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

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.

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

@irishnanny3, thanks for responding. I'm so sorry about your stroke. Please don't be hard on yourself; it's so impossible to know the outcome of so many kinds of treatments, HRT included. I wish you all the best!

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.

I started 10 years out. Find a doctor that will support you. The bone drugs fill in your holes, but make your bone quality more brittle.

I started 10 years out. Find a doctor that will support you. The bone drugs fill in your holes, but make your bone quality more brittle.

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")?

You can use creams to avoid the stroke problem. I would get a 2nd opinion.

Not sure if this statement is correct considering the osteoanabolic agents today. My TBS improved on Evenity. Do I wish I could have pursued a more natural path, yes. Sadly, it does not work for everyone.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10118815/

@dvargo, I thought any type of estrogen meant risk, even in cream form. Can you tell me where you got your info that there's no stroke risk with cream? I'd really appreciate!
Thanks...