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.

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

Profile picture for fili123 @fili123

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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I started with an estradiol/testosterone pellet which is implanted in the low hip area, progesterone and vaginal estradiol cream. My primary goal in starting treatment was not bone improvement but if it helps all the better. I just switched to estradiol patches, compounded testosterone cream, progesterone capsule and the vaginal cream. Pellet procedure is easy but I wanted to cut costs. If I don't get the same results I will return to the pellet.

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Profile picture for donnajones @donnajones

I am 73 and have been on HRT for at least 8 years, started them about 15 years post menapause. The difference was amazing in how I felt on the HRT. I use a topical cream I apply daily to my inner thigh and take progesterone capsule at night. Have had no problems.

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Did your PCP prescribe, or did you go to an endocrinologist? I am in that same timeline, 65 now, 15 years post menopause. I want to prevent bone loss.

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Profile picture for francines @francines

Did your PCP prescribe, or did you go to an endocrinologist? I am in that same timeline, 65 now, 15 years post menopause. I want to prevent bone loss.

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In addition, you can always go to a functional medicine group.

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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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it's funny i'm seeing this thread in my email - maybe it's an a i thing - because just yesterday I googled "can you do HRT 10 years post menopause and still get benefits for osteoporosis" and the answer was yes, just riskier in terms of heart. But to me the drugs themselves are so risky. Plus it seems like the quality of bone you build might be better with the HRT, not that rotten old bone not being removed that you get when you artificially shut down the osteoclasts.

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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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thank you for this i am asking about it despite breast cancer concerns myself

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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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I agree with improving the quality of life… I was on HRT for five years from 1998. My Swedish good friend warned me about the cancer risk (I’m New Zealander) and begged me to get off it. But when you feel so much better taking that pill… Well, lo and behold, 2012 I was diagnosed with stage 3 ovarian cancer. After chemotherapy I of course was told to start Fosamax which I refused to do, silly me. Osteoporosis happened and gave me a crocked spine. So started Fosamax 2022 and, as I’ve told in an earlier comment, reaching 3 years in November. I will stop then as my Dexa results now are very good. So you have to weigh gain against risk before starting HRT.

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I have been told no hormones by both gyn and endo because I am 73, slightly more than 10 years past menopause and I have cardiovascular issues. I am very disappointed, as I have severe osteoporosis and now am faced with starting Prolia, which I consider to be a very scary drug. I have agreed to do one injection. As it's only given once every six months, that buys me a bit of time to re-investigate the HRT issue. My physicians are very conservative and absolutely hold to the current "standard of care" that dictates no HRT for someone with cardiomyopathy. But my heart function is well controlled by a pacemaker, so the main concern seems to be stroke or clotting.

Do any of you know if the thinking on HRT/10 years post menopause/cardiac issues has changed any in the last year or two (i.e. since I was last told "no")?

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Profile picture for donnajones @donnajones

I am 73 and have been on HRT for at least 8 years, started them about 15 years post menapause. The difference was amazing in how I felt on the HRT. I use a topical cream I apply daily to my inner thigh and take progesterone capsule at night. Have had no problems.

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Have you seen any improvement with bone density scores? What difference have you noticed when you say you feel better? Moods? Joint pain? Where have you seen improvement?
Thank you

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Profile picture for bayhorse @bayhorse

I have been told no hormones by both gyn and endo because I am 73, slightly more than 10 years past menopause and I have cardiovascular issues. I am very disappointed, as I have severe osteoporosis and now am faced with starting Prolia, which I consider to be a very scary drug. I have agreed to do one injection. As it's only given once every six months, that buys me a bit of time to re-investigate the HRT issue. My physicians are very conservative and absolutely hold to the current "standard of care" that dictates no HRT for someone with cardiomyopathy. But my heart function is well controlled by a pacemaker, so the main concern seems to be stroke or clotting.

Do any of you know if the thinking on HRT/10 years post menopause/cardiac issues has changed any in the last year or two (i.e. since I was last told "no")?

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I really wanted stay in the HRT, kept holding off stooping.. as physician wanted
Had a stroke caused by undiagnosed Polycythemia Vera which caused my blood to clot. Assume
the HRT didn’t help Should have discontinued sooner
Be safe

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Profile picture for bayhorse @bayhorse

I have been told no hormones by both gyn and endo because I am 73, slightly more than 10 years past menopause and I have cardiovascular issues. I am very disappointed, as I have severe osteoporosis and now am faced with starting Prolia, which I consider to be a very scary drug. I have agreed to do one injection. As it's only given once every six months, that buys me a bit of time to re-investigate the HRT issue. My physicians are very conservative and absolutely hold to the current "standard of care" that dictates no HRT for someone with cardiomyopathy. But my heart function is well controlled by a pacemaker, so the main concern seems to be stroke or clotting.

Do any of you know if the thinking on HRT/10 years post menopause/cardiac issues has changed any in the last year or two (i.e. since I was last told "no")?

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Did you Dr tell you that after taking Prolia, you must follow-up with another drug right away to prevent a rebound event which can lead to fractures? Options may include bisphosphonates or other medications, depending on your specific health needs.

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