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postmenopausal women and osteoporosis

A 60-year-old female asked:
Dr. Pavel Conovalciuc
22 years experience Family Medicine
No: Postmenopausal women get osteoporosis even without the use of tamoxifen, let alone, with it.

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A 50-year-old member asked:
Dr. Luis Gonzalez
38 years experience Obstetrics and Gynecology
Brittle bones: Unfortunately, dexa, the standard way to diagnose osteoporosis can only tell the density of bone per volume, not he quality of the bone. Additional ri ... Read More
A 63-year-old female asked:
Dr. Peter Ihle
53 years experience Orthopedic Surgery
The Rx is determined: by a long work up involving family Hx, fracture Hx, T score & more.there R many meds that R used but the work up is very important in making that ... Read More
A 44-year-old member asked:
Dr. David Kurss
38 years experience Obstetrics and Gynecology
Meds/exer/fall prev: Osteoporosis - poor bone quality and low bone quality- is very common, esp. In post- menopausal women. 50% may have a fracture after age 50. Calcium, ... Read More
A 45-year-old member asked:
Dr. Thomas Knecht
30 years experience Endocrinology
Yes: Hi. Yes, loss of estrogen is one of the hallmarks of menopause, and why estrogen/progestin replacement (if uterus in place) or estrogen replacement (i ... Read More
A 53-year-old member asked:
Dr. Steven Saunders
42 years experience Internal Medicine
Menopause: Yes, low estrogen is associated with many symptoms of menopause.
A 50-year-old member asked:
Dr. Christian Schultheis
23 years experience Hematology and Oncology
Controversial: It is approved for aromatase induced bone loss. There has also been data but in my opinion still inconclusive on preventing recurrence but some data ... Read More
A 59-year-old member asked:
Dr. Barry Rosen
33 years experience General Surgery
No: There have been many studies that have compared tamoxifen to placebo, demonstrating it's effectiveness treating breast cancer; none of these studies, ... Read More
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11 thanks
A 37-year-old member asked:
Dr. Chad Boomershine
18 years experience Rheumatology
Yes: Estrogen deprivation (you've had your ovaries removed or they don't work) or exposure to certain medicines (eg, anti-psychotics, seizure medicines, st ... Read More
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5 thanks
A 51-year-old member asked:
Dr. Andrew Alexander
38 years experience Obstetrics and Gynecology
Bleeding.: No. If you are postmenopausal and having bleeding, you need to see your doctor and have an evaluation - some combination of biopsy, ultrasound, or hys ... Read More
A 53-year-old member asked:
Dr. Barry Rosen
33 years experience General Surgery
Yes: In fact, the risk of breast cancer increases with each passing year.
A 36-year-old female asked:
Dr. Pamela Pappas
41 years experience Psychiatry
No: Pcos can disturb ovulation & fertility. The woman free of this condition would have better chances. By "older, " though, i hope you don't mean post- ... Read More
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1 thank
A 49-year-old member asked:
Dr. Andrew Turrisi
46 years experience Radiation Oncology
Need to know: Er/pr receptor status on resected tumor, as if these are negative, no role for hormone therapy. Post orpre-menopausal er+ patients are treated with t ... Read More
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1 comment
A 53-year-old member asked:
Dr. Videh Mahajan
24 years experience Internal Medicine
PM: I think you mean vaginitis. Lack of estrogen and thinning of vaginal wall.
A 55-year-old member asked:
Dr. Michael Traub
18 years experience Fertility Medicine
Varies: Estrogen levels vary between women and they vary all the time within the same women. There is a generally accepted range based on the time of the mens ... Read More
A 40-year-old member asked:
Dr. Gurmukh Singh
48 years experience Pathology
Yes: Poor calcium intake, multiple pregnancies, smoking, alcohol intake, and premature ovarian failure may cause osteopenia earlier than usual.
A member asked:
Dr. Jeff Livingston
21 years experience Obstetrics and Gynecology
PCOS: PCOS can increase androgens in patients regardless of their weight. The effects on Estrogen are less clear as these levels fluctuate and typically wou ... Read More
1
1 thank
A 52-year-old member asked:
Dr. Andrew Turrisi
46 years experience Radiation Oncology
? Post Menopausal?: Since the frquency and incidence of endometrial cancer increases with age, that would also correspond with menopausal status...The low incidence of ta ... Read More
A 52-year-old member asked:
Dr. Ahmad M Hadied
48 years experience Orthopedic Surgery
It is significant: Current use of estrogen appears to decrease the risk for fracture in older women. These results suggest that for protection against fractures, estroge ... Read More
A 40-year-old member asked:
Dr. Barry Rosen
33 years experience General Surgery
Great Question!: ...Unfortunately, not so great answer. We know that breast cancer incidence increases with age but we don't know why. We believe that cancer occurs ... Read More
A 40-year-old member asked:
Dr. Kathryn Wagner
30 years experience General Surgery
Tamoxifen: We don't give tamoxifen in combination with hormone replacement in the us. Occassionally use vaginal very low dose estrogen cream for vag dryness and ... Read More
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1 thank
A 58-year-old male asked:
Dr. Sewa Legha
49 years experience Medical Oncology
Yes it is OK: You can take these medicines together. There is no significant interaction or harm. So relax and take them as advised by your doctor.
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1 thank
A 56-year-old member asked:
Dr. Gerard Honore
28 years experience Fertility Medicine
Shouldn't?: In general there's no over-ruling reason they shouldn't take it, but ask instead what's the reason for them to take it? Often there may be other more ... Read More
A 65-year-old male asked:
Dr. Ralph Morgan Lewis
37 years experience Family Medicine
Controversial: Researchers in a large study found that "... Increasing calcium intake from diet might not confer significant cardiovascular benefits, while calcium ... Read More
1
1 thank

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