get my calcium thru foods and one Bone Health vitamin as my body doesn’t tolerate synthetic calcium. I’ve tried everything from time released to chewable unfortunately can’t handle.
My GYN stated there’s a bioidentical implant that helps with everything from bone density to cognitive health. Unfortunately once it’s implanted it cannot be taken out if u experience side effects. Since I don’t do well on drugs am frightened to try it. Any info would be appreciated.

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Profile picture for gravity3 @gravity3

My mother died of ovarian cancer. I did not let that deter me from getting bhrt and improving my quality of life.

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good for us to not be held back!

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