Osteoporosis Health Center
Osteoporosis Questions
What is osteoporosis?
Osteoporosis (oss-tee-oh-puh-ro-sis) is a condition that means your bones are weak, and you’re more likely to break a bone. Since there are no symptoms, you might not know your bones are getting weaker until you break a bone!
A broken bone can really affect a woman’s life. It can cause disability, pain, or loss of independence. It can make it harder to do daily activities without help, such as walking. This can make it hard to participate in social activities. It can also cause severe back pain and deformity.
What bones does osteoporosis affect?
Osteoporosis can happen to any of your bones, but is most common in the hip, wrist, and in your spine, also called your vertebrae ( ver-tuh-bray). Vertebrae are important because these bones support your body to stand and sit upright. See the picture below.
Osteoporosis in the vertebrae can cause serious problems for women. A fracture in this area occurs from day-to-day activities like climbing stairs, lifting objects, or bending forward
- Sloping shoulders
- Curve in the back
- Height loss
- Back pain
- Hunched posture
- Protruding abdomen
What things cause me to have a higher chance of getting osteoporosis?
Things that can increase your chances of developing osteoporosis include:
- being female
- small, thin body (under 127 pounds)
- family history of osteoporosis
- being postmenopausal or of an advanced age
- Caucasian or Asian race, but African American and Hispanic women are also at significant risk for developing the disease
- abnormal absence of menstrual periods or having an eating disorder, such as anorexia nervosa or bulimia that can cause menstrual periods to stop before menopause, and loss of bone tissue from too much exercise
- low testosterone levels in men
- a diet low in dairy products or other sources of calcium and vitamin D
- inactive lifestyle
- long-term use of glucocorticoids (medicines prescribed for many diseases, including arthritis, asthma, and lupus) anti-seizure medications; gonadotropin releasing hormone for treatment of endometriosis; aluminum-containing antacids; certain cancer treatments; and excessive thyroid hormone
- cigarette smoking and drinking too much alcohol
How can I find out if I have weak bones?
There are tests you can get to find out your bone strength, also called bone density. One test is a dual-energy x-ray absorptiometry (DEXA). A DEXA takes x-rays of your bones. There are also other types of bone strength tests too. Talk with your doctor or nurse about which type of test is best for you.
If you are age 65 and older, you should get a bone density test. If you are between ages 60 and 64, weigh less than 154 pounds, and don’t take estrogen, get a bone density test. Don’t wait until age 65. You have a higher chance for breaks.
WebMD Public Information from the U.S. Department of Health and Human Services
VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.
INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.
The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.

