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Author Topic: HRT--good or bad?  (Read 742507 times)

meenaruss

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Re: HRT--good or bad?
« Reply #1140 on: January 04, 2021, 09:23:25 AM »

Hi can you still be perimenopausal at 59???
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Postmeno3

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Re: HRT--good or bad?
« Reply #1141 on: January 04, 2021, 11:40:02 AM »

I was on oestrogen only systemic HRT for a long time after a hysterectomy. I was never better. I developed M.E . much later on and, again, coped as well as possible and managed to climb rapidly from severe to moderate to moderate/mild. I put this down to the far-reaching qualities of oestrogen which I think go vastly underestimated. Around the time of the breast cancer scare, I was bullied off my HRT by a gp who said (and I quote) "You have two choices here. Stop your HRT immediately or wake up on a trolley somewhere with your breasts off." (There is no form of any type of cancer whatsoever throughout my family.) I was early 50s. Brutal! I sought a second opinion in the same practice, a man this time and was told the same. Stop immediately. I asked if phasing out would be kinder to my systems and was told no. I stopped. It was like falling off a cliff. My M.E. and general health deteriorated rapidly and I developed deep buttock abscesses which would not heal for months, huge amounts of antibiotics involved. My cognitive, physical and emotional resources and balance have not recovered. Now, I use Estring to help with recurrent utis and discomfort down below when sitting. This has helped enormously and I am now trying Estriol cream for the vulval/external area. I have a moderate quality of life which I know is down to many practices like Mindfulness and paced, limited, physical exercise, but I know my M.E. and general wellbeing would be better still on systemic HRT. Those were unquestionably my best times. My next plan of action is to seek a referral to a menopause clinic and post-meno specialist there. Perhaps my best times can yet return! I think a lot needs to be done to support women through menopause who have life-changing conditions where the benefits of oestrogen can be understood, validated and acted on.
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Uptick

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Re: HRT--good or bad?
« Reply #1142 on: January 04, 2021, 12:23:42 PM »

Hi can you still be perimenopausal at 59???

Yes.

They call it late onset menopause and it's more common than one might think.

The Timing of the Age at Which Natural Menopause Occurs
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3285482/

Should I be worried about late-onset menopause? » Professor Andreas Obermair
https://www.obermair.info/latest-news/blog/late-onset-menopause/

Age at natural menopause and risk of incident cardiovascular disease: a pooled analysis of individual patient data - The Lancet Public Health
https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(19)30155-0/fulltext

« Last Edit: January 04, 2021, 12:26:36 PM by Uptick »
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sheila99

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Re: HRT--good or bad?
« Reply #1143 on: January 04, 2021, 01:39:35 PM »

Hi can you still be perimenopausal at 59???
Yes. I'm 60 and have just had a proper period. There's a thread on it, there are several members on here not meno after 55.
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Hurdity

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Re: HRT--good or bad?
« Reply #1144 on: January 06, 2021, 05:22:47 PM »

Hi can you still be perimenopausal at 59???

Yes.

They call it late onset menopause and it's more common than one might think.

The Timing of the Age at Which Natural Menopause Occurs
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3285482/

Should I be worried about late-onset menopause? » Professor Andreas Obermair
https://www.obermair.info/latest-news/blog/late-onset-menopause/

Age at natural menopause and risk of incident cardiovascular disease: a pooled analysis of individual patient data - The Lancet Public Health
https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(19)30155-0/fulltext

As far as I can see, although interesting, I don't think these references actually address meenaruss's question - about menopause at age 59 and beyond.

Meenaruss - as with every condition there is a range and there will be individuals that fall at either end of the spectrum - so a few women/girls will experience very early menopause - sometimes even in their 20's and a few also in their late 50's. There are studies on this - but one I found you have to request full text and I haven't done that.

The most important points are that whilst it is within the range of normality to experience late menopause, the nearer to 60 you get, the more vigilant you need to be in relation to bleeds etc - and to report anything that seems very abnormal for you, unusaly pains, heavy bleeding etc - just in case there is an abnormal cause.

Some women develop fibroids as they age which respond to oestrogen  and these can cause bleeding if they get to large. Also some women have endometriosis, polyps etc

Another point is that once you start HRT it is not possible at all to determine when you reach menopause  because the HRT either overrides the cycle if peri-menopausal, or if post-meno can cause bleeding due to imbalance of oestrogen and progestyerone. The only way to determine this when on HRT (presumably) is to scan the ovaries I think and look at follicular count (?), possibly the hormone Anti Mullerian Hormone (AMH) - but this is not routinely measured and I'm not sure anyway what happens to this hormone once you start HRT.

Just realised that you had made other posts before the Q about peri-menopause....

"Are you going to have the Essure coil removed?" Essure coil  - this wasn't mentioned so no idea where that comment came from??

Meenaruss - you'll need to explain about this as it's not clear? Why don't you start a new post on a new thread and we can explore your situation more fully?

Like I said if you are on HRT there  is no knowing when you become or became menopausal but an indication will be what your periods were doing when you started HRT and you age then.

If the HRT has caused the thickening then this just means that the balance between oestrogen and progesterone is not right and you need to make some adjustment. There is no need to stop if there is no good reason for this.

That said you could still be one of the outliers and have a natural period at 59 but this is not a likely explanation - but never say never!

Good to have hysteroscopy and biopsy to check all is well and check for any abnormalities which could be causing the thickening (other than HRT imbalance) - then take it from there.

Hope this helps

Hurdity x


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Carol E

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Re: HRT--good or bad?
« Reply #1145 on: January 06, 2021, 07:39:57 PM »

Can I startHRT at age 70?
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Joaniepat

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Re: HRT--good or bad?
« Reply #1146 on: January 06, 2021, 08:00:34 PM »

Can I startHRT at age 70?
Yes you can. You will probably need a menopause specialist though, it is unlikely that a GP will prescribe it.
JP x
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meenaruss

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  • Posts: 21
Re: HRT--good or bad?
« Reply #1147 on: January 08, 2021, 11:45:06 PM »

Hi can you still be perimenopausal at 59???

Yes.

They call it late onset menopause and it's more common than one might think.

The Timing of the Age at Which Natural Menopause Occurs
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3285482/

Should I be worried about late-onset menopause? » Professor Andreas Obermair
https://www.obermair.info/latest-news/blog/late-onset-menopause/

Age at natural menopause and risk of incident cardiovascular disease: a pooled analysis of individual patient data - The Lancet Public Health
https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(19)30155-0/fulltext

As far as I can see, although interesting, I don't think these references actually address meenaruss's question - about menopause at age 59 and beyond.

Meenaruss - as with every condition there is a range and there will be individuals that fall at either end of the spectrum - so a few women/girls will experience very early menopause - sometimes even in their 20's and a few also in their late 50's. There are studies on this - but one I found you have to request full text and I haven't done that.

The most important points are that whilst it is within the range of normality to experience late menopause, the nearer to 60 you get, the more vigilant you need to be in relation to bleeds etc - and to report anything that seems very abnormal for you, unusaly pains, heavy bleeding etc - just in case there is an abnormal cause.

Some women develop fibroids as they age which respond to oestrogen  and these can cause bleeding if they get to large. Also some women have endometriosis, polyps etc

Another point is that once you start HRT it is not possible at all to determine when you reach menopause  because the HRT either overrides the cycle if peri-menopausal, or if post-meno can cause bleeding due to imbalance of oestrogen and progestyerone. The only way to determine this when on HRT (presumably) is to scan the ovaries I think and look at follicular count (?), possibly the hormone Anti Mullerian Hormone (AMH) - but this is not routinely measured and I'm not sure anyway what happens to this hormone once you start HRT.

Just realised that you had made other posts before the Q about peri-menopause....

"Are you going to have the Essure coil removed?" Essure coil  - this wasn't mentioned so no idea where that comment came from??

Meenaruss - you'll need to explain about this as it's not clear? Why don't you start a new post on a new thread and we can explore your situation more fully?

Like I said if you are on HRT there  is no knowing when you become or became menopausal but an indication will be what your periods were doing when you started HRT and you age then.

If the HRT has caused the thickening then this just means that the balance between oestrogen and progesterone is not right and you need to make some adjustment. There is no need to stop if there is no good reason for this.

That said you could still be one of the outliers and have a natural period at 59 but this is not a likely explanation - but never say never!

Good to have hysteroscopy and biopsy to check all is well and check for any abnormalities which could be causing the thickening (other than HRT imbalance) - then take it from there.

Hope this helps

Hurdity x
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meenaruss

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Re: HRT--good or bad?
« Reply #1148 on: January 08, 2021, 11:52:20 PM »

Hi can you still be perimenopausal at 59???

Yes.
Hi  - this has been extremely helpful Thankyou.  Just to add something else into the mix I was fitted with the essure clips/coils in 2007 and then was diagnosed with adenomyosis in 2009 (heavy very painful periods).  I then had endometrial ablation to no avail - did not work.  In 2016 after having not had a period for 5 months I was put on evorel sequí patches due to severe menopause symptoms and this worked wonders.  In 2018 I changed to the oestrogel and progesterone.  I have been somewhat alarmed to read all the reports on essure and wonder if this has contributed to my problems.
They call it late onset menopause and it's more common than one might think.

The Timing of the Age at Which Natural Menopause Occurs
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3285482/

Should I be worried about late-onset menopause? » Professor Andreas Obermair
https://www.obermair.info/latest-news/blog/late-onset-menopause/

Age at natural menopause and risk of incident cardiovascular disease: a pooled analysis of individual patient data - The Lancet Public Health
https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(19)30155-0/fulltext

As far as I can see, although interesting, I don't think these references actually address meenaruss's question - about menopause at age 59 and beyond.

Meenaruss - as with every condition there is a range and there will be individuals that fall at either end of the spectrum - so a few women/girls will experience very early menopause - sometimes even in their 20's and a few also in their late 50's. There are studies on this - but one I found you have to request full text and I haven't done that.

The most important points are that whilst it is within the range of normality to experience late menopause, the nearer to 60 you get, the more vigilant you need to be in relation to bleeds etc - and to report anything that seems very abnormal for you, unusaly pains, heavy bleeding etc - just in case there is an abnormal cause.

Some women develop fibroids as they age which respond to oestrogen  and these can cause bleeding if they get to large. Also some women have endometriosis, polyps etc

Another point is that once you start HRT it is not possible at all to determine when you reach menopause  because the HRT either overrides the cycle if peri-menopausal, or if post-meno can cause bleeding due to imbalance of oestrogen and progestyerone. The only way to determine this when on HRT (presumably) is to scan the ovaries I think and look at follicular count (?), possibly the hormone Anti Mullerian Hormone (AMH) - but this is not routinely measured and I'm not sure anyway what happens to this hormone once you start HRT.

Just realised that you had made other posts before the Q about peri-menopause....

"Are you going to have the Essure coil removed?" Essure coil  - this wasn't mentioned so no idea where that comment came from??

Meenaruss - you'll need to explain about this as it's not clear? Why don't you start a new post on a new thread and we can explore your situation more fully?

Like I said if you are on HRT there  is no knowing when you become or became menopausal but an indication will be what your periods were doing when you started HRT and you age then.

If the HRT has caused the thickening then this just means that the balance between oestrogen and progesterone is not right and you need to make some adjustment. There is no need to stop if there is no good reason for this.

That said you could still be one of the outliers and have a natural period at 59 but this is not a likely explanation - but never say never!

Good to have hysteroscopy and biopsy to check all is well and check for any abnormalities which could be causing the thickening (other than HRT imbalance) - then take it from there.

Hope this helps

Hurdity x
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PurpleFaze

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Re: HRT--good or bad?
« Reply #1149 on: January 13, 2021, 04:09:38 PM »

Hello

I wonder if anyone could help. I've just been prescribed Evorel Conti by my GP, 3.2mg. Although my FSH levels came up as those of a post menopausal woman, I still get periods, although these have become irregular over the last few months.  It's my understanding that Evorel Conti is for women who haven't had a period for about 18 months. Has anyone else been prescribed this in perimenopause?

Thank you.
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Stockport1965

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Re: HRT--good or bad?
« Reply #1150 on: January 17, 2021, 07:54:10 AM »

I am starting to do my research to see if HRT would be the path to go down.
I am 55 and my menopause age was approx 44. I have vaginal atrophy and zero libido. Apart from that, no other symptoms.

I have just been diagnosed with Osteoporosis and am borderline for Osteo meds.

Would HRT be advisable?
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Taz2

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Re: HRT--good or bad?
« Reply #1151 on: January 17, 2021, 08:17:38 AM »

Hello

I wonder if anyone could help. I've just been prescribed Evorel Conti by my GP, 3.2mg. Although my FSH levels came up as those of a post menopausal woman, I still get periods, although these have become irregular over the last few months.  It's my understanding that Evorel Conti is for women who haven't had a period for about 18 months. Has anyone else been prescribed this in perimenopause?

Thank you.

Hi PurpleFaze. It seems your post has been missed. Conti HRT is usually prescribed once you have been without periods for a year unless you are over the age of 53 (sometimes 54). Hope this helps.

Taz x  :)
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sheila99

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Re: HRT--good or bad?
« Reply #1152 on: January 17, 2021, 10:46:19 AM »

Hello

I wonder if anyone could help. I've just been prescribed Evorel Conti by my GP, 3.2mg. Although my FSH levels came up as those of a post menopausal woman, I still get periods, although these have become irregular over the last few months.  It's my understanding that Evorel Conti is for women who haven't had a period for about 18 months. Has anyone else been prescribed this in perimenopause?

Thank you.
Yes, I was. I got it home and read the information sheet that says it's for menopausal women (one year without a period). I rang the surgery, they apologised and changed it to evorel sequi.
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FitnessPleese

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Re: HRT--good or bad?
« Reply #1153 on: January 19, 2021, 05:56:56 PM »

HEY LADIES. Question. I was told that I may be being put on the pill. This is by an endocrinologist. I do have an appointment with a NEW gyno Friday, since mine is retiring in Feb. I am about to be 50. Have not a period in two years. No symptoms really during these two years. A few here and there. BUT NOW, IT IS FULL TILT. Any advice, thought, etc... Please help if you can.
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sheila99

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Re: HRT--good or bad?
« Reply #1154 on: January 19, 2021, 08:31:30 PM »

Do you mean birth control pill? I would ask for hrt instead.
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