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Author Topic: Sequential HRT post 60  (Read 2019 times)

Wrensong

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Re: Sequential HRT post 60
« Reply #15 on: September 23, 2019, 09:35:38 AM »

Quote
it's a whole different ballgame when you're ancient as I am!!!! ...  There is this tendency to strong resistance to HRT post-60 though even now despite all the guidelines.

Hardly ancient, Hurdity ;D  Yes, I know but I just don't think there should be. 

When I said earlier that I'd never come across resistance to sequi regimes for older women - I didn't specifically mean as it relates to me (being as you say not an "older" woman within the definition of this thread i.e. not 60+), more that being very interested in attitudes to HRT among the medical profession, I've taken every opportunity to discuss the various treatments & hadn't got the impression sequi was especially considered unsuitable post-60.  Just that 60 is the age at which my GP surgery feel any sort of systemic HRT must stop.  None of the various menopause clinic staff nor any of the consultants from other related specialties I've spoken to have given this impression when I've said that the persistence of my symptoms suggests I'm someone who's likely to need it long term.
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Hurdity

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Re: Sequential HRT post 60
« Reply #16 on: September 23, 2019, 06:54:19 PM »

Hi Wrensong - I quite agree there doesn't need to be (resistance)!!! I think though there is little enough recent research into long term HRT use over 60 and especially the bio-identical hormones, and cyclical HRT and also of course testosterone. Because of the known link between endometrial thickening, hyperplasia and cancer I think docs tend to focus on this as a preventable condition (through a balanced conti regime) whereas because the breast cancer link is not proven and the mechanistic explanation seem to be lacking if there is a link, they seem to overlook the risk of taking progestogens all the time ( into advanced age!) especially the synthetic ones. of course all these risks have to be weighed up against other risks and benefits so you choose your risk! (Have I said that already?!). Sorry - repeating myself - shows I am definitely getting  long in the tooth!!!

There is still a long way to go with educating GPs. At the moment those of us who encoutner resistance from local surgeries and who are referred to consultants have to rely on the consultants communicating with and thereby educating the GPs. Glad your specialists are in board anyway :)

Hurdity x

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