FDA removed black box warning for HRT

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I just talked about this yesterday with my ob/gyn. That label and study that caused it created unnecessary misery for many women.

This is the right move.

I'm mid-40s and feel terrible that my mom went through menopause in the early 2000s after the study that scared everyone away from MHT. A lot of unnecessary suffering.

Have you ever thought that 25 years later the formulation is gonna be very different and now it’s safer?

+1

The old version was made out of pregnant horse urine. The new one isn’t and is bioidentical. That’s not to say there are no risks but it’s much safer.

They also have bioidentical progesterone.

“Bio identical” isn’t a thing.

Biochemist here. I don’t know about internet meme but there are many different molecules that are hormones and many many different purities. So the idea that we are now synthesizing and purifying medication is significant if true. Let’s all calm down here. Medicine is hard, but logic and reason aren’t dead.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:^ huh?

What made you stop exercising pre-HRT?

I’ve been an athlete my entire life and workout 6 days/week and I’m 55- no HRT.

Just curious to what was correlated w/ your inability to exercise pre-HRT and what changed after it

So much joint pain, stiffness like I’ve never had in my life, quick to injure myself, and recovery took forever. Felt like I was moving like the walking dead. Constant PT.

Estrogen has made movement easier — like my joints and muscles are more supple. Apparently musculoskeletal effects are a big issue in some menopausal women. Apparently I am one of them.

Are you telling me that aging men don’t experience joint pain and stiffness? Most of the comments make zero sense. It’s not all about estrogen. When you stop moving, you become move stiff. You exacerbated your problems by dropping exercise:

As someone who didn’t stop, the joint pain and inflammation is real and is beyond just “aging” that can compare to men getting as well. For those going through frozen shoulder and other menopausal events, your pain is real and comments from others can be hurtful.

I had two frozen shoulders and fixed them through a slow process of weight lifting and increasing activity. The fact is, the impact of HRT on joint pain (even if it exists) is likely MUCH less than exercise and diet. There is no easy fix and HRT is clearly being marketed towards American women gullible enough to believe that there is. The only easy fix in medicine right now is probably GLPs.

I workout every day, lifting 3x per week. One year ago, the weirdest joint pains were causing me to lose sleep and move slower. One hip. One big toe. Add in the sleep issues, noise sensitivity, rage days, and hot flashes/night sweats. It was miserable and had nothing to do with not being active or my macros. Thankfully, my doctor knew what was up and prescribed the patch and progesterone pill.

Six weeks into HRT, it was gone. Five months in, I felt like my old self.

Please consider that you don’t know what everyone is experiencing and you sure as hell aren’t smarter than the experienced physicians.

I have minor aches and pains too. Every time I think I might try HRT I reflect how much worse a stroke would be.

Transdermal estrogen initiated before 60 is not associated with increased stroke risk. Oral estrogen, yes. But nobody takes oral estrogen anymore. All forms bypass the liver (which was the issue with clotting factors.)

If you have contrary data, I’d love to see it.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:^ huh?

What made you stop exercising pre-HRT?

I’ve been an athlete my entire life and workout 6 days/week and I’m 55- no HRT.

Just curious to what was correlated w/ your inability to exercise pre-HRT and what changed after it

So much joint pain, stiffness like I’ve never had in my life, quick to injure myself, and recovery took forever. Felt like I was moving like the walking dead. Constant PT.

Estrogen has made movement easier — like my joints and muscles are more supple. Apparently musculoskeletal effects are a big issue in some menopausal women. Apparently I am one of them.

Are you telling me that aging men don’t experience joint pain and stiffness? Most of the comments make zero sense. It’s not all about estrogen. When you stop moving, you become move stiff. You exacerbated your problems by dropping exercise:

As someone who didn’t stop, the joint pain and inflammation is real and is beyond just “aging” that can compare to men getting as well. For those going through frozen shoulder and other menopausal events, your pain is real and comments from others can be hurtful.

I had two frozen shoulders and fixed them through a slow process of weight lifting and increasing activity. The fact is, the impact of HRT on joint pain (even if it exists) is likely MUCH less than exercise and diet. There is no easy fix and HRT is clearly being marketed towards American women gullible enough to believe that there is. The only easy fix in medicine right now is probably GLPs.

I workout every day, lifting 3x per week. One year ago, the weirdest joint pains were causing me to lose sleep and move slower. One hip. One big toe. Add in the sleep issues, noise sensitivity, rage days, and hot flashes/night sweats. It was miserable and had nothing to do with not being active or my macros. Thankfully, my doctor knew what was up and prescribed the patch and progesterone pill.

Six weeks into HRT, it was gone. Five months in, I felt like my old self.

Please consider that you don’t know what everyone is experiencing and you sure as hell aren’t smarter than the experienced physicians.

My aging husband has more “menopause” symptoms than me.

Well forget medical studies and data then! Because this here couple is having this here experience! Who needs research, I guess

While you are looking up the research, you should read up on the placebo effect of HRT.

Is this supposed to be a gotcha? There is some placebo effect with HRT, as there are with many medicines. But the health benefits aren’t all explained by placebo effect.

I’m all for placebo-controlled studies, though. Hell yeah. Let’s get and use the best available data, always.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:^ huh?

What made you stop exercising pre-HRT?

I’ve been an athlete my entire life and workout 6 days/week and I’m 55- no HRT.

Just curious to what was correlated w/ your inability to exercise pre-HRT and what changed after it

So much joint pain, stiffness like I’ve never had in my life, quick to injure myself, and recovery took forever. Felt like I was moving like the walking dead. Constant PT.

Estrogen has made movement easier — like my joints and muscles are more supple. Apparently musculoskeletal effects are a big issue in some menopausal women. Apparently I am one of them.

Are you telling me that aging men don’t experience joint pain and stiffness? Most of the comments make zero sense. It’s not all about estrogen. When you stop moving, you become move stiff. You exacerbated your problems by dropping exercise:

Different poster. Of course men experienced stiffness and other complications of aging but you do realize that a 55-year-old man has two or three times the amount of estrogen in his body than a 55-year-old woman who is in menopause. I’m betting you actually don’t realize that.

Estrogen is a really powerful hormone in our body. I really don’t think women were meant to live the kind of lives though you’re living in our 50s and beyond without it.

We have an achieved insane leaps in life expectancy over the past couple hundred years as compared to tens of thousands of years before that. If we have an ability for women to restore some of what was helping us with overall health before menopause, we should do it. Of course it’s important to evaluate benefits and risk, but it really seems like the risk are small for most women.

You realize that you sound like an absolute grifter, right?

And you sound like an unhinged conspiracy theorist.

[Anonymous]

To the people who think hormone replacement therapy is just a grift from the wellness industry why aren’t you looking at the other side of the grift? It’s not as if women who don’t choose hormone replacement theory are aging naturally, lol

I’m a healthcare policy walk who can answer any question on Medicare spend and is deep on the data of what happens to aging women in America. Anyone who says women are aging naturally are either deeply delusional or deeply denial and throw in a dose of deeply ignorant.

Do you have any idea of the number of postmenopausal women who are on antidepressants, anti-anxiety meds, prescriptions sleep aids, hypertension drugs, statins, osteoporosis medications, treatments for UTI, treatments for sexual dysfunction, and the list goes on. Not to mention the care that we spend on frailty from hip fractures, chronic pain meds from bone breaks, hospitalizations caused from UTIs in older women and again the list goes on.

Do you know a lot of dentists will not treat women who are on osteoporosis meds beyond basic cleanings because the mortality rate for any kind of dental surgery for women on these meds is so high? Have you thought about what might happen if you need to go on osteoporosis meds, and something happens to your dental health. You probably should.

While I agree that the evidence does not seem to be there to just put every woman on HRT for primary prevention - if women are having symptoms there does seem to be good evidence that it does help prevent the need for some of these other medical conditions.

I’d be very wary of anyone trying to stop any kind of discourse on HRT. It’s just a grift on the other side and frankly, the spend is a lot higher than what we would spend on HRT. Again, I will stress that I do not think every woman should be on HRT, but to not even entertain the need for research and do not even question The bad advice women got 25 years ago from a deeply flawed that has been retracted, there’s something really disturbing going on there.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:^ huh?

What made you stop exercising pre-HRT?

I’ve been an athlete my entire life and workout 6 days/week and I’m 55- no HRT.

Just curious to what was correlated w/ your inability to exercise pre-HRT and what changed after it

So much joint pain, stiffness like I’ve never had in my life, quick to injure myself, and recovery took forever. Felt like I was moving like the walking dead. Constant PT.

Estrogen has made movement easier — like my joints and muscles are more supple. Apparently musculoskeletal effects are a big issue in some menopausal women. Apparently I am one of them.

Are you telling me that aging men don’t experience joint pain and stiffness? Most of the comments make zero sense. It’s not all about estrogen. When you stop moving, you become move stiff. You exacerbated your problems by dropping exercise:

As someone who didn’t stop, the joint pain and inflammation is real and is beyond just “aging” that can compare to men getting as well. For those going through frozen shoulder and other menopausal events, your pain is real and comments from others can be hurtful.

I had two frozen shoulders and fixed them through a slow process of weight lifting and increasing activity. The fact is, the impact of HRT on joint pain (even if it exists) is likely MUCH less than exercise and diet. There is no easy fix and HRT is clearly being marketed towards American women gullible enough to believe that there is. The only easy fix in medicine right now is probably GLPs.

I workout every day, lifting 3x per week. One year ago, the weirdest joint pains were causing me to lose sleep and move slower. One hip. One big toe. Add in the sleep issues, noise sensitivity, rage days, and hot flashes/night sweats. It was miserable and had nothing to do with not being active or my macros. Thankfully, my doctor knew what was up and prescribed the patch and progesterone pill.

Six weeks into HRT, it was gone. Five months in, I felt like my old self.

Please consider that you don’t know what everyone is experiencing and you sure as hell aren’t smarter than the experienced physicians.

My aging husband has more “menopause” symptoms than me.

Well forget medical studies and data then! Because this here couple is having this here experience! Who needs research, I guess

Attributing many of the symptoms of aging to menopause is goofy.

[Anonymous]

Anonymous wrote:To the people who think hormone replacement therapy is just a grift from the wellness industry why aren’t you looking at the other side of the grift? It’s not as if women who don’t choose hormone replacement theory are aging naturally, lol

I’m a healthcare policy walk who can answer any question on Medicare spend and is deep on the data of what happens to aging women in America. Anyone who says women are aging naturally are either deeply delusional or deeply denial and throw in a dose of deeply ignorant.

Do you have any idea of the number of postmenopausal women who are on antidepressants, anti-anxiety meds, prescriptions sleep aids, hypertension drugs, statins, osteoporosis medications, treatments for UTI, treatments for sexual dysfunction, and the list goes on. Not to mention the care that we spend on frailty from hip fractures, chronic pain meds from bone breaks, hospitalizations caused from UTIs in older women and again the list goes on.

Do you know a lot of dentists will not treat women who are on osteoporosis meds beyond basic cleanings because the mortality rate for any kind of dental surgery for women on these meds is so high? Have you thought about what might happen if you need to go on osteoporosis meds, and something happens to your dental health. You probably should.

While I agree that the evidence does not seem to be there to just put every woman on HRT for primary prevention - if women are having symptoms there does seem to be good evidence that it does help prevent the need for some of these other medical conditions.

I’d be very wary of anyone trying to stop any kind of discourse on HRT. It’s just a grift on the other side and frankly, the spend is a lot higher than what we would spend on HRT. Again, I will stress that I do not think every woman should be on HRT, but to not even entertain the need for research and do not even question The bad advice women got 25 years ago from a deeply flawed that has been retracted, there’s something really disturbing going on there.

research & science? yes.
influencers & hysterics? no.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:^ huh?

What made you stop exercising pre-HRT?

I’ve been an athlete my entire life and workout 6 days/week and I’m 55- no HRT.

Just curious to what was correlated w/ your inability to exercise pre-HRT and what changed after it

So much joint pain, stiffness like I’ve never had in my life, quick to injure myself, and recovery took forever. Felt like I was moving like the walking dead. Constant PT.

Estrogen has made movement easier — like my joints and muscles are more supple. Apparently musculoskeletal effects are a big issue in some menopausal women. Apparently I am one of them.

Are you telling me that aging men don’t experience joint pain and stiffness? Most of the comments make zero sense. It’s not all about estrogen. When you stop moving, you become move stiff. You exacerbated your problems by dropping exercise:

As someone who didn’t stop, the joint pain and inflammation is real and is beyond just “aging” that can compare to men getting as well. For those going through frozen shoulder and other menopausal events, your pain is real and comments from others can be hurtful.

I had two frozen shoulders and fixed them through a slow process of weight lifting and increasing activity. The fact is, the impact of HRT on joint pain (even if it exists) is likely MUCH less than exercise and diet. There is no easy fix and HRT is clearly being marketed towards American women gullible enough to believe that there is. The only easy fix in medicine right now is probably GLPs.

I workout every day, lifting 3x per week. One year ago, the weirdest joint pains were causing me to lose sleep and move slower. One hip. One big toe. Add in the sleep issues, noise sensitivity, rage days, and hot flashes/night sweats. It was miserable and had nothing to do with not being active or my macros. Thankfully, my doctor knew what was up and prescribed the patch and progesterone pill.

Six weeks into HRT, it was gone. Five months in, I felt like my old self.

Please consider that you don’t know what everyone is experiencing and you sure as hell aren’t smarter than the experienced physicians.

My aging husband has more “menopause” symptoms than me.

Well forget medical studies and data then! Because this here couple is having this here experience! Who needs research, I guess

Attributing many of the symptoms of aging to menopause is goofy.

No it’s not. Loss of estrogen has health implications.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:^ huh?

What made you stop exercising pre-HRT?

I’ve been an athlete my entire life and workout 6 days/week and I’m 55- no HRT.

Just curious to what was correlated w/ your inability to exercise pre-HRT and what changed after it

So much joint pain, stiffness like I’ve never had in my life, quick to injure myself, and recovery took forever. Felt like I was moving like the walking dead. Constant PT.

Estrogen has made movement easier — like my joints and muscles are more supple. Apparently musculoskeletal effects are a big issue in some menopausal women. Apparently I am one of them.

Are you telling me that aging men don’t experience joint pain and stiffness? Most of the comments make zero sense. It’s not all about estrogen. When you stop moving, you become move stiff. You exacerbated your problems by dropping exercise:

As someone who didn’t stop, the joint pain and inflammation is real and is beyond just “aging” that can compare to men getting as well. For those going through frozen shoulder and other menopausal events, your pain is real and comments from others can be hurtful.

I had two frozen shoulders and fixed them through a slow process of weight lifting and increasing activity. The fact is, the impact of HRT on joint pain (even if it exists) is likely MUCH less than exercise and diet. There is no easy fix and HRT is clearly being marketed towards American women gullible enough to believe that there is. The only easy fix in medicine right now is probably GLPs.

I workout every day, lifting 3x per week. One year ago, the weirdest joint pains were causing me to lose sleep and move slower. One hip. One big toe. Add in the sleep issues, noise sensitivity, rage days, and hot flashes/night sweats. It was miserable and had nothing to do with not being active or my macros. Thankfully, my doctor knew what was up and prescribed the patch and progesterone pill.

Six weeks into HRT, it was gone. Five months in, I felt like my old self.

Please consider that you don’t know what everyone is experiencing and you sure as hell aren’t smarter than the experienced physicians.

My aging husband has more “menopause” symptoms than me.

Well forget medical studies and data then! Because this here couple is having this here experience! Who needs research, I guess

Attributing many of the symptoms of aging to menopause is goofy.

Are you really refusing to consider the (copious) data that shows that rapid loss of estrogen makes many of those symptoms worse, and faster?

Again, don't take HRT if you don't want to. Some women can't, some women don't want to. And that's great! Yay for choice! Yay for informed decisions! I just find it so bewildering that PP/s would be so committed to their own lack of information.

[Anonymous]

Anonymous wrote:To the people who think hormone replacement therapy is just a grift from the wellness industry why aren’t you looking at the other side of the grift? It’s not as if women who don’t choose hormone replacement theory are aging naturally, lol

I’m a healthcare policy walk who can answer any question on Medicare spend and is deep on the data of what happens to aging women in America. Anyone who says women are aging naturally are either deeply delusional or deeply denial and throw in a dose of deeply ignorant.

Do you have any idea of the number of postmenopausal women who are on antidepressants, anti-anxiety meds, prescriptions sleep aids, hypertension drugs, statins, osteoporosis medications, treatments for UTI, treatments for sexual dysfunction, and the list goes on. Not to mention the care that we spend on frailty from hip fractures, chronic pain meds from bone breaks, hospitalizations caused from UTIs in older women and again the list goes on.

Do you know a lot of dentists will not treat women who are on osteoporosis meds beyond basic cleanings because the mortality rate for any kind of dental surgery for women on these meds is so high? Have you thought about what might happen if you need to go on osteoporosis meds, and something happens to your dental health. You probably should.

While I agree that the evidence does not seem to be there to just put every woman on HRT for primary prevention - if women are having symptoms there does seem to be good evidence that it does help prevent the need for some of these other medical conditions.

I’d be very wary of anyone trying to stop any kind of discourse on HRT. It’s just a grift on the other side and frankly, the spend is a lot higher than what we would spend on HRT. Again, I will stress that I do not think every woman should be on HRT, but to not even entertain the need for research and do not even question The bad advice women got 25 years ago from a deeply flawed that has been retracted, there’s something really disturbing going on there.

This is a very good post.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:^ huh?

What made you stop exercising pre-HRT?

I’ve been an athlete my entire life and workout 6 days/week and I’m 55- no HRT.

Just curious to what was correlated w/ your inability to exercise pre-HRT and what changed after it

So much joint pain, stiffness like I’ve never had in my life, quick to injure myself, and recovery took forever. Felt like I was moving like the walking dead. Constant PT.

Estrogen has made movement easier — like my joints and muscles are more supple. Apparently musculoskeletal effects are a big issue in some menopausal women. Apparently I am one of them.

Are you telling me that aging men don’t experience joint pain and stiffness? Most of the comments make zero sense. It’s not all about estrogen. When you stop moving, you become move stiff. You exacerbated your problems by dropping exercise:

As someone who didn’t stop, the joint pain and inflammation is real and is beyond just “aging” that can compare to men getting as well. For those going through frozen shoulder and other menopausal events, your pain is real and comments from others can be hurtful.

I had two frozen shoulders and fixed them through a slow process of weight lifting and increasing activity. The fact is, the impact of HRT on joint pain (even if it exists) is likely MUCH less than exercise and diet. There is no easy fix and HRT is clearly being marketed towards American women gullible enough to believe that there is. The only easy fix in medicine right now is probably GLPs.

I workout every day, lifting 3x per week. One year ago, the weirdest joint pains were causing me to lose sleep and move slower. One hip. One big toe. Add in the sleep issues, noise sensitivity, rage days, and hot flashes/night sweats. It was miserable and had nothing to do with not being active or my macros. Thankfully, my doctor knew what was up and prescribed the patch and progesterone pill.

Six weeks into HRT, it was gone. Five months in, I felt like my old self.

Please consider that you don’t know what everyone is experiencing and you sure as hell aren’t smarter than the experienced physicians.

I have minor aches and pains too. Every time I think I might try HRT I reflect how much worse a stroke would be.

Transdermal estrogen initiated before 60 is not associated with increased stroke risk. Oral estrogen, yes. But nobody takes oral estrogen anymore. All forms bypass the liver (which was the issue with clotting factors.)

If you have contrary data, I’d love to see it.

I was taking oral estrogen a year or two ago. I switched to a doctor with a menopause certification and she changed me to the patch.

Basically, the oral estrogen was a birth control pill.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:This is still a very dangerous move- it still needs a warning. There are women who now believe that HRT has no connection whatsoever with cancer, that bioidentical hormones are actually a new thing- that they are better than "older synthetic" hormones and that everything is just perfectly safe, but actually it's just a marketing term. And that just isn't true! Hormones are still a risk/ benefit medication and there's a lot of nuance regarding this.

Women are working longer, living longer, and want to remain relevant longer. That's all good. But menopause happens earlier than everyone expects and we all know it ages us.Everyone has piled on this as if older women were lied to. They weren't. They are still hormones.

HRT is huge industry. It's not a panacea.

Are you a medical researcher? Are you a male?

Obviously no doctor prescribes HRT without going over the risks. Mine ran multiple tests as well, so we had all the data points.

But you know what, for the first time in my life, my cholesterol and triglycerides were high---cholestrol went from 150/160 for the last 10+ years and during first 1.5 years of menopause went up consistently to over 238. No diet changes (except for the better---even cleaner eating than before and more fruits and veggies). 6 months after HRT, it's going back down. Triglycerides had been around 60-70, went up to 140 and are also back down.
So I'll weigh the cardiovascular benefits with the other risks and make my choice.

Also, have family history of osteoporosis, so far I am still good, but doctor says this choice will help prevent it (certainly much more than not taking HRT).

So yes it's not a panacea, but most doctors and researchers now believe the health benefits for most people outweigh the small risks. I'm already seeing the health benefits and will be thrilled to see it continue.

Sorry, this will not prevent osteoporosis. And no, most doctors do not now believe the risks outweigh the benefits. At all.

I don't think that is correct. Studies of various strengths of estadiol show bone building capacity. Even the tiniest of patch doses have been shown to increase density. Can it reverse osteoporosis? That seems to be the question.

Again, will you be on HRT until death? No. At some point you cannot rely on this for something like osteoporosis.

You can, though. One can still build bone and HRT helps. For every bit of bone one grows, they are also not LOSING bone. When I gain 2%, I also “gain” what I did not lose had I done nothing. That can mean gaining 3%.

I then go into older age with far stronger bones than I would have had otherwise.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:This is still a very dangerous move- it still needs a warning. There are women who now believe that HRT has no connection whatsoever with cancer, that bioidentical hormones are actually a new thing- that they are better than "older synthetic" hormones and that everything is just perfectly safe, but actually it's just a marketing term. And that just isn't true! Hormones are still a risk/ benefit medication and there's a lot of nuance regarding this.

Women are working longer, living longer, and want to remain relevant longer. That's all good. But menopause happens earlier than everyone expects and we all know it ages us.Everyone has piled on this as if older women were lied to. They weren't. They are still hormones.

HRT is huge industry. It's not a panacea.

Are you a medical researcher? Are you a male?

Obviously no doctor prescribes HRT without going over the risks. Mine ran multiple tests as well, so we had all the data points.

But you know what, for the first time in my life, my cholesterol and triglycerides were high---cholestrol went from 150/160 for the last 10+ years and during first 1.5 years of menopause went up consistently to over 238. No diet changes (except for the better---even cleaner eating than before and more fruits and veggies). 6 months after HRT, it's going back down. Triglycerides had been around 60-70, went up to 140 and are also back down.
So I'll weigh the cardiovascular benefits with the other risks and make my choice.

Also, have family history of osteoporosis, so far I am still good, but doctor says this choice will help prevent it (certainly much more than not taking HRT).

So yes it's not a panacea, but most doctors and researchers now believe the health benefits for most people outweigh the small risks. I'm already seeing the health benefits and will be thrilled to see it continue.

Sorry, this will not prevent osteoporosis. And no, most doctors do not now believe the risks outweigh the benefits. At all.

What are you talking about? That’s the only thing it’s clinically indicated for other than hot flashes. It mentions it in the drug efficacy information (at least bone density).

Are you planning on staying on HRT from the age of 50 to 92? So, no.

I probably will use vaginal estrogen until I am 92, because UTIs are so common, and so serious, for older women.

56 and never had one. Never had a yeast infection either.

I have no issues with sex. No dryness.

The inner vaginal lips disappear without estrogen. For some, this can be painful or at least uncomfortable during sex or otherwise.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:^ huh?

What made you stop exercising pre-HRT?

I’ve been an athlete my entire life and workout 6 days/week and I’m 55- no HRT.

Just curious to what was correlated w/ your inability to exercise pre-HRT and what changed after it

So much joint pain, stiffness like I’ve never had in my life, quick to injure myself, and recovery took forever. Felt like I was moving like the walking dead. Constant PT.

Estrogen has made movement easier — like my joints and muscles are more supple. Apparently musculoskeletal effects are a big issue in some menopausal women. Apparently I am one of them.

Are you telling me that aging men don’t experience joint pain and stiffness? Most of the comments make zero sense. It’s not all about estrogen. When you stop moving, you become move stiff. You exacerbated your problems by dropping exercise:

It does not always have to do with movement. Your answer is focused on the one area you know and that is a problem.

Women are more prone to frozen shoulder, for example. They don’t quite know why but low estrogen is suspected.

If men get frozen shoulder, they often have diabetes or a thyroid problem, too. So, they do get it but there is no proof it is from lack of movement.

[Anonymous]

Anonymous wrote:To the people who think hormone replacement therapy is just a grift from the wellness industry why aren’t you looking at the other side of the grift? It’s not as if women who don’t choose hormone replacement theory are aging naturally, lol

I’m a healthcare policy walk who can answer any question on Medicare spend and is deep on the data of what happens to aging women in America. Anyone who says women are aging naturally are either deeply delusional or deeply denial and throw in a dose of deeply ignorant.

Do you have any idea of the number of postmenopausal women who are on antidepressants, anti-anxiety meds, prescriptions sleep aids, hypertension drugs, statins, osteoporosis medications, treatments for UTI, treatments for sexual dysfunction, and the list goes on. Not to mention the care that we spend on frailty from hip fractures, chronic pain meds from bone breaks, hospitalizations caused from UTIs in older women and again the list goes on.

Do you know a lot of dentists will not treat women who are on osteoporosis meds beyond basic cleanings because the mortality rate for any kind of dental surgery for women on these meds is so high? Have you thought about what might happen if you need to go on osteoporosis meds, and something happens to your dental health. You probably should.

While I agree that the evidence does not seem to be there to just put every woman on HRT for primary prevention - if women are having symptoms there does seem to be good evidence that it does help prevent the need for some of these other medical conditions.

I’d be very wary of anyone trying to stop any kind of discourse on HRT. It’s just a grift on the other side and frankly, the spend is a lot higher than what we would spend on HRT. Again, I will stress that I do not think every woman should be on HRT, but to not even entertain the need for research and do not even question The bad advice women got 25 years ago from a deeply flawed that has been retracted, there’s something really disturbing going on there.

There’s zero evidence that HRT’s “prevent” all the things you listed. HRTs are very effective for one thing - hot flashes. There is good evidence for osteoporosis. But women are still going to need statins, SSRIs, therapy, blood pressure meds, even when HRT.