Billie, an active 72-year-old, becomes concerned about the risk of osteoporosis after a close friend suffers an osteoporosis-related spinal fracture. She asks her doctor about estrogen replacement. What is the current consensus on estrogen for osteoporosis prevention?
Research has confirmed that long-term estrogen replacement is safe for postmenopausal women.
High dose estrogen should be used initially and then Billie should be switched to a maintenance dose.
Estrogen is the first line agent for postmenopausal women like Billie.
Estrogen should only be used if Billie is unable to take other medications and the potential benefits outweigh the risks.
Answer: Estrogen should only be used if Billie is unable to take other medications and the potential benefits outweigh the risks.