Has anyone started HRT after the age of 65?

Posted by chiefsmom @chiefsmom, Oct 4 2:39pm

My rheumatologist that specializes in osteoporosis told me that HRT would work too slowly at my age - 67- to increase my bone density. I had a failed 5-year course of Fosamax and will have my last Evenity dose in November. Reclast will follow. Please share your experience with HRT after the age of 65 - when you started it, what type you are taking, side effects, etc. Also include if you feel HRT helped you keep gains from ostoporosis meds. Thanks.

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Hi, I also have started hormone therapy post 10 years menopause. I have been on it for 1year with no problems through a functional medicine group. I would do your homework and check with your md or a reputable functional medicine group. My gyn is now open to continuing my hormone therapy. I do think more physicians are becoming more open to helping us who are 10 yrs out. Each of us is unique so understanding your own situation and being a strong advocate for yourself I think is most important. Best

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Two doctors were willing to give me HRT a year ago at age 66 and more than 20 years post-menopause, and having been on alendronate (Fosamax) for 18 months. The first Doc had me read about the risks myself in papers that he printed out for me. He left the practice, but the second doctor thought that HRT was a good plan. I have been on HRT for about 1 year now. I am getting my BTMs (Bone Turnover Markers) tested this month, one year after starting. A good result could be due to my LIFTMOR type weight lifting rather than HRT, or even due to the MK4 and MK7 that I take. There is no way to separate the interventions out.

TIP for those on twice-weekly patches: there is a global shortage of estradiol transdermal patches. My pharmacy ran out of stock. So did the second pharmacy that I tried. My doctor told me that I could use one patch every 4 days instead of the usual weekly schedule of alternating 3 days then 4 days to land on the same days of the week for ease of tracking. This adjustment uses 7 patches in 28 days instead of 8. It also helps to have a spare if I lose one, say by dropping it and having it stick to the dang carpet. I cut out a small piece of a patch label that says "Estradiol" and put it in my weekly pill organizer. Each time I put on a patch then I move the label ahead 4 days to track.

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Profile picture for lylii @lylii

@vmcgrantham
I'm 66 and my gynecologist said it was not a good idea at my age to start HRT.
My friend is 62 and was using the bioidentical hormone patches. Her cardiologist told her she shouldn't due to risk of blood clot.
I read that the general rule is that you have to start them within 5 years of entering menopause for them to be safe.

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@lylii yes my Gino said same thing- would be horrible if I had a clot from taking HRT 15 yrs post menopause

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Profile picture for tillymack @tillymack

I've been on the ultra low dose Menostar patch for 6 months. This is designed to support the bones not hot flashes and other symptoms of menopause. I am so grateful to have a menopause consultant who is giving me a change at my age with HRT. I'll be thrilled if this proves to stabilize my bones 🙂

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@tillymack How did you find your menopause consultant? My conventional doctors absolutely refuse to prescribe at age 77.

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I looked for years. Keep asking providers as well as friends and neighbors if they are older and mention HRT.

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I went to a gym/ not problem if they are up on the latest research

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Profile picture for lbrown742 @lbrown742

I started hrt at 66, 14 years post menopause. I did my research and took it to the endocrinologist. After going through my labs for the past 6 or 7 years she said I was a perfect candidate for hrt. I have low breast cancer risk. I always have high good cholesterol and low bad cholesterol. I eat a plant based diet and excercise daily. I'm using the .025 patch and 100 mg progesterone pill. I sleep better, my lipo protein A, which was 1 point out of range lowered significantly. I also started Tymlos one month after hrt and have a great response so far, starting month 10. I hope to maintain my gains with just hrt.

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@lbrown742 Hello lbrown742, I read with fascination about your HRT therapy. I tried and failed to get any of my providers to agree to it. So I'm wondering if you would be interested in sharing your research. Links or references would be all I need. Thank you so much!

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Profile picture for roisin11 @roisin11

@lbrown742 Hello lbrown742, I read with fascination about your HRT therapy. I tried and failed to get any of my providers to agree to it. So I'm wondering if you would be interested in sharing your research. Links or references would be all I need. Thank you so much!

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@roisin11
I'm currently in Europe. I won't be home until mid November. One of the articles was the effects of ultra low dose estrogen on women 58 -80. They all maintained bone density with no breast cancers noted. They were only using .125 dose. I'm taking .025. She thought that was too low. You might google it and find it. I'm afraid I can't remember the titles of the rest off the top of my head. There is another women on here maintaining her Forteo with hrt and mentioned some research. Perhaps you can find her. I'm sorry I don't rember her name.
Good luck

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I started at exactly 65 and have been doing very well. It has been a year and I tolerate BHRT quite well; cycling Progesterone and have added Testosterone. I am following the long game…my mother lived to be 96 and had no Osteoporosis, just Osteoarthritis which I also have. I do resistance training, hike and eat the required protein. I have learned to be patient. The drugs for me were not a long term solution.

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Profile picture for lbrown742 @lbrown742

@roisin11
I'm currently in Europe. I won't be home until mid November. One of the articles was the effects of ultra low dose estrogen on women 58 -80. They all maintained bone density with no breast cancers noted. They were only using .125 dose. I'm taking .025. She thought that was too low. You might google it and find it. I'm afraid I can't remember the titles of the rest off the top of my head. There is another women on here maintaining her Forteo with hrt and mentioned some research. Perhaps you can find her. I'm sorry I don't rember her name.
Good luck

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