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Doctor insights on: Postmenopausal Women And Osteoporosis

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Do post-menopausal women have low levels of estrogen?

Do post-menopausal women have low levels of estrogen?

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 (if hysterectomized) is beneficial for postmenopausal symptoms. ...Read more

Dr. PHILIP WALLER
1,580 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


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Do pre-menopausal women usually gain weight on tamoxifen?

Do pre-menopausal women usually gain weight on tamoxifen?

No: There have been many studies that have compared tamoxifen to placebo, demonstrating it's effectiveness treating breast cancer; none of these studies, to my knowledge, ever showed any difference between tamoxifen and placebo regarding weight gain. Nevertheless, as many as 10% of women on tamoxifen do report weight gain. This may be due to post-chemotherapy effects or menopause, as well. ...Read more

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Can woman in their thirties have osteoporosis; before menopause?

Can woman in their thirties have osteoporosis; before menopause?

Yes: Estrogen deprivation (you've had your ovaries removed or they don't work) or exposure to certain medicines (eg, anti-psychotics, seizure medicines, steroids) can cause osteoporosis in women in their 30's. However, if you haven't been estrogen deprived or exposed to toxic medicines it's unlikely. Most women lose maximal bone mass within 3 years of after menopause. An xray test can determine risk. ...Read more

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Why does spironolactone cause vaginal bleeding in postmenopausal women?

Why does spironolactone cause vaginal bleeding in postmenopausal women?

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 hysteroscopy. ...Read more

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Does older women with pcos have increased fertility compared to older woman without pcos?

Does older women with pcos have increased fertility compared to older woman without pcos?

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-menopause? Pregnancy would not happen for either woman after that point. ...Read more

Dr. Liawaty Ho Dr. Ho
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Is combined tamoxifen plus hormonal therapy better for breast cancer in pre or postmenopausal women?

Dr. Liawaty Ho Dr. Ho
3 doctors agreed:
Is combined tamoxifen plus hormonal therapy better for breast cancer in pre or postmenopausal women?

Estrogen supression: In general, aromatase inhibitor is only indicated for postmenopausal women ;not for premenopausal; while on the other hand, tamoxifen can be given either in pre or postmenopausal. Only thing is that tamoxifen can cause a little bit higher risk for complication -i.e. Risk for blood clots and risk for develping uterine cancer- when used in older population- age of -65 Y.O. Or above. ...Read more

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Do women age40 have higher estrogen levels than teen girls?

Do women age40 have higher estrogen levels than teen girls?

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 menstrual cycle. Women 12 year old woman have higher peak estrogen levels than 40 year old woman and vice versa. So that is a difficult question to answer and may not be as important as why levels change. ...Read more

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Can women in their thirties have osteopenia?

Can women in their thirties have osteopenia?

Yes: Poor calcium intake, multiple pregnancies, smoking, alcohol intake, and premature ovarian failure may cause osteopenia earlier than usual. ...Read more

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Can POCS causes both high androgen and estrogen levels if not overweight? Can eating pyhytoestrogens increase breast cancer in women with POCS?

Can POCS causes both high androgen and estrogen levels if not overweight? Can eating pyhytoestrogens increase breast cancer in women with POCS?

PCOS: PCOS can increase androgens in patients regardless of their weight. The effects on Estrogen are less clear as these levels fluctuate and typically would not be tested in PCOS. The LH and FSH levels are checked but not Estrogen. The effects of Phytoestrogens such as soy on the risk of breast cancer are debatable. There is not specific recommendation for PCOS patients to avoid them ...Read more

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Why do menopausal women have a high risk in endometrial cancer?

Why do menopausal women have a high risk in endometrial cancer?

Age, estrogen: Cancer, in general, is more common in older people. Also, a strong risk factor for endometrial cancer is prolonged exposure to estrogen because of early menstruation, late menopause, childlessness, and use of estrogen therapy without progesterone. Obesity is a risk factor too because fat tissue is a source of estrogen. ...Read more

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How common are hip fractures in women who didn't take estrogen?

How common are hip fractures in women who didn't take estrogen?

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, estrogen should be initiated soon after menopause and continued indefinitely. ...Read more

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Why is breast cancer more common in menopausal women?

Why is breast cancer more common in menopausal women?

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 when a cell is unable to correct a defect in its dna--perhaps this ability is diminished as we age, or the long-term effects of the "toxins" that contribute to breast cancer development are cumulative in nature. ...Read more

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Is combined tamoxifen plus hormonal therapy more effective in pre or postmenopausal women and why?

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 tell pts to use a little as they can to relieve symptoms. Blocking hormones and giving them at same time does not make much sense. ...Read more

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70 yo female w/osteoporosis and family hx of BRCA breast cancer. Ok to Denosumab and Reloxifene therapy together??

70 yo female w/osteoporosis and family hx of BRCA breast cancer. Ok to Denosumab and Reloxifene therapy together??

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. ...Read more

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Why should perimenopausal women not take menopausal hormone therapy?

Why should perimenopausal women not take menopausal hormone therapy?

Perimenopause: is the months before the cessation of menses. Many women have adequate estrogen during these months. Most women do not ovulate or ovulate sporadically during this transition so they do not produce progesterone. A blood test can determine your need. ...Read more

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Should women on HRT with cardiac risk factors take calcium supplements?

Should women on HRT with cardiac risk factors take calcium supplements?

Controversial: Researchers in a large study found that "... Increasing calcium intake from diet might not confer significant cardiovascular benefits, while calcium supplements, which might raise [heart attack] risk, should be taken with caution." the increased risk may be due to high levels of calcium from 1-2 doses of supplement as opposed to the small amounts absorbed from diet. Ask your cardiologist on this. ...Read more