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Adding Oral Estrogen on Post menopause woman
Osteoporosis & Bone Health | Last Active: Oct 15, 2023 | Replies (59)Comment receiving replies
I had a hysterectomy at 55 and am considering HRT or ERT at age 71 (for the first time). I think my osteoporosis "specialist," with whom I have a followup appointment in 2 weeks, will suggest Prolia, which I will reject. I assume she will reject Estrogen. I have a followup appointment with a cardiologist (whose office has performed EKG, echo cardiogram and stress test with normal results) next week. I plan to ask him about HRT or ERT. I also have an appointment with my gyn in 3 weeks to discuss HRT/ERT. My lumbar spine BMD is -4.5 (hologic DXA) and -3.8 (GE DXA). I want do whatever I can to stop bone loss without taking osteo drugs. I am hoping that Estrogen will help. Although I understand there are some side effects, Estrogen Therapy appears to be more "natural" and less scary than Prolia.
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Estrogen does more to maintain bones rather than build bone density. With those scores, you really might consider a bone builder like Forteo or Tymlos first and then go on estrogen to maintain (if you can get it prescribed by your doc. If not, perhaps through Alloy Health you can). After years of trying to build my bones naturally and suffering even greater loss, I finally accepted that I would need a drug. My drug of choice was Forteo due to the fact that it restored bone density predominantly in the spine and because it was the most "natural" of the options being that it is parathyroid hormone which the body recognizes. Once I was finished with the full course, I went on bioidentical hormones which has maintained my gains.