Can you take HRT if you have osteoporosis?
Hormone Replacement Therapy (HRT) has been shown to reduce the risk of fracture and can be used to prevent or treat osteoporosis in postmenopausal women.
When is DEXA indicated?
Who should get a bone-density scan? For women over 65 and men over 70, DEXA scans are only appropriate for those with moderate risk of fracture or when the results will change the patients care plan. Younger women and men ages 50 to 69 should consider the test if they have risk factors for serious bone loss.
What is HRT How does HRT decrease the risk of developing osteoporosis?
Different effective treatments for osteoporosis are available. Hormone replacement therapy (HRT) at different doses rapidly normalizes turnover, preserves bone mineral density (BMD) at all skeletal sites, leading to a significant, reduction in vertebral and non-vertebral fractures.
Can I take HRT at 65?
It is not usually appropriate for women over 60 to be starting HRT but as the WHI study shows, women initiating it over 60 years do not seem to be at increased risk of cardiovascular events or mortality. Many women seek advice on the effects of HRT on sexual activity and desire.
Can HRT increase bone density?
Conclusions In physically frail elderly women, 9 months of HRT significantly increased BMD compared with placebo in clinically important skeletal regions. Further studies are needed to determine whether these osteogenic effects of HRT in elderly women are associated with a reduction in osteoporotic fractures.
What is at score for osteoporosis?
A T-score within 1 SD (+1 or -1) of the young adult mean indicates normal bone density. A T-score of 1 to 2.5 SD below the young adult mean (-1 to -2.5 SD) indicates low bone mass. A T-score of 2.5 SD or more below the young adult mean (more than -2.5 SD) indicates the presence of osteoporosis.
When do you use Z-score DEXA?
A Z-score is helpful in diagnosing secondary osteoporosis and is always used for children, young adults, women who are pre-menopausal, and men under age 50.
At what point should you start HRT?
You can usually begin HRT as soon as you start experiencing menopausal symptoms and will not usually need to have any tests first. A GP can explain the different types of HRT available and help you choose one that’s suitable for you. You’ll usually start with a low dose, which may be increased at a later stage.
Should a 65 year old woman take estrogen?
On the other hand, the American College of Obstetricians and Gynecologists (ACOG) says: “Because some women aged 65 years and older may continue to need systemic hormone therapy for the management of vasomotor symptoms, the ACOG recommends against routine discontinuation of systemic estrogen at age 65 years.
Does estrogen help osteoporosis?
Estrogen replacement therapy used to be the only FDA-approved treatment to prevent osteoporosis. There are now many other drugs and medications for osteoporosis, but estrogen remains a fairly common treatment to conserve bone mass and prevent osteoporosis-related fractures in post-menopausal women.
Does estrogen preserve bone density?
In conclusion, it seems that one-two years of transdermal estrogen delivery can increase bone density, preserve BMD, and successfully protect the bone structure in postmenopausal women. It can thus prevent single or multiple bone fractures and their consequent disability and poor quality of life in older women.
Is there a link between HRT and osteoporosis?
HRT and Osteoporosis – Your Long Term Bone Health There is a strong argument that modern life is contributing towards the increased incidence of osteoporosis. HRT (hormone replacement therapy) was offered as a way to protect against this but I believe that it is an incomplete and flawed plan.
What is postmenopausal osteoporosis and hormone replacement therapy?
Postmenopausal osteoporosis and hormone replacement therapy Osteoporosis is a systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture. Postmenopausal osteoporosis is a major public health problem.
When to stop taking HRT to protect your bones?
If you were sold HRT to protect you bones and you took or take it now during your 40s, 50s or 60s, even if it worked, no matter how long you take it for, when you stop the protection you hoped you were accruing would be fading at the point at which you are most at risk of a hip fracture and other bone health issues.
Do you need to take HRT to increase bone density?
HRT (hormone replacement therapy) was offered as a way to protect against this but I believe that it is an incomplete and flawed plan. Although taking HRT over a long period of time may possibly increase bone density there are three important practical points that need to be considered.
https://www.youtube.com/watch?v=0hoBJgKSrWQ