Osteoporosis quite severe if I started hrt now will it help . I am 74

Seventy five years old with osteoporosis and also concerned about the medications available such at the various bisphosphonates. The first thing the dental offices ask those presenting with a dental issue and on their form is if your on the medication. I inquired and was told they have seen the side effects these medications have caused. My understanding is that the medications can also be related to dementia not a direct cause but if your genetically prone it can trigger the disease and acceleration.

HRT is not recommended for women who are more than 10 years post-menopausal.

Yes gravity 3 that’s very true. I am in quite a dilemma at 74 yrs old , having been very active and fit all my life, dancing, gym, aerobics and swimming. Last four years suffering chronic pain from my SI joints which don’t respond to treatments and cannot be operated on due to the osteoporosis. My life has changed to that of a woman much older yet I still look and feel young! I am terrified of the drugs offered for osteoporosis as I am quite delicate and react to side effects more than most people. I started Bhrt a week ago and already having bad side effects so am going slowly on the dosage . If this won’t work I will be lost. Desperately trying to help myself as I always do. I can’t even excercise except to walk as it just flares up my pelvic problem then I can’t sleep win the pain.

It’s hard to treat musculoskeletal issues especially bones.

I am sorry you are in this situation, it's very scary. I asked a local provider of bhrt if I could do the regimen, me being 10 years postmenopausal, and she said that it would have to be done very slowly. I don't remember the timeframe she gave me, but I think it was more years than months. Anyway, she said she wouldn't do it for me. I have read that there are doctors who will do it 10 years postmenopause, but if they would do it quickly I have no idea.

You didn't provide your T scores, nor any risk fracture numbers, if you even got them. There are some people with OP who never fracture, and some with osteopenia who do. bone strength/quality is an indication that is helpful, and that can be done best with DEXA with TBS software, or in some people's mind, the Echolight ultrasound. I did plain DEXA and came out with scores of -3.8 and -3.6 for the two lowest vertebrae. The others were more like -2.5/6 My PCP said I had severe OP. Immediately I began falling and nothing broke, which raised questions about the meaning of my DX (I wouldn't recommend this type of self-assement!). I ultimately went to see an orthopedist who had been offering Echolight for two years. He looked at the DEXA scan and said it was done wrong (which apparently isn't as uncommon as one might think). His staff did the ultrasound on me and the score came back osteopenia, with low fracture risk. I dodged a bullet but I do understand what it's like to live in fear due to a DX of severe OP.

While I was waiting for the orthopedic appointment I found it helpful to understand OP and my options by reading the book Great Bones by Keith McCormick. He is a chiropractor (with a BA in human biology from Stanford), but also someone who suffered multiple fractures from OP in his 40s. He used an OP drug for a short time and then went more natural since he determined his OP stemmed from inadequate nutrition, if I remember that correctly. He continues to compete in amateur athletics like Iron Man competitions. You can also find YouTube videos of him. He also does telephone consults for a few hundred dollars; one of his big things is to try to determine if there is a secondary cause of the OP or anything else going on that also needs to be addressed. He does sell supplements which turns some people off, but from what I understand he doesn't push them on his clients. https://video.search.yahoo.com/search/video?fr=mcafee&p=keith+mccormick+osteoporosis&type=E210US1250G0#id=2&vid=bffb715625ceffb0f73f16d1ea2ba785&action=click

I did increase my bone density by doing strength training. I also started taking K2 vitamin paired with D. Margaret Martin has some free videos on how to exercise with OP. https://video.search.yahoo.com/search/video?fr=mcafee&p=margaret+martin+osteoporosis+exercise+videos&type=E210US1250G0#id=3&vid=328ec6b473b1470a77e647bd7df39ad6&action=click

I am not trying to dissuade you from bhrt. While you try to figure out the bhrt component there are options that allow you to take more control of your condition on your own so you can start moving forward. I would also suggest that before you start any treatment you get a baseline of your bone markers, CTX and P1NP, so you can see what is going on with bone breakdown and bone rebuilding. It's done by blood labs, so you can check every three months instead of waiting a year or two for a DEXA scan to get an idea of whether the bones are breaking down too quickly or if the breakdown process is slowing down after you start whatever protocol you select. Good luck!

I am sorry you are in this situation, it's very scary. I asked a local provider of bhrt if I could do the regimen, me being 10 years postmenopausal, and she said that it would have to be done very slowly. I don't remember the timeframe she gave me, but I think it was more years than months. Anyway, she said she wouldn't do it for me. I have read that there are doctors who will do it 10 years postmenopause, but if they would do it quickly I have no idea.

You didn't provide your T scores, nor any risk fracture numbers, if you even got them. There are some people with OP who never fracture, and some with osteopenia who do. bone strength/quality is an indication that is helpful, and that can be done best with DEXA with TBS software, or in some people's mind, the Echolight ultrasound. I did plain DEXA and came out with scores of -3.8 and -3.6 for the two lowest vertebrae. The others were more like -2.5/6 My PCP said I had severe OP. Immediately I began falling and nothing broke, which raised questions about the meaning of my DX (I wouldn't recommend this type of self-assement!). I ultimately went to see an orthopedist who had been offering Echolight for two years. He looked at the DEXA scan and said it was done wrong (which apparently isn't as uncommon as one might think). His staff did the ultrasound on me and the score came back osteopenia, with low fracture risk. I dodged a bullet but I do understand what it's like to live in fear due to a DX of severe OP.

While I was waiting for the orthopedic appointment I found it helpful to understand OP and my options by reading the book Great Bones by Keith McCormick. He is a chiropractor (with a BA in human biology from Stanford), but also someone who suffered multiple fractures from OP in his 40s. He used an OP drug for a short time and then went more natural since he determined his OP stemmed from inadequate nutrition, if I remember that correctly. He continues to compete in amateur athletics like Iron Man competitions. You can also find YouTube videos of him. He also does telephone consults for a few hundred dollars; one of his big things is to try to determine if there is a secondary cause of the OP or anything else going on that also needs to be addressed. He does sell supplements which turns some people off, but from what I understand he doesn't push them on his clients. https://video.search.yahoo.com/search/video?fr=mcafee&p=keith+mccormick+osteoporosis&type=E210US1250G0#id=2&vid=bffb715625ceffb0f73f16d1ea2ba785&action=click

I did increase my bone density by doing strength training. I also started taking K2 vitamin paired with D. Margaret Martin has some free videos on how to exercise with OP. https://video.search.yahoo.com/search/video?fr=mcafee&p=margaret+martin+osteoporosis+exercise+videos&type=E210US1250G0#id=3&vid=328ec6b473b1470a77e647bd7df39ad6&action=click

I am not trying to dissuade you from bhrt. While you try to figure out the bhrt component there are options that allow you to take more control of your condition on your own so you can start moving forward. I would also suggest that before you start any treatment you get a baseline of your bone markers, CTX and P1NP, so you can see what is going on with bone breakdown and bone rebuilding. It's done by blood labs, so you can check every three months instead of waiting a year or two for a DEXA scan to get an idea of whether the bones are breaking down too quickly or if the breakdown process is slowing down after you start whatever protocol you select. Good luck!

What would u do to control it? I got my markers.