Pelvic tilt and estrogen

[Hcgreyson]

Only learned this was a thing recently.  Is pelvic tilt something that eventually happens to everyone, or just younger folks? Does it widen your hips at all?  Change your stride?  Change your height?

[VickySGV]

I frankly have no idea what you are talking about here.  I have never heard of anything happening to the pelvic bone structure due to post pubertal HRT Estrogen in the 15 years I have been on prescribed HRT which includes Estrogen.

 

Estrogen does affect the bone structure in a fetal child while they are developing in the uterus of the mother, and in puberty will affect the bones of the person, but those are not what happens in adults over the age of 25 on HRT to the best of what I have heard which has included discussions of the effects with both my own endocrinologist and other expert researchers.   

[Hcgreyson]

This is one of the things I saw/read:

 

https://countryfiedgirl.livejournal.com/41316.html?

 

if you Google estrogen and pelvic tilt or estrogen and hip rotation there are a bunch more.  I’d never heard of it until I saw something g in it this morning.  Not sure if it’s a thing or pseudoscience or what, but figured I’d ask

[VickySGV]

Ok, I read the article, and to me it is a word soup of either wishful or fearful thinking.  My suggestion if this is really an issue, is to ask your Endocrinologist or a Gynecologist, or just your family doctor.  The poster of that article does say it is her personal opinion and observation.  In the time I have been on E the real changes to my posture or walking have either been from aging or (long past) balance shifting from high heel shoes. 

[AllieJ]

Unfortunately, very few endrocrinologists or gynecologists would be able to answer this...I asked them and got no answersuntil I found an osteopath. 

 

Yes, Pelvic Tilt is s thing! It is a condition called Lordosis, occurs in a majority of cis women, and somewhere around a third of trans women (no official studies have been done). It is a NORMAL developmental condition where estrogen causes changes to the tendons supporting the hip, causing it to tilt forward. A lot of doctors have the misbelief that it is an abnormal condition requiring treatment, but this is their lack of knowledge. If the hip tilt becomes excessive, or occurs unevenly, it can cause problems with the hip joints, but this is a condition called HyperLordosis, and it is fairly easily treated by a physiotherapist.

 

Lordosis can sometimes cause back pain in trans women as it is happening, but usually not severe. The most common symptom reported is a rapid (over months) loss of height of up to 2 -3 inches. This is due to the hip tilt causing more curvature in the lower spine, reducing the overall length of the spine. Another benefit is making the butt more prominent. Most doctors try to attribute height loss to ageing, as they never learned about Lordosis.

 

My experience is that I lost 1 1/2 inches in height in 8 months, as measured by my doctor, who admitted she had no idea what was happening. The osteopath knew, and showed me documents to support it. I also found that exercises which strengthen back muscles can somewhat reverse Lordosis a bit, and I recovered half an inch by walking distances daily. Below is an illustration showing the increased spinal curvature from Lordosis, and to reiterate, it is a normal developmental condition!!!

 

Hugs,

 

Allie

 

 

[VickySGV]

I have Lordosis, and was first diagnosed years before really understanding anything about being Trans and was a male teenager with sadly normal male development.  It has been noted on my physical exams as Lordosis since young adulthood with no uncharacteristic hormone levels for a male.  I was prescribed exercises and given some training in safe and efficient lifting of objects which have been helpful all my life. The other name for it is Sway Back which is what most people know it as.  This link to WikiPedia gives a good description although even it mentions that it needs medical citation.

 

https://en.wikipedia.org/wiki/Lordosis