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Menopause

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Menopause without HRT?

373 replies

twoheaped · 07/08/2017 08:43

Is it possible to go through the menopause without HRT?

I have never taken the contraceptive pill, or used a chemical device as I just didn't really fancy the idea of taking hormones.
Now I guess the menopause will be coming in the next few years and I have found little information on going it alone, as such.
Can it be done? I'm still not keen on the thought of taking hormones.

OP posts:
RealNotImaginary · 13/08/2017 20:05

Equally the scientists who have contributed to the reports don't have an individual's personal medical history. Of course discussion with a GP is sensible.

LuluandtheNightshade · 13/08/2017 20:08

There has been comment about osteoporosis so just looked up some stats if anyone is interested - (if not ignore!):

QUOTE
**
Osteoporosis - Incidence and burden

Worldwide, osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporotic fracture every 3 seconds (214).
Osteoporosis is estimated to affect 200 million women worldwide - approximately one-tenth of women aged 60, one-fifth of women aged 70, two-fifths of women aged 80 and two-thirds of women aged 90 (240).
Osteoporosis affects an estimated 75 million people in Europe, USA and Japan (1).
For the year 2000, there were an estimated 9 million new osteoporotic fractures, of which 1.6 million were at the hip, 1.7 million were at the forearm and 1.4 million were clinical vertebral fractures. Europe and the Americas accounted for 51% of all these fractures, while most of the remainder occurred in the Western Pacific region and Southeast Asia (214).
Worldwide, 1 in 3 women over age 50 will experience osteoporotic fractures, as will 1 in 5 men aged over 50 (2,3,4).
80%, 75%, 70% and 58% of forearm, humerus, hip and spine fractures, respectively, occur in women. Overall, 61% of osteoporotic fractures occur in women, with a female-to-male ratio of 1.6 (214).
Nearly 75% of hip, spine and distal forearm fractures occur among patients 65 years old or over (5).
A 10% loss of bone mass in the vertebrae can double the risk of vertebral fractures, and similarly, a 10% loss of bone mass in the hip can result in a 2.5 times greater risk of hip fracture (6).
By 2050, the worldwide incidence of hip fracture in men is projected to increase by 310% and 240% in women, compared to rates in 1990. (7).
The combined lifetime risk for hip, forearm and vertebral fractures coming to clinical attention is around 40%, equivalent to the risk for cardiovascular disease (8).
Osteoporosis takes a huge personal and economic toll. In Europe, the disability due to osteoporosis is greater than that caused by cancers (with the exception of lung cancer) and is comparable or greater than that lost to a variety of chronic noncommunicable diseases, such as rheumatoid arthritis, asthma and high blood pressure related heart disease (214).
A prior fracture is associated with an 86% increased risk of any fracture (10).
Although low BMD confers increased risk for fracture, most fractures occur in postmenopausal women (56,168,169) and elderly men (170) at moderate risk.
In women over 45 years of age, osteoporosis accounts for more days spent in hospital than many other diseases, including diabetes, myocardial infarction and breast cancer (11).
Evidence suggests that many women who sustain a fragility fracture are not appropriately diagnosed and treated for probable osteoporosis (84,85).
The great majority of individuals at high risk (possibly 80%), who have already had at least one osteoporotic fracture, are neither identified nor treated (86).
An IOF survey, conducted in 11 countries, showed denial of personal risk by postmenopausal women, lack of dialogue about osteoporosis with their doctor, and restricted access to diagnosis and treatment before the first fracture result in underdiagnosis and undertreatment of the disease (12).

*
UNQUOTE

www.iofbonehealth.org/facts-statistics

Taking HRT does help prevent osteoporosis and lessen its severity (depending on age, genetics, dose, duration etc)

LuluandtheNightshade · 13/08/2017 20:25

Those who are unable to take HRT for medical reasons may want to have a look at this latest paper (consensus statement) from Post Reproductive Health (formerly menopause International) summarising evidence and recommendations for non- hormonal based treatments for menopausal symptoms. I think Polly also gave a link to the RCOG scientific paper so this latest can be seen as additional:

Consensus Statement for non-hormonal-based treatments for menopausal symptoms

PollyPerky · 13/08/2017 21:44

Dignity the reason I mentioned bullying is because you are choosing only to comment on my posts on this (and disagree with them) rather persistently, and not those saying the same thing by a number of other posters. I was not overreacting to your comment on asking your GP. His answer would be valid if he/ she is a menopause expert.

PollyPerky · 13/08/2017 21:47

Equally the scientists who have contributed to the reports don't have an individual's personal medical history. Of course discussion with a GP is sensible.

Have you read the report? It might help if you do before you comment on it. Because the very first page says that treatment should be individualised.

RealNotImaginary · 13/08/2017 22:11

So how do you get individualised treatment without involving your GP, somewhere along the way, Polly? Even if only for a referral?

Dignity7 · 13/08/2017 22:13

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

Dignity7 · 13/08/2017 22:14

I'm insulted by your accusation of bullying because I want to ask my GP about the menopause. Bizarre

Dignity7 · 13/08/2017 22:14

You are incredibly rude in your posts.

Dignity7 · 13/08/2017 22:29

Your aggressive posts with only one view point are bordering on obessive

Dignity7 · 13/08/2017 22:36

Do not accuse me of bullying.

PollyPerky · 13/08/2017 22:42

No I am reporting you for bullying because you continue to pick my posts and links apart, and disagree with everything I post, even disagreeing with the International Menopause Society , but you aren't doing the same with other posters who make the same points as me. You seem to want to single me out and be rude when you are losing the 'argument.'

I let you 'kettle / black' insult go but that was rude of you.

PollyPerky · 13/08/2017 22:45

Real we are talking at cross purposes. Of course you have to see your GP for treatment.

Dignity said she wanted to ask her GP a specific question on the summary of the IMS report. I posted their quote about mortality and HRT . She said she wanted to ask her GP if this was true. I said he'd have to have read the report to see the evidence or be trained in HRT and menopause to give an answer.

Dignity7 · 13/08/2017 22:50

This reply has been deleted

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Dignity7 · 13/08/2017 22:51

This reply has been deleted

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thenightsky · 13/08/2017 22:55

Polly I notice you said that HRT helps with heart health. My GP is stopping mine due to 'heart risks of long term use' (his words).

I started taking it around age 45. Now 58. He says it needs to be reduced and stopped by 60.

He has cut it from 6mg to 1mg and says I need to cut that to 1mg every other day for three months, then stop.

I feel like shit on the 1mg. I can no longer do my running due to pain in joints. I cannot sleep properly. My head is a fuzzy mess. etc.

I'm desperate now and researching on-line about buying it.

RealNotImaginary · 13/08/2017 22:59

Polly, with regard to what Dignity said, here:

I will ask my doctor if research says you will live longer on HRT?

I think this comment is appropriate. She won't live longer if her medical history means HRT is deemed medically unsuitable. What is good for a lot of women is not good for every woman.

RealNotImaginary · 13/08/2017 23:09

What complicates all this, though, is the apparent politicalisation of treatment. Getting proper treatment for a woman's health issue, unfortunately becomes a feminist issue - as women's health and bodily autonomy is compromised when doctors do not listen to women or fully explain (or be able to explain) their clinical decisions.

However the knock on effect of this should not be to berate the women who do not choose to take HRT, or who are worried about it or who cannot take it anyway. They need reassurance and unbiased information concerning alternatives, just as much as other women might need appropriate HRT.

LuluandtheNightshade · 13/08/2017 23:14

Woah - this thread seems to have deterioriated into a personal attack..

This of course will have been said but seems to have been lost somewhere: re the HRT/ GP thing - research shows trends and provides evidence of efficacy and important adverse side effects or consequences of a specific treatment. It cannot be used to predict an individual's fate (obvs!).

Potential users of HRT need to weigh up the overall risks and benefits both in general (for populations of women) and for them specifically in conjunction with their medical practitioner. As I am sure has been said - evidence shows that for otherwise healthy women it is deemed safe to take HRT at least to age 60 and in many cases beyond - and of course this will be tempered by an individual's particular medical circumstances.

Even when there it could be inadvisable to take HRT eg for genetic reasons ( susceptibility to breast cancer for example), some women who are suffering menopausal symptoms choose to opt for quality of life in the medium term against an unquantified possible risk, and choose to take that risk.

Goingtobeawesome · 14/08/2017 07:36

Growingpeopleme - thank you for the book recommendation. I've ordered it and another one about middle overweight.

I'm peri-menopausal and realise now it's been about ten months but as it started at time of great stress followed by huge trauma a few months later, I just put it down to that. Currently very anxious, low, suicidal, shattered. Finding it very hard to work out if caused by stress/trauma or just menopause.

weebarra · 14/08/2017 21:55

lulu - thank you so much for the link to the paper! I'm a breast cancer survivor who is BRCA2 positive. After surgical menopause,I had a bit of a nightmare with flushes etc. The menopause clinic put me on citalopram which has been great. Still have big issues with VA though.
Also would like to say that polly and I have had our differences on these threads, but she is incredibly knowledgeable about HRT, and yes, it is a feminist issue!

Peacefully123 · 12/01/2025 10:34

Could anyone let me know what natural alternatives to HRT that you have tried successfully? I have a fibroid which has started bleeding again 4 months after I started Hrt (gel) and I’m having to reconsider. Mood very low. Thank you.

Twoweekcruise · 13/01/2025 14:13

This is a zombie thread Peacefully123, you'd probably be better off starting a new one in the Menopause section.

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