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Have you been told no to hrt if you are 10+ years post menopause?
Osteoporosis & Bone Health | Last Active: May 28 7:31am | Replies (286)Comment receiving replies
@mahonlye To each their own according to their own body. Yes, I have listened to Mary Haver and read her book. Keep in mind she is selling stuff. There are also a lot of Youtube videos on the topic. My calcium score was 24, low but still elevated. I have a pfo so not chancing heart disease. I get night sweats once in a while and have osteopenia. Seems like it depends on the doctor's perspective. I went to a menopause certified specialist at Hopkins and he said no. So did my Mercy gyn. So that's enough for me. I'd like to see the info and who is saying after 10 yrs in it's ok to take hrt. Haven't heard anyone say that. Good luck to you!
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@pattiel
Thanks for sharing your thoughts. The key in deciding on HRT is individualized risk assessment with shared decision-making.
It’s true that oral estrogen carries different risks than transdermal forms, which is why many clinicians prefer patches nowadays.
From what I understand, there isn’t a strict guideline that prohibits starting HRT more than 10 years post-menopause - timing is a factor, but not an absolute rule. A low CAC score isn’t an automatic stop either; for example, mine was 38, but it was evaluated and deemed safe for me to use HRT. Your PFO though might be a factor that shifts your personal risk–benefit balance.
That said, clinical practice can vary widely, as many members here have seen. When in doubt, getting second opinions could help. I had additional consultations with both cardiology and gyn specialists to make sure HRT was appropriate for me 11 years after menopause. And of course, the endocrinologist managing osteoporosis also has a say in whether HRT is an appropriate option.