Osteoporosis and menopause: What you should know…

Osteoporosis and menopause: What you should know…

femur (thigh bone) fracture
  • How common is osteoporosis?  Almost half of women older than 50 years will experience a fracture related to osteoporosis in their lifetimes.  These fractures often resulting in significant symptoms and impairment of function and quality of life.  Hip fractures may require surgery, a rehab stay or long-term nursing home.  Osteoporosis is substantially underdiagnosed and undertreated.  Ask your physician if a bone density (DEXA) test is right for you.
  • Estrogen deficiency at menopause is the primary cause of bone loss leading to osteoporosis.
  • Even with good nutrition and regular physical activity, osteoporosis progresses with advancing age unless treated.  There is no cure for osteoporosis so life-long management is required once the diagnosis has been made.
  • Hormone therapy is the most appropriate choice to prevent bone loss at the time of menopause for healthy women, particularly those who have menopause symptoms.
  • Bone mineral density measured while on treatment correlates with the patient’s current risk of fracture, providing justification for the use of the T-score at the hip as an appropriate clinical target. Therapy should be reviewed after each bone density test.
  • Although antiremodeling drugs such as bisphosphonates and denosumab are the drugs chosen to treat most patients with osteoporosis, a new paradigm of beginning treatment with a bone-building agent, followed by an antiremodeling agent, is recommended for women at very high risk of fracture.  Talk to your doctor about what may be right for you.

About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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