Osteoporosis quite severe if I started hrt now will it help . I am 74

@mo215 so far, four months on, I am a lot of pain as it has changed my biomechanics. At 75 that’s a big deal!! I do think that my sacroiliac joint dysfunction and hypermobility has always been the real source of pain so now I have even more to recovery from and try to heal . I can’t tell you how much this is all affecting my sleep , my life and my mental health too. I am a real tryer but I feel beaten right now .

@tiny28 I can so understand why you would feel beaten right now. At 75 it is a big deal and your body might need longer to recuperate. Also, maybe physical therapy might help the change in your body. I hope your able to start feeling better.

@crampon

Would suggest you also explore other conversations and discussions in Women's Health, Menopause and Osteoporosis. I was 76 when I started bhrt (estradiol and testosterone pellet, progesterone and estradiol vaginal cream). Although I knew that it would benefit my bones I also know that I could not expect it to reverse Osteoporosis. My primary reasons for starting bhrt were different and I have had great results overall. I have taken fosomax, forteo, evenity and prolia. I have not had noticeable side effects from any. Is fosomax the only drug discussed so far? I would mention, as you do your research, that sequencing of Osteoporosis drugs is important. Much of the current thinking is that one should start with an anabolic rather than a bisphosphonate. However I don't know your medical history, your dexa scores and I am not an endocrinologist. If you do your own research this will be so helpful in developing a treatment plan with your doc. Let us know how it is going

Oh, those pelvic fractures are brutal, sorry that happened. And you were just trying to be proactive!
I went through menopause at age 52. Took HRT for 2 years, then the Women's Health Initiative released (prematurely) their erroneous data on estrogen. I wasn't having a lot of symptoms, so I went off the meds. Then nothing until my spine fracture. I am sorry now that I quit taking the HRT prematurely, but it seemed like the thing to do at the time...

A book I really recommend is "Estrogen Matters," by Avril Bluming, MD. It covers all sorts of issues, like breast cancer risk (not that much for most people it turns out) and heart disease. He was motivated to study osteoporosis more after his own mother broke a hip just standing on the sidewalk.

I had gone to see an ObGYN who had taken over for my previous one. This was a youngish guy in his 30s. When I told him I had restarted the HRT, he wasn't happy, saying that he had seen too much cancer from it. But most breast cancers these days are gotten into remission or cured. And if you break your hip? You have a 30% chance of dying within a year due to becoming deconditioned, infection, etc. I told him that if I ever had to choose between my breasts and my skeleton, I would choose my skeleton.

@bboon44
I know this post is a year old, but wondering how you ended up once finishing the tymlos? Did you need to use a bisphosphonate after, or were you able to stop and just continue and keep any gains on HRT?
Thanks in advance!

I discussed this with an endocrinologist and osteoporosis md. Both said the same thing. You will get no improvement in bone density. It might hold what you have for awhile. Prolia for me was very successful. I went from severe osteoporosis at age 57 to barely osteopenia in 4 years. But after 12 years on it I started breaking bones again. Both doctors said the side effects of HRT will outweigh the small benefit. So I will go back to oral Fosamax and keep up weight bearing exercise. I cannot do Evenity or Reclast- trued and horrible side effects.