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Author Topic: HRT and joint pain  (Read 1649 times)

Marshabookworm

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HRT and joint pain
« on: September 02, 2024, 06:29:46 PM »

I've just had a very disappointing visit to the GP's. I've had a terrible knee and leg since Friday, haven't done anything to it but all of a sudden it felt tight, sore and painful to walk on.

Over the last few weeks I've had bowel trouble, a UTI and am nearly 3 weeks late. I'm convinced that all this is menopausal. I've tried HRT before but only for a couple of months... My husband said I went crazy on it 😁

If all this is because of low oestrogen then I can't bear the idea of dealing with all these aches and pains, so I thought I would try HRT again to see if it helped. My normal GP is on maternity, so saw a locum who refused to even entertain the idea that HRT would help, trying to make me go onto painkillers and PPI's that I can't take (I have a funny heart so have a list of things I can't have). If the knee still hurts then I can go back in a few weeks and they'll look at other options, xrays etc.

I came home and burst into tears. I have some HRT left. Is it bad to start taking them without a doctor knowing? Should I just take the dose I was on before. I'm due to have a hysteroscopy at some point for a thickened lining - would that make a difference? Will HRT honestly help with my aches and pains or does it make no difference?
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bombsh3ll

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Re: HRT and joint pain
« Reply #1 on: September 02, 2024, 07:22:17 PM »

It can't hurt, and if it does you can just stop it.

New guidelines are clear that HRT doesn't need to be stopped whilst waiting for a hysteroscopy however I would chase up that appointment if you have been waiting for some time.

Not all GPs are menopause literate and sometimes we have to meet them where they are at and go with "hot flushes" and "night sweats", with a copy of the NICE guidelines in our bag.
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CLKD

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Re: HRT and joint pain
« Reply #2 on: September 02, 2024, 07:44:02 PM »

Despite the British Menopause Society insisting that medics are being educated it obviously isn't getting through to many  :-\ : because your situation of a GP not knowing much or wanting to learn, is more normal than it ought to be.

Why did you stop the HRT regime?  Also if you can take a cancellation appt for the hysteroscopy i.e. when someone no longer wants the appt or doesnt' show, then let the Dept know and they can contact you.  They may also know how long the wait is likely 2 B.

As oestrogen levels drop the body may becoem dry : inside and out; skin, deep in the ears, vagina, nostrils, scalp and muscles may become lax = aches and pains.  If this is a sudden onset of pain then at least listen to the patient?   MayB if this continues you could self refer to a physio for advice, do not undergo any manipulation-type treatments with an X-ray of the painful areas.

Your symptoms are familiar to me.  Did your GP send off a urine sample to be 'grown' in a Lab. regarding the UTI?  This is probably the start of vaginal atrophy, again caused by a loss of oestrogen which is our elasticity.  Appropriate treatment really helps with this condition so do read the 'bladder issues' and threads about VA.  I would also ring the Surgery to ask for a referral to a dedicated menopause clinic: not a gynaecologist as they often don't know much more than many GPs seem to : as there are waiting lists.  VA mimics repeated urine infection-type symptoms really really well and many medics have no concept.

3 weeks late probably = peri-menopause.  My periods waxed and waned for years and I knew it was The Change so wasn't particularly concerned.  Also I haven't suffered much in the way of flushes but I do have a supportive GP, with a Wife my age ;-).

Some find that keeping a mood/food/symptom diary of use to chart progress.   Let us know how you get on.
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AKatieD

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Re: HRT and joint pain
« Reply #3 on: September 02, 2024, 07:49:13 PM »

HRT solved my knee osteoarthritis, if that is what it is.

If the pain persists you may need an MRI to tell for sure though.

But could also "suck it and see" with repeat HRT. However, you said you did not get on well last time so you may need to start low and increase slowly.
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joziel

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Re: HRT and joint pain
« Reply #4 on: September 02, 2024, 09:56:20 PM »

Before HRT, I woke up every morning feeling like I was 80. My hips, knees and wrists all hurt. Getting up from the floor after kneeling I was very stiff. I had trigger finger in my hands when I woke up (v stiff fingers which flicked up and down).

I had bloods run for arthritis - all normal.

I was referred to rheumatology and was just about to start HRT anyway for other symptoms. They told me to start it and see if it helped.

All those aches and pains went away after just a few months.

For sure, try HRT. But you will need to find a more supportive GP and persevere with getting the right dosage of hormones for you. It sounds like you gave up way too early at the first obstacle last time....
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Marshabookworm

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Re: HRT and joint pain
« Reply #5 on: September 03, 2024, 03:10:43 AM »

Thank you all for your comments, it's appreciated. Im already seeing a gynae for the thickened lining so I suppose I could ask her. I don't see her now until October though. I think I just had a bit of a panic at seeing a doctor who didn't really want to listen, my other doctor was so good. I think I'll make an appointment to see another one to discuss things. I came off the HRT originally again as I had a bit of a wobbly that I was taking something I didn't need to - I always felt I could sail through the menopause without needing anything, obviously I was wrong!!
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Kathleen

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Re: HRT and joint pain
« Reply #6 on: September 03, 2024, 07:17:19 AM »

Hello Marsha bookworm.


I know of someone who was given HRT specifically to treat her aches and pains. She uses a 50 mg Oestrogen patch and has a Mirena coil and this regime has worked well for her.

I hope that is helpful and take care.

K.

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CLKD

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Re: HRT and joint pain
« Reply #7 on: September 03, 2024, 08:25:45 AM »

What do you expect from the Gynaecologist?   Is this for a scan?
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joziel

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Re: HRT and joint pain
« Reply #8 on: September 03, 2024, 10:20:10 AM »

Marsha, even if you have zero symptoms, taking HRT will greatly benefit your future health, reduce the rate of aging (new paper just out), reduce risk of dementia, bowel cancer, osteoporosis, and cardiovascular disease and arthritis. It's about protecting your future health.
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Marshabookworm

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Re: HRT and joint pain
« Reply #9 on: September 03, 2024, 10:57:43 AM »

What do you expect from the Gynaecologist?   Is this for a scan?
I don't understand what you mean? Wouldn't a gynae know about HRT?
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sheila99

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Re: HRT and joint pain
« Reply #10 on: September 03, 2024, 12:41:50 PM »

Some do but many don't, their knowledge is more from the reproductive/sexual health side. For hrt it would be better to see a menopause specialist.
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CLKD

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Re: HRT and joint pain
« Reply #11 on: September 03, 2024, 02:26:09 PM »

As sheila99 reports - R U expecting a scan ?

GPs are also pretty clueless sometimes hence the need for more dedicated menopause clinics.
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Marshabookworm

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Re: HRT and joint pain
« Reply #12 on: September 03, 2024, 09:27:04 PM »

I'm waiting for an appointment for a scan.
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