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.

Is anyone on Prolia and HRT? I’d like to try HRT, but my rheumatologist said that I can’t be on both at the same time. I’d have to stop the Prolia and start something else for my bones if I start HRT. My bones have improved greatly so I’d hate to do something wrong although I really want to start HRT. I’m soon to be 70 in a week.

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Profile picture for matilda1993 @matilda1993

@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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@matilda1993 I am curious to know what your practitioner prescribed. I am using compounded creams. I had also gone to a new endocrinologist for thyroid issues. She was not on board with BHRT either. She was adamant that I start Prolia. I guess time will tell if the newer recommendations for older women are safe. All I know is that the osteoporosis drugs all seem to have horror stories associated with them.

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I’m not yet on a therapeutic dose of Estriol/progesterone, but it would be a cream or patch E and oral P with testing of levels via dried urine samples.

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Time will tell with HRT and its use after decade plus of menopause. Sure sounds like a good plan for osteoporosis., we sure need better pharma options! That being said, my gynecologist said absolutely not for me...mom had breast cancer, 2 years later ovarian cancer. We did the BRAC testing to see if breast cancer could be genetic; it wasn't. We were told by the genetic counselors that our risk (my sister and I) was the same as the general population, but yet to be vigilant to any breast issues and to get regular mammograms, which of course we have been. BTW when I asked endo about it, he had me ask the gyne, I don't think he prescribes it for any osteo patients.

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Profile picture for matilda1993 @matilda1993

@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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@matilda1993 I would suggest finding supportive drs which are up on HRT and can determine you would be a good candidate

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Profile picture for matilda1993 @matilda1993

@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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@matilda1993 My doctors were great about me starting HRT transdermal at age 66 more than 20 years after menopause.

My first doctor (who changed to a different practice) gave me some papers on the subject, told me to read about the risks, come back and we would put me on HRT if that was my choice.

When he left, I assembled even more of research papers to show my new doctor why I wanted to start HRT, assuming that she would be reluctant to do so, like so many other women's doctors that I hear about. She was totally on to using HRT for my osteoporosis and expressed frustration with other doctors who are behind the times.

There are some risks with HRT, so it is not for everyone, but age alone no longer eliminated me from that path. Here is a video from a doctor discussing the benefits and risks.


If you search you can see lots of other posts and discussions about starting HRT for osteoporosis in this forum.

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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 yes, I am 69. It is super helpful. I did my first round 47 - 58 and then started again at 68. A lot of women are doing it now. I did it for the bone density support.

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I read the research and the NEW research substantiates women taking BHRT in later years. (as long as they take prometrium with the estrogen). The tests have been ongoing now for 30 years and they are finding it is not a concern like once thought. I see a doctor at UCSD who tests my levels and we discuss cancer risks vs. cancer protections vs. my family history of cancer. I am using it to support the bones. I have had one Reclast and on my second year of Tymlos. My bone increase was modest so the BHRT was important for me to try to see if I can boost the numbers.

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