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 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”.4

Postmenopausal Osteoporosis

Can MHT be used to lower the risk of fracture or 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:

  • “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”.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

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Health Topics A-Z

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  1. 2016 IMS Recommendations on Women’s Midlife Health and Menopause Hormone Therapy
  2. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 6. Myth – Complementary Medicines and Therapies Are As Effective As MHT and Safer
  3. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 7. Myth – Compounded Bioidentical Hormone Therapy Is Safer Than Conventional MHT
  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. Deciding About Hormone Therapy
  11. Deciding About Hormone Therapy Use
  12. Decidir Sobre La Hormonoterapia
  13. Final Recommendation Statement: Hormone Therapy for the Primary Prevention of Chronic Conditions In Postmenopausal Women
  14. HRT and Alternatives
  15. Health After Menopause
  16. Hormone Help Desk: ET, EPT, and More
  17. Hormone Replacement Therapy (HRT)
  18. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  19. Hormone Replacement Therapy (HRT): Alternatives
  20. Hormone Replacement Therapy (HRT): Types
  21. Hormone Therapy In Postmenopausal Women: Primary Prevention of Chronic Conditions
  22. Hormone Therapy: Is It Right for You?
  23. Index To Drug-Specific Information [United States]
  24. Information About Menopause [Multiply Languages] [Videos]
  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. Medication and Treatment
  32. Menopause
  33. Menopause
  34. Menopause
  35. Menopause & Herbs
  36. Menopause FAQs: Hormone Therapy for Menopause Symptoms
  37. Menopause FAQs: Your Health After Menopause
  38. Menopause Management: Hormone Replacement Therapy (HRT)
  39. Menopause Matters
  40. Menopause Symptoms and Relief
  41. Menopause Treatment
  42. Menopause and Women’s Health In Later Life
  43. Menopause and Your Health
  44. Menopause – How Will It Affect My Health? [Multiply Languages] [Video]
  45. Menopause – Is Menopausal Hormone Therapy (HRT) Safe? [Multiply Languages] [Video]
  46. Menopause – Non-Hormonal Treatment Options [Multiply Languages] [Video]
  47. Menopause – What Are the Symptoms? [Multiply Languages] [Video]
  48. Menopause – What Is Menopausal Hormone Therapy (HRT)? [Multiply Languages] [Video]
  49. Menopause: Diagnosis & Treatment
  50. Menopause: Diagnosis and Management – Information for the Public: Benefits and Risks of HRT [NICE Guideline]
  51. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  52. Menopause: Hormone Replacement Therapy (HRT) [Video Interview Stories]
  53. Menopause: Medicines To Help You
  54. Menopause: Menopause – Hormone Treatments
  55. Menopause: Non-HRT and Lifestyle Options [Video Interview Stories]
  56. Menopause: Non-Hormonal Treatment & Relief for Hot Flashes
  57. Menopause: Symptoms & Causes
  58. NAMS 2017 Position Statement Updates Guidelines for Hormone Therapy Use
  59. National Center for Complementary and Integrative Health: Menopausal Symptoms: In Depth
  60. National Center for Complementary and Integrative Health: Natural Doesn’t Necessarily Mean Safer, or Better
  61. Non-Hormonal Treatment Options for Menopausal Symptoms
  62. NonHormonal Treatments for Menopausal Symptoms
  63. Oestrogen Only Menopausal Hormone Therapy
  64. Osteoporosis
  65. Osteoporosis
  66. Osteoporosis
  67. Osteoporosis Explained – A British Menopause Society Video
  68. Osteoporosis Treatment: Medications Can Help
  69. Osteoporosis: Bone Health Following Menopause
  70. Recipes: Bone Healthy Recipes [United States National Osteoporosis Foundation]
  71. Revised Global Consensus Statement on Menopausal Hormone Therapy
  72. Risks and Benefits of MHT/HRT
  73. Therapeutic Management
  74. Treating Osteoporosis
  75. Treatment Options
  76. Treatment: Questions Patients Have About Medications [Video]
  77. Video Series-2019 – Bone Density Facts
  78. Video Series-2020 – Bone Health What You Need To Know
  79. Video Series-2020 – TSECs—A New Treatment Option for Hot Flashes and Night Sweats
  80. What Is Menopausal Hormone Therapy (MHT) and Is It Safe?
  81. What Is Osteoporosis?

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/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 28 August 2020
  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/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 28 August 2020
  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/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 28 August 2020
  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/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 28 August 2020
  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/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 28 August 2020
  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: 28 August 2020
  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/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 28 August 2020

Topic Last Updated: 28 August 2020 – Topic Last Reviewed: 28 August 2020
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