HRT Safety

Posted by debbie1956 @debbie1956, Jun 8, 2024

I wanted to share this Medscape article I received today about new study on HRT. I am considering HRT for my osteoporosis at age 67 and am so encouraged by this article: https://www.medscape.com/s/viewarticle/hormone-therapy-after-65-good-option-most-women-2024a10007b2

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

@janieben, Have you read this Medscape study published in Menopause I posted above last year: https://www.medscape.com/s/viewarticle/hormone-therapy-after-65-good-option-most-women-2024a10007b2. Dr. Lauren Streicher, menopause expert, also has a podcast interview on her site discussing BHRT for those beyond 10 years post menopause. I am very surprised that your NP gave you this Menopause Society advise regarding BHRT 10 years post menopause. It sounds outdated, based on old studies, to me. Have you tried searching for an NP or other practitioner certified by the North American Menopause Society? My NP has this NA Menopause certification which makes a huge difference in my experience. My previous naturopath had comparatively little knowledge of OP. I doubt she would have prescribed BHRT for me. Yes you are correct about my stronger dosage of Estradiol than you are on. I hadn't heard of the low dosage you are on and was thinking it was .5. However, you are taking 3 times the Progesterone I am on, though my understanding is that Progesterone is not a risk concern. Again, I am not qualified to determine appropriate medication and dosages for anyone.

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I find Dr. Felice Gersh, Functional Medicine MD, OB-GYN, another good resource for BHRT information. Here is her video on BHRT for over 60: https://www.youtube.com/watch

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Profile picture for debbie1956 @debbie1956

I find Dr. Felice Gersh, Functional Medicine MD, OB-GYN, another good resource for BHRT information. Here is her video on BHRT for over 60: https://www.youtube.com/watch

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Wow! What a great video with Dr. Gersh! Wish she was MY doctor! Thanks for your input!

This was my PA's advice to me: "HRT is beneficial after 65, but unfortunately that is only if you started within a time from 10 years within menopause and or under 60 years of age. Unfortunately research has shown that if you start later the benefits don't outweigh risk, especially in your case. Osteoporosis if not an FDA approved reason to start HRT. If you start later, there is no benefit. HRT should only be started for extraskeletal issues."

I also have a sister who had breast cancer (estrogen kind), and my PA believes that is a good reason for me not to take any kind of BHRT.

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Profile picture for madhub140 @madhub140

Excellent video on HRT and how it can be used by postmenopausal women without heart or breast conditions:

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@madhub140
Thank you for posting OsteoBoston. Unfortunately she did not answer the dementia question. I would like to know the answer.

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Just wondering if there are any women over 65 that have actually started BHRT? I recently have started at 68. A functional doctor, who came highly recommended, did a number of tests on me and decided that I would be a good candidate. Still I am concerned. If someone out there started it at 65+, please comment. good or bad results. I have no family history of breast cancer. I have only been on it a week, oral progesterone and cream estrogen. I am sleeping better, but time will tell. I have 2 friends that are in their late 70's and one that I know that is 80 are still on HRT. They did start sooner that 68 however. They are doing great with good bone density.

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Profile picture for blueberre @blueberre

Just wondering if there are any women over 65 that have actually started BHRT? I recently have started at 68. A functional doctor, who came highly recommended, did a number of tests on me and decided that I would be a good candidate. Still I am concerned. If someone out there started it at 65+, please comment. good or bad results. I have no family history of breast cancer. I have only been on it a week, oral progesterone and cream estrogen. I am sleeping better, but time will tell. I have 2 friends that are in their late 70's and one that I know that is 80 are still on HRT. They did start sooner that 68 however. They are doing great with good bone density.

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@blueberre , I hope there is feedback. Hoping to try it soon.

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Profile picture for windyshores @windyshores

@oitsu62 I was reviewing McCormick's book last night and again, he expresses the idea that HRT might maintain density but most likely won't increase it. I think fear drives a lot of decisions. For obvious reasons (cancer) I am way more afraid of HRT than Tymlos (especially since the dose of Tymlos can be played with). But what your post leaves out if the fear of fracture. I was way way more afraid of more fractures than Tymlos.

The hard part about osteoporosis, which I think sometimes increases our risk, is that it does not have symptoms. We feel fine, even strong. Fractures are not only painful but affect lungs, GI function, and ability to do things for oneself. They don't just happen from falls.

I am not sure why taking HRT after menopause ( a natural event) is more "natural" than using another kind of hormone, the parathyroid, to grow bone. People say strontium is "natural" but the therapeutic dose is 300 times the daily requirement, I just read.

Tymlos works- at least for many of us, and you can do bone marker tests to make sure it is working for you. You can start at 1/4 dose and move up. My spine went from -3.7 (severe) to -2.5 (borderline) and continues to improve.

If your DEXA's are better than -3.0 and your FRAX score is low, it is very reasonable to try HRT, diet and exercise so I am only posting for those with serious osteoporosis.

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@windyshores absolutely Windy!!!

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Profile picture for blueberre @blueberre

Just wondering if there are any women over 65 that have actually started BHRT? I recently have started at 68. A functional doctor, who came highly recommended, did a number of tests on me and decided that I would be a good candidate. Still I am concerned. If someone out there started it at 65+, please comment. good or bad results. I have no family history of breast cancer. I have only been on it a week, oral progesterone and cream estrogen. I am sleeping better, but time will tell. I have 2 friends that are in their late 70's and one that I know that is 80 are still on HRT. They did start sooner that 68 however. They are doing great with good bone density.

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@blueberre Hi. I applaud you for starting HRT. I began the estrogen patch at 69 yrs old (2 months ago). I have osteoporosis (3.1 in one area). No fractures . I had a complete hysterectomy in my late 40’s, which contributed to my bone lost. Plus I am small boned woman. Since they now removed the black box warning, I decided to get on the patch. My dose is 0.25, which I understand is a low dose but all that’s needed to protect the bones. I understand the patch is safer (from oral), because it bypasses the liver. I do not have breast cancer in the family. My reason for starting the patch, for me it’s much safer and peer effective than any current osteoporosis treatment. I’m not willing to deal with those side effects of the osteoporosis meds. I’ll try this treatment first. I figure I much rather take a chance on breast cancer then to have those terrible side effects of the osteoporosis meds/shots. I also weight lift and jog everyday. Eat as healthy as possible. I understand it might take 2yrs to show up in DEXA scan, but every day on the patch I figure is one day closer to being stronger.

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Profile picture for sandy0257 @sandy0257

@blueberre Hi. I applaud you for starting HRT. I began the estrogen patch at 69 yrs old (2 months ago). I have osteoporosis (3.1 in one area). No fractures . I had a complete hysterectomy in my late 40’s, which contributed to my bone lost. Plus I am small boned woman. Since they now removed the black box warning, I decided to get on the patch. My dose is 0.25, which I understand is a low dose but all that’s needed to protect the bones. I understand the patch is safer (from oral), because it bypasses the liver. I do not have breast cancer in the family. My reason for starting the patch, for me it’s much safer and peer effective than any current osteoporosis treatment. I’m not willing to deal with those side effects of the osteoporosis meds. I’ll try this treatment first. I figure I much rather take a chance on breast cancer then to have those terrible side effects of the osteoporosis meds/shots. I also weight lift and jog everyday. Eat as healthy as possible. I understand it might take 2yrs to show up in DEXA scan, but every day on the patch I figure is one day closer to being stronger.

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@sandy0257 Thanks ! Looks like you and I started this journey at the same time! I guess the creams and patches are both transdermal, so similar in that respect. Time will tell. Godspeed to both of us.

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Profile picture for sandy0257 @sandy0257

@blueberre Hi. I applaud you for starting HRT. I began the estrogen patch at 69 yrs old (2 months ago). I have osteoporosis (3.1 in one area). No fractures . I had a complete hysterectomy in my late 40’s, which contributed to my bone lost. Plus I am small boned woman. Since they now removed the black box warning, I decided to get on the patch. My dose is 0.25, which I understand is a low dose but all that’s needed to protect the bones. I understand the patch is safer (from oral), because it bypasses the liver. I do not have breast cancer in the family. My reason for starting the patch, for me it’s much safer and peer effective than any current osteoporosis treatment. I’m not willing to deal with those side effects of the osteoporosis meds. I’ll try this treatment first. I figure I much rather take a chance on breast cancer then to have those terrible side effects of the osteoporosis meds/shots. I also weight lift and jog everyday. Eat as healthy as possible. I understand it might take 2yrs to show up in DEXA scan, but every day on the patch I figure is one day closer to being stronger.

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@sandy0257 @blueberre

I’m very interested in BHRT as well. I am almost 67. My gynecologist is not on board with me starting hormones at this age, but my functional practitioner has said she would prescribe and monitor me. I have osteoporosis and have been using a fistful of supplements including K2 and genistein. I will have a DEXA soon and depending on results I may decide to go for it. Keep us posted as to your progress!

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