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Osteoporosis

Osteoporosis refers to weakening of bones due to loss of bone mass and calcium.  As we age, bones gradually loose their strength and when we pass age of 60-65 these problems can turn into a major medical problem.  Certain people are at higher risk of developing Osteoporosis. Among them are Women past their menstruating years.  The incidence of osteoporosis increases, as women get older.  These days, we are more aware of this problem and all physicians should address the potential treatment and intervention options.  Osteoporosis can cause bone fracture and in elderly which can be very debilitating.

Women who receive chemotherapy may develop ovarian dysfunction and premature menopause. These women are at greater risk of developing Osteoporosis at significantly earlier age.   Young women, who are treated for breast cancer or the curable cancers, should receive care and treatment to prevent Osteoporosis. Ovaries produce female hormones, among which are Estrogens that are very important for the health and well being of bones.  After menopause, the estrogen production is reduced and women are exposed to a higher risk of developing the following problems Osteoporosis and Coronary Artery Disease.  Hormone replacement and treatment with other drugs should be considered for such women.

 

Diagnosis:

Osteoporosis can be diagnosed by special X ray study, Bone Mineral Densitometry.  This test can help in making a determination as to the bone density and the status of bone minerals.

 

Sign and Symptoms:

Our goal is to detect this condition before it becomes symptomatic.  Symptoms of later stages of this disease are:

 

--Loss of height, shortening
--Kyphosis, bowing of the spine
--Bone Fractures

 

Treatment:

All healthy women who are near or past menopause should take supplemental Calcium and Vitamin D.  Women who already have a low bone density or have received chemotherapy should consider additional treatment with newer drugs that can help with reduction in the rate of bone loss such as Fosamax.