Is hrt a good option after Evenity

Posted by gravity3 @gravity3, Sep 3 2:02pm

I am a 76 year old woman. Menopausal at 38. Took some hrt 20 years ago. I am going to begin estrogen and testosterone pellets with a functional medicine provider. There may already be a discussion site for:
Discussion of the Women's health initiative study and what we are learning.
Fear of hrt linked with this flawed study
Can robust hrt act in place of prolia post Evenity.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@mayblin

@bluebonnet242 thanks for asking. I'm under the care of my current cardiologist for almost 3 years now. He did the following:

Lipid panel: LDL-c and triglyceride are the ones he looks at most, twice a year;
LP-a (just once is needed), APO-B, and hs-CRP;
Echo cardiocardiogram: Once a year for first two years, now once every 2 years;
CT heart with quantitative eval of coronary calcium: best to do before statin therapy; he said once every 5 years from now on;
PV vascular screening heart scan plus: screening for carotid artery disease, aaa (abdominal aortic aneurysms), and pad (peripheral artery disease);

We discussed the last three tests and I insisted to get them done for a baseline, and am very glad having those info on hand when I was evaluated for the suitability of estrogen therapy.

I had a second opinion from a women's heart specialist who adjusted my LDL-c target to < 55, and HbA1c target to =/< 5.6. She spent an hour evaluating all my labs and tests, my family history, past life style, current diet and exercise regimen. With her opinion, I felt very much at ease.

Hope this is helpful. Honestly, I'm not sure if all the tests and labs that i had are must-do's for hrt evaluation. Each person varies quite a lot in cardiovascular health regardless of age, seeking an individualized evaluation from a cardiologist before the start of estrogen therapy is definitely a good idea.

Jump to this post

Thank you so much for going into such detail regarding the tests! So nice that your obgyn was on board regarding the hormones. You have such great doctors who seem to be partners with you. I’ve bookmarked your post.

REPLY
Please sign in or register to post a reply.