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Premenopausal Osteoporosis

How Can the Risk of Premenopausal Osteoporosis Be Reduced?

Since there are some risk factors you can't change, you need to focus on what you can change. You can adopt a lifestyle that promotes good bone health by following these steps:

  • Eat a diet rich in calcium and vitamin D. If you can't get enough of these nutrients in the foods you eat, talk to your health care provider to see if supplements are right for you.
  • Get regular exercise. You'll need a combination of weight-bearing exercise and resistance training. But watch out for overtraining, which may increase the risk of osteoporosis caused by reduced estrogen production.
  • Avoid excessive alcohol.
  • Don't smoke.
  • Take osteoporosis medications, if needed.

Are There Ways to Screen for Premenopausal Osteoporosis?

A diagnosis of osteoporosis is not based on bone density testing alone. A key sign is low bone density accompanied by fractures.

If you have key risk factors for premenopausal osteoporosis, bone density testing may help you identify bone loss early. Then you can take steps to help preserve your bone mass. Ask your health care provider if you should be screened if you meet any of the following criteria:

  • you have a history of long-term use of steroid drugs such as prednisone
  • you have one of the diseases associated with bone loss, including thyroid disease or rheumatoid arthritis
  • you've experienced temporary or permanent early menopause

How Is Premenopausal Osteoporosis Treated?

There are several options for treating premenopausal osteoporosis. These treatments may slow and even reverse bone loss.

If you have taken steroids, your health care provider may prescribe a drug from the class of drugs known as bisphosphonates, such as Actonel, Binosto, Fosamax, or Boniva. These drugs have been shown to help combat osteoporosis. Other osteoporosis drugs are also available that help build bone and prevent further bone loss.

No matter what causes your premenopausal osteoporosis, the best thing you can do is adopt a lifestyle that promotes good bone health.

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WebMD Medical Reference

Reviewed by Melinda Ratini, DO, MS on March 24, 2013

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