Hormone Therapy and Osteoporosis

“Consideration of MHT for symptom relief or osteoporosis prevention should be a part of an overall strategy including lifestyle recommendations regarding diet…”.1

Umbrella
What may the Hormone Therapy and Osteoporosis Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Menopausal Hormone Therapy (MHT)
  • Osteoporosis
  • Postmenopause Osteoporosis
  • Thin Bones

Osteoporosis

Can menopausal hormone therapy (MHT) be used for osteoporosis prevention?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT – endorsed by seven menopause-related organizations – published online 20 June 2016, is:

  • “Consideration of MHT for symptom relief or osteoporosis prevention should be a part of an overall strategy including lifestyle recommendations regarding diet, exercise, smoking cessation and safe levels of alcohol consumption for maintaining the health and quality of life of peri- and postmenopausal women”.2

Postmenopausal Bone Loss

Can MHT be used in the prevention of bone loss in postmenopausal women?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT is:

  • “MHT, including tibolone and CE/BZA, is effective in the prevention of bone loss in postmenopausal women”.3

What is CE/BZA?

CE/BZA can be an abbreviation for Conjugated Equine Estrogens and Bazedoxifene.

Postmenopausal Osteoporosis

Can MHT be used to lower the risk of osteoporosis?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT is:

Hormone Therapy and Osteoporosis

  • “MHT, including tibolone, can be initiated in postmenopausal women at risk of fracture or osteoporosis before the age of 60 years or within 10 years after menopause”.4

Postmenopausal Fractures

Can MHT be used to lower the risk of fractures in postmenopausal women?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT is:

  • “MHT has been shown to significantly lower the risk of hip, vertebral and other osteoporosis-related fractures in postmenopausal women”.5

Other Treatments

Apart from HT, can other treatments be recommended to preserve bone density?

On page one in Deciding About Hormone Therapy: Potential Risks published in June 2017, the NAMS elaborate on:

“Hormone therapy keeps your bones strong by preserving bone density and decreasing your risk of osteoporosis and fractures. If preserving bone density is your only concern, and you do not have bothersome hot flashes, other treatments may be recommended instead of HT”.6

Health Care Provider

What if I choose to use HT to prevent osteoporosis?

If you choose to use HT to prevent osteoporosis it may be in your best interest to also choose to talk to your health care provider about this.

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT is:

  • “The option of MHT is an individual decision in terms of quality of life and health priorities as well as personal risk factors such as age, time since menopause and the risk of VTE, stroke, ischemic heart disease and breast cancer. MHT should not be recommended without a clear indication for its use”.7

What is VTE?

VTE can be an abbreviation for Venous Thromboembolism.

Health Topics A-Z

Where may I find Health Topics related to Hormone Therapy and Osteoporosis?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

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Links

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  1. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 6. Myth – Complementary Medicines and Therapies Are As Effective As MHT and Safer
  2. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 7. Myth – Compounded Bioidentical Hormone Therapy Is Safer Than Conventional MHT
  3. BMS & WHC’s 2020 Recommendations on Hormone Replacement Therapy In Menopausal Women
  4. Bioidentical Hormones
  5. Bioidentical Hormones Explained – A British Menopause Society Video
  6. Bioidentical Hormones: Are They Safer?
  7. Combined Menopausal Hormone Therapy (MHT)
  8. Complementary Medicine Options for Menopausal Symptoms
  9. Complementary and Alternative Therapies Explained – A British Menopause Society Video
  10. Compounded Bioidentical Hormone Therapy [Video]
  11. Deciding About Hormone Therapy
  12. Deciding About Hormone Therapy Use
  13. Decidir Sobre La Hormonoterapia
  14. HRT: Types, Doses and Regimens
  15. HRT and Alternatives
  16. Health After Menopause
  17. Hormone Help Desk: ET, EPT, and More
  18. Hormone Replacement Therapy (HRT)
  19. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  20. Hormone Replacement Therapy (HRT): Alternatives
  21. Hormone Replacement Therapy (HRT): Types
  22. Hormone Therapy In Postmenopausal Women: Primary Prevention of Chronic Conditions
  23. Hormone Therapy: Is It Right for You?
  24. Index To Drug-Specific Information [United States]
  25. Lifestyle and Behaviour Changes for Menopausal Symptoms
  26. Lifestyle and Behavioural Modifications for Menopausal Symptoms
  27. Maintaining Health and Preventing Disease After the Menopause
  28. Making Choices At Menopause
  29. Making Sense of Menopausal Hormone Therapy Means Understanding the Benefits As Well As the Risks
  30. Managing Menopause: Don’t Let Symptoms of Menopause Reduce Your Quality of Life
  31. Menopause
  32. Menopause
  33. Menopause
  34. Menopause & Herbs
  35. Menopause FAQs: Hormone Therapy for Menopause Symptoms
  36. Menopause FAQs: Your Health After Menopause
  37. Menopause Management: Hormone Replacement Therapy (HRT)
  38. Menopause Matters
  39. Menopause Symptoms and Relief
  40. Menopause Treatment
  41. Menopause and Your Health
  42. Menopause: Diagnosis & Treatment
  43. Menopause: Diagnosis and Management – Information for the Public: Benefits and Risks of HRT [NICE Guideline]
  44. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  45. Menopause: Is Menopausal Hormone Therapy (HRT) Safe? [Multiply Languages] [Video]
  46. Menopause: Medicines To Help You
  47. Menopause: Menopause – Hormone Treatments
  48. Menopause: Non-Hormonal Treatment & Relief for Hot Flashes
  49. Menopause: Symptoms & Causes
  50. Menopause: What Is Menopausal Hormone Therapy (HRT)? [Multiply Languages] [Video]
  51. NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use
  52. National Center for Complementary and Integrative Health: Menopausal Symptoms: In Depth
  53. National Center for Complementary and Integrative Health: Natural Doesn’t Necessarily Mean Safer, or Better
  54. National Osteoporosis Month [May, United States]
  55. Non-Hormonal Treatment Options for Menopausal Symptoms
  56. NonHormonal Treatments for Menopausal Symptoms
  57. Oestrogen Only Menopausal Hormone Therapy
  58. Osteoporosis
  59. Osteoporosis
  60. Osteoporosis
  61. Osteoporosis Explained – A British Menopause Society Video
  62. Osteoporosis Treatment: A-Z of Osteoporosis Treatments
  63. Osteoporosis Treatment: Medications Can Help
  64. Osteoporosis: Bone Health Following Menopause
  65. Recipes: Bone Healthy Recipes [United States National Osteoporosis Foundation]
  66. Revised Global Consensus Statement on Menopausal Hormone Therapy
  67. Risks and Benefits of MHT
  68. Treatment
  69. Treatment
  70. Treatment: Questions Patients Have About Medications [Video]
  71. Video Series-2021 – What Women Need To Know About Hormone Therapies
  72. Videos and Podcasts: World Menopause Day 2021 – Interviews: Bone Health
  73. Videos and Podcasts: World Menopause Day 2021 – Interviews: Bone Health What Why and How
  74. Webinars: Previous – Update on Bone Health
  75. What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  76. World Menopause Day Hormone Therapy and Osteoporosis
  77. World Menopause Day: Patient Information Leaflet – Update on Bone Health [Multiply Languages] Hormone Therapy and Osteoporosis
  78. Hormone Therapy and OsteoporosisWorldosteoporosisday.org [World Osteoporosis Day]

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT. Climacteric, 2016;19:4:314 https://www.imsociety.org/wp-content/uploads/2020/08/global-consensus-hrt-2016-06.pdf Accessed: 20 December 2021
  2. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT. Climacteric, 2016;19:4:314 https://www.imsociety.org/wp-content/uploads/2020/08/global-consensus-hrt-2016-06.pdf Accessed: 20 December 2021
  3. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT. Climacteric, 2016;19:4:313 https://www.imsociety.org/wp-content/uploads/2020/08/global-consensus-hrt-2016-06.pdf Accessed: 20 December 2021
  4. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT. Climacteric, 2016;19:4:313 https://www.imsociety.org/wp-content/uploads/2020/08/global-consensus-hrt-2016-06.pdf Accessed: 20 December 2021
  5. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT. Climacteric, 2016;19:4:313 https://www.imsociety.org/wp-content/uploads/2020/08/global-consensus-hrt-2016-06.pdf Accessed: 20 December 2021
  6. Deciding About Hormone Therapy Use: Potential Risks. 2017:1. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/menonote-deciding-about-ht-2017.pdf Accessed: 20 December 2021
  7. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT. Climacteric, 2016;19:4:314 https://www.imsociety.org/wp-content/uploads/2020/08/global-consensus-hrt-2016-06.pdf Accessed: 20 December 2021

Topic Last Updated: 20 December 2021 – Topic Last Reviewed: 20 December 2021
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