What to expect from hormone replacement therapy for postmenopausal osteoporosis

Lower oestrogen after menopause can contribute to thinning and weakening bones. HRT can help maintain bone tissue while it is being used, but it is not automatically the right choice for everyone with osteoporosis. The plan depends on fracture history, age, symptoms, clot risk and other conditions.

HRT may be given as tablets or through the skin. If you have a womb, progestogen is generally added to protect its lining. Treatment for bone health is considered alongside strength exercise, adequate calcium and vitamin D intake, fall prevention and medicines specifically designed for osteoporosis when appropriate.

Bring details of previous fractures, medicines, smoking, alcohol, falls and family history. Ask whether bone-density testing or blood tests are needed and when they will be repeated. Take treatment exactly as prescribed and report side effects; do not stop suddenly without discussing an alternative plan.

Get urgent help for chest pain, sudden breathlessness, coughing blood, one-sided leg swelling, or sudden weakness or speech difficulty. Seek prompt assessment after a fall with significant pain, suspected fracture, or new persistent vaginal bleeding.

Ask how HRT compares with osteoporosis medicines for your fracture risk, how long it may be suitable, what lifestyle measures support bone strength, and how progress will be checked.