Transdermal HRT

Thanks!

I realize osteoporosis is not HRT's primary purpose, but if it is prescribed EXPRESSLY for osteoporosis, I would expect an osteoporosis doc to be informed!!!

I agree. I can't imagine a situation in which they wouldn't be informed. My doctors know what meds I'm on and why.

My HRT patch was prescribed by my gyn. She will not prescribe a higher dose. I did still have bone loss and reached out to an OB-GYN bone specialist at Georgetown University. She's recommending Forteo. She said I could stay on my low dose of HRT while I'm taking Forteo. We're scheduled to more fully discuss transdermal HRT. She says there is a greater risk of stroke after the age of 70. I keep reading studies like the one I posted here from ACOG that say otherwise, which is what I want to talk further with her about. We have already talked about it a little but she's adamant about the stroke risk . What I'm curious about is this: is the risk of my having a stroke greater than the risks of the other first-line osteoporosis treatments like: osteonecrosis of the jaw; spontaneous femur fractures; stroke; osteosarcoma; loss of teeth; renal impairment; difficulty swallowing; increase risk of blood clots; digestive disorders, etc etc? It seems like I'm not only still at risk of a stroke, but that I'm adding a number of other terrible side effects to that risk.

I do plan to take Forteo, but am hoping that after that I might be able to just increase my HRT dose a little to maintain whatever gains I get from Forteo. I'm on the lowest dose (.014), 1x a week of Menostar w/100mg of Prometrium 3x a week. Sorry this is long.

Of course.

Thank u.

I’ve never been on HRT and just turned 76. My GYN said he prescribes a bio identical testosterone implant which helps with bone density and several other benefits. However if u have a bad reaction to it, u r stuck with it for 4 months as it cannot be extracted.

An interesting article posted on Medscape today. I’ll try my best to give you information to get to it . I’m not too technologically adept… so unable to send photo or other quick ways, but this is what I can share.

News>Medscape Medical News>Conference
News>RCGP 2023.

Article title-Digital Tool Clarifies Menopause Symptoms

Medscape has a variety of articles posted everyday on all types of topics . Interesting!

Good luck if you try to find this!

I am a SHIP counselor and help people like you all the time. There is no charge and we are unbiased. Good luck. And if you are computer savvy, you can do this yourself. Medicare.gov software will give you the plans which cover your drugs and the costs to compare. Also you might look at an advantage plan. And check the Medicare Savings Program where you live-it is super helpful.

my endocrinologist prescribed it but typically, they do not prescribe HRT unless you can find an open minded progressive doc. He happened to be well versed in hormones because he was a specialist in treating trans people. Once I explained why I felt it was my best option due to my autoimmune issues, he agreed to it at lowest dose, shortest duration. I'm 5 years into using it and now use an integrative gynecologist who is very knowledgeable to prescribe.