Reply to Why does my doctor say HRT for women under 50 is not safe but everyone around me is taking it and feeling good?

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Reply to "Why does my doctor say HRT for women under 50 is not safe but everyone around me is taking it and feeling good?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Most of the doctors are relying on an old poorly designed study from over 20 years ago.  The more recent studies show that IF YOU START HRT BEFORE you are fully through menopause it has significant benefits in protecting your heart and brain.  If you wait until you are in your 60s, it’s too late because those receptors have turned off and so your body isn’t able to make appropriate use of the hormones and the effect is negative.[/quote]

This contradicts 14:24.

From my mother's abysmal experience with HRT, I'm not touching it.  Also, it doesn't make sense to me for "normal" menopause.  And the constantly changing medical recommendations do not inspire me to change my mind.[/quote]
+1 my mom had a horrific 18 months on hrt and died of ovarian cancer 15 years later.[/quote]

Most women do not have a horrific experience with HRT. It has also changed a lot over the years. In the WHI study, they were taking synthetic oral estrogen and progestin. [b]Now it’s often given as a bioidentical estrogen transdermal patch with bioidentical oral progesterone, which has lower risks of side effects.[/b] There is always a small risk of breast cancer, of course, but often the benefits outweigh the risk. My mother and grandmother both had osteoporosis, and I am in almost in menopause at age 45, so I am taking HRT for now.[/quote]

This is not conclusive:

[i]From the Mayo Clinic:[/i]
[b]Are bioidentical or natural hormones safer and more effective than hormones used in traditional hormone therapy for menopause symptoms?[/b]
Answer From Tatnai Burnett, M.D.

"No, they aren't. According to the Food and Drug Administration (FDA) and several medical specialty groups, the hormones marketed as "bioidentical" and "natural" aren't safer than hormones used in traditional hormone therapy. There's also no evidence that they're any more effective.

The term "bioidentical" means the hormones in the product are chemically identical to those your body produces. In fact, the hormones in bioidentical medications may not be any different from those in traditional hormone therapy. Several hormone therapy products approved by the FDA and prescribed by doctors or other health care providers contain bioidentical hormones."

https://www.mayoclinic.org/diseases-conditions/menopause/expert-answers/bioidentical-hormones/faq-20058460

[i]From the Cleveland Clinic:[/i]
[b]Conventional hormone therapy vs. bioidentical hormone therapy[/b]
"Compounded bioidentical hormones are advertised as being a safer, more effective, natural and individualized alternative to conventional hormone therapy. However, these claims remain unsupported. Also, the lack of FDA oversight for compounded hormones generates additional risks regarding the purity and safety of compounded bioidentical hormones."

https://my.clevelandclinic.org/health/treatments/15660-bioidentical-hormones

[i]From Harvard Medical School:[/i]
[b]Are bioidentical hormones superior to hormone medications?[/b]
January 1, 2022
By Toni Golen, MD, Editor in Chief, Harvard Women's Health Watch; Editorial Advisory Board Member, Harvard Health Publishing; Contributor, and Hope Ricciotti, MD, Editor at Large, Harvard Women's Health Watch

"While advertisers may claim that these bioidentical hormones are "natural" alternatives to hormone medications, the truth is that the two are often very similar — but bioidenticals may come with less quality assurance. Many FDA-approved hormone therapies also meet the description of a bioidentical (although they're not usually advertised this way). In some cases, they are actually made using the same ingredients as bioidentical hormones. There's little evidence that bioidenticals are superior to FDA-approved hormone medications, and in fact, bioidenticals may be riskier, because they aren't scrutinized or tested by the FDA to verify dose and purity."

https://www.health.harvard.edu/womens-health/are-bioidentical-hormones-superior-to-hormone-medications

[/quote]

Thank you for sharing this. [/quote]

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