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Help finding HRT over 10 years post menopause

Osteoporosis & Bone Health | Last Active: Jun 26 11:56am | Replies (103)

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Profile picture for jozer @jozer

@gravity3 I am 68...love your posts; always helpful. I also am pissed; why can't women get the health care they need??? Since the prime period of bone loss is 5-7 years after menopause (could be 10% plus) why are we clinically ignoring this? How about a DEXA (cheap test with insurance) like we get mammograms? Why in the world do we wait until the magical age of 65 for our first DEXA? 50% of women over 50 have low bone density with perhaps 30% full blown osteoporosis. That's an awful lot of women (sorry gentlemen! I know you get osteo also) experiencing poor bone health and we are not testing? That's like malpractice in my opinion; where is the simple lecture from a PCP or gyne about how to watch our bone health at menopause, make sure you get nutrition for bone health, exercise for bone health. Would have been nice to have that information (which the medical profession knew) 15 years ago. "Don't fall" is not medical advice. Love your attitude; (and the positives for you of HRT!) I will be asking about HRT in a lot more detail next time I see the gyne (coming up).

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Replies to "@gravity3 I am 68...love your posts; always helpful. I also am pissed; why can't women get..."

@jozer

I'm in complete agreement with you.

@jozer

I am angry about this too! Learning now that most most loss occurs in the year before and year after last menstrual period; recent JAMA article:
https://jamanetwork.com/journals/jama/fullarticle/2849851
One thing I’ve read for women past 60 or longer than 10 years since last period who want to go on HRT is to that a Coronary Calcium scan can help determine your true risk instead of just based on age. I will find and post a podcast interview from Menopause expert Dr. Lauren Stricher.

@jozer , I'm angry and in complete agreement with you as well. I'm 68 as well and have been stalling going to my gyn because I'm afraid she'll deny hrt (16 years post menopause). I had a CAC test two years ago and it was 0. The only issue I have is osteoporosis which I just completed Forteo with a 13% gain in density. I don't have heart issues, diabetes or any other medical issue.

Please keep us posted on your gyn appointment outcome.

@jozer So much truth in your questions.

I just listened to this today:


The title (Millions of Women Stopped Taking Hormones Because of a Misread Study | Dr Sharon Malone) shows we have been mislead.

You might want to follow drsharonmalone.com - she is a solid traditional medicine mindset, but has the "prevention" desire that Dr. Mark Hyman focuses on.

Two things they both agreed upon is that prevention (HRT) needs to start early - well before menopause years and immediately for someone that has gone into menopause early.

The encouragement I left with is that I do not need to fret...at 78 - there is no benefit of starting HRT at my age to prevent anything: Osteo, heart disease, dementia

My second encouragement is that the risks were over blown. It is a very small percentage of women that develop heart issues without HRT (and she is pro HRT)...a deceitful marketing theme we were fed.