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Menopause Matters Forum
July 27, 2024, 06:29:28 PM
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Am I too old to start HRT?
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Topic: Am I too old to start HRT? (Read 255 times)
Deb64
First Flush
Posts: 3
Am I too old to start HRT?
«
on:
July 22, 2024, 09:52:02 PM »
Hi everyone. I am new to this site and just wanted a bit of advice as I am somewhat confused with the information I am receiving. I am 64 and seemed to go through menopause without any great issues, in fact apart from some sleepless nights I generally feel better than before. However I am now have osteopenia and my doctor who is very well informed about women's health wants me to start on HRT. Both my sister and mother have had breast cancer which holds up a red flag to me. I want to have faith in my doctor but really hesitate to start this HRT at my age. Any thoughts?? Thanks.
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Molly Malone
First Flush
Posts: 2
Re: Am I too old to start HRT?
«
Reply #1 on:
July 22, 2024, 10:15:13 PM »
Deb, I am 62 and just starting HRT too (Estradiol), so will be interested to hear what others say. It's a minefiled, isn't it? XX
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Deb64
First Flush
Posts: 3
Re: Am I too old to start HRT?
«
Reply #2 on:
July 22, 2024, 11:23:36 PM »
Hi Molly
It sure is a minefield with so much information that is contradictory! Thanks for replying
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Hurdity
Member
Posts: 13946
Re: Am I too old to start HRT?
«
Reply #3 on:
July 23, 2024, 08:50:32 AM »
Hi Deb64
Sorry to hear you have osteopenia.
The guidance is, that it is peferable to start HRT either below the age of 60 OR within 10 years of menopause. Here is some information about starting HRT, from the British Menopause Society:
https://thebms.org.uk/wp-content/uploads/2022/12/04-BMS-TfC-HRT-Guide-NOV2022-A.pdf
You say your mother and sister have had breast cancer - but if I may ask, at what age? There can be some concern over heritability I think, for those who get breast cancer at a young age due to potentially having the gene that carries increased risk of BC?
Here is some information from this website about HRT and breast cancer:
https://www.menopausematters.co.uk/risks.php
And further more detailed information and discussion here:
http://wwwmenopausematters.blogspot.com/2016/04/hrt-and-breast-cancer.html
There are some videos from the British Menopause Society here - in which one of them discussed family history (I haven't eatched them myself!)
https://thebms.org.uk/education/principles-practice-of-menopause-care/bms-ppmc-resources-toolkit/what-are-the-considerations-with-regard-to-hrt-and-breast-cancer/
and more information here:
https://thebms.org.uk/wp-content/uploads/2022/12/12-BMS-TfC-Fast-Facts-HRT-and-Breast-Cancer-Risk-NOV2022-A.pdf
The fact that your doctor is recommending HRT suggests s/he has looked into this hopefully?
There is some information on osteoporosis here:
https://www.menopausematters.co.uk/osteoporosis.php
and here (British Menopause Society):
https://thebms.org.uk/wp-content/uploads/2023/10/06-BMS-ConsensusStatement-Prevention-and-treatment-of-osteoporosis-in-women-SEPT2023-A.pdf
symmary of that here:
https://thebms.org.uk/publications/consensus-statements/prevention-and-treatment-of-osteoporosis-in-women/
Hope this helps
Hurdity x
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Deb64
First Flush
Posts: 3
Re: Am I too old to start HRT?
«
Reply #4 on:
July 23, 2024, 10:53:22 AM »
Thanks so much for all that info Hurdity. My sister was in her sixties and is fine now. My Mum was also in her sixties but sadly passed away from her breast cancer. I shall read all the info you have given me. Hard decisions as I actually feel pretty good apart from the osteopenia. My doctor insists that i am not too old and that there is no added risk of breast cancer but plenty of long term benefits. Very conflicting to most of the other reports I have read. Who to believe?!!
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CLKD
Member
Posts: 75306
changes can be scary, even when we want them
Re: Am I too old to start HRT?
«
Reply #5 on:
July 23, 2024, 11:03:40 AM »
Probably your Dr Deb64
. Quality of Life is important. 'that bus' may be along B4 any worry about cancer issues.
Which 'other reports', who sponsored any Research, were they Peer Reviewed and on which decade? A lot of reported worries have been disproven in the last 10 years.
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