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Doctor insights on: Osteoporosis In Postmenopausal Women

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Can woman in their thirties have osteoporosis; before menopause?

Can woman in their thirties have osteoporosis; before menopause?

Yes: Estrogen deprivation (you've had your ovaries removed or they don't work) or exposure to certain medicines (eg, anti-psychotics, seizure medicines, steroids) can cause osteoporosis in women in their 30's. However, if you haven't been estrogen deprived or exposed to toxic medicines it's unlikely. Most women lose maximal bone mass within 3 years of after menopause. An xray test can determine risk. ...Read more

Dr. PHILIP WALLER
1,580 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


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Can women in their thirties have osteopenia?

Can women in their thirties have osteopenia?

Yes: Poor calcium intake, multiple pregnancies, smoking, alcohol intake, and premature ovarian failure may cause osteopenia earlier than usual. ...Read more

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Do post-menopausal women have low levels of estrogen?

Yes: Hi. Yes, loss of estrogen is one of the hallmarks of menopause, and why estrogen/progestin replacement (if uterus in place) or estrogen replacement (if hysterectomized) is beneficial for postmenopausal symptoms. ...Read more

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Why is breast cancer more common in menopausal women?

Why is breast cancer more common in menopausal women?

Great Question!: ...Unfortunately, not so great answer. We know that breast cancer incidence increases with age but we don't know why. We believe that cancer occurs when a cell is unable to correct a defect in its dna--perhaps this ability is diminished as we age, or the long-term effects of the "toxins" that contribute to breast cancer development are cumulative in nature. ...Read more

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Causes of vaginal bleeding in menopausal women ?

Causes of vaginal bleeding in menopausal women
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Many possibilities: Many postmenopausal women will have minor break through bleeding, but if it continues or worsens, you need to see your gyn. ...Read more

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Do pre-menopausal women usually gain weight on tamoxifen?

Do pre-menopausal women usually gain weight on tamoxifen?

No: There have been many studies that have compared tamoxifen to placebo, demonstrating it's effectiveness treating breast cancer; none of these studies, to my knowledge, ever showed any difference between tamoxifen and placebo regarding weight gain. Nevertheless, as many as 10% of women on tamoxifen do report weight gain. This may be due to post-chemotherapy effects or menopause, as well. ...Read more

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How likely is ovarian cancer in premenopausal women?

How likely is ovarian cancer in premenopausal women?

Less under age of 40: Incidence is less in premenopausal woman, but not immune at any age, most common after the age of 40. ...Read more

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How common are hip fractures in women who didn't take estrogen?

How common are hip fractures in women who didn't take estrogen?

It is significant: Current use of estrogen appears to decrease the risk for fracture in older women. These results suggest that for protection against fractures, estrogen should be initiated soon after menopause and continued indefinitely. ...Read more

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Do women age40 have higher estrogen levels than teen girls?

Do women age40 have higher estrogen levels than teen girls?

Varies: Estrogen levels vary between women and they vary all the time within the same women. There is a generally accepted range based on the time of the menstrual cycle. Women 12 year old woman have higher peak estrogen levels than 40 year old woman and vice versa. So that is a difficult question to answer and may not be as important as why levels change. ...Read more

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What are normal levels of estrogen in women age 50?

What are normal levels of estrogen in women age 50?

Menopause: Hormone levels start to drop around or after menopause. No specific value can be given because every woman is different. Focus on proper health (calcium and vitamin d) during this time than for an actual hormone value. That will keep you young and healthy. ...Read more

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Why does spironolactone cause vaginal bleeding in postmenopausal women?

Why does spironolactone cause vaginal bleeding in postmenopausal women?

Bleeding.: No. If you are postmenopausal and having bleeding, you need to see your doctor and have an evaluation - some combination of biopsy, ultrasound, or hysteroscopy. ...Read more

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Can an oopherectomy reduce breast cancer recurrence in premenopausal women?

Can an oopherectomy reduce breast cancer recurrence in premenopausal women?

YES for ER positive: Oopherectomy has been proven to reduce recurrence in estrogen-receptor positive pre-menopausal women. Prior to tamoxifen, it was a commonly used treatment for metastatic disease and is now known to reduce recurrence in high-risk premenopausal hormone-receptor positive breast cancer, even without the use of other endocrine therapies. ...Read more

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Why do menopausal women have a high risk in endometrial cancer?

Why do menopausal women have a high risk in endometrial cancer?

Age, estrogen: Cancer, in general, is more common in older people. Also, a strong risk factor for endometrial cancer is prolonged exposure to estrogen because of early menstruation, late menopause, childlessness, and use of estrogen therapy without progesterone. Obesity is a risk factor too because fat tissue is a source of estrogen. ...Read more

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What causes very low estrogen levels in women aged 20-30 years old?

What causes very low estrogen levels in women aged 20-30 years old?

Pituitary/ovarian: As always, a thorough history and physical exam by a medical doctor is a must. The pituitary gland stimulates the ovaries to produce estrogen so there might be a problem with the pituitary gland (located in the brain) or the ovaries may not be producing adequate estrogen. Some common causes are eating disorders, excessive exercise and excessive stress. ...Read more

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Can regular exercise lower oestrogen in women ?

Can regular exercise lower oestrogen in women ?

Depends: Hi. Regular exercise is good for both genders. Regular EXCESSIVE exercise can cause amenorrhea and hypogonadism in women. The classic example is women endurance athletes. If you're still cycling (menstrual, not bicycle!) regularly, you're not hypogonadal. To your good health! ...Read more

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Does older women with pcos have increased fertility compared to older woman without pcos?

Does older women with pcos have increased fertility compared to older woman without pcos?

No: Pcos can disturb ovulation & fertility. The woman free of this condition would have better chances. By "older, " though, i hope you don't mean post-menopause? Pregnancy would not happen for either woman after that point. ...Read more

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
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I read that premenapausal women can get osteoporosis from tamoxifen, but postmenapausal cannot, is this true?

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
I read that premenapausal women can get osteoporosis from tamoxifen, but postmenapausal cannot, is this true?

In certain group: Tamoxifen is preserving bone density/decrease bone loss in postmenopausal women and in women who developed chemotherapy-induced amenorrhea. However, in premenopausal women who continued to menstruate after adjuvant chemotherapy, tamoxifen usage was associated with bone loss. ( jco 2006). ...Read more

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What patients with postmenopausal osteoporosis are at high risk (not all of them, right)?

What patients with postmenopausal osteoporosis are at high risk (not all of them, right)?

Brittle bones: Unfortunately, dexa, the standard way to diagnose osteoporosis can only tell the density of bone per volume, not he quality of the bone. Additional risk factors are propensity for falling, smoking, high coffee and carbonated drink intake and poor diet in general. ...Read more

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Best advice or treatment about Postmenopausal Osteoporosis, and I read in Internet about FOSVANCE.. What's your thought about it or any better medicin?

The Rx is determined: by a long work up involving family Hx, fracture Hx, T score & more.there R many meds that R used but the work up is very important in making that decision. Sometimes labs R needed to measure calcium & V-D3 levels in the blood. Also smoking & steroid use is detrimental. So it's not just a simple answer as 2 what Rx 2 use. ...Read more

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How can you decrase your risk of fractures due to postmenopausal osteoporosis?

How can you decrase your  risk of fractures due to postmenopausal osteoporosis?

Meds/exer/fall prev: Osteoporosis - poor bone quality and low bone quality- is very common, esp. In post- menopausal women. 50% may have a fracture after age 50. Calcium, vit. D, stopping cigs, reduce alcohol, fall prevention, wt. Bearing exercise, and medications (hormone therapy or anti- osteo meds are all part of a sensible regimen. Ideal approach is to prevent osteo in one's earlier years but great opportun. Now. ...Read more

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Can woman in their thirties have osteoporosis; before menopause?

Yes: Estrogen deprivation (you've had your ovaries removed or they don't work) or exposure to certain medicines (eg, anti-psychotics, seizure medicines, steroids) can cause osteoporosis in women in their 30's. However, if you haven't been estrogen deprived or exposed to toxic medicines it's unlikely. Most women lose maximal bone mass within 3 years of after menopause. An xray test can determine risk. ...Read more

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Are there many women who after ooph and meds develop severe osteoporosis and shouldnt they be monitored?

What meds: Aging, we start loosing bone after 35 years of age, family history of osteoporosis, caucasian, low bmi, taking high risk meds(steriods), menopausal state are risk factors for osteoporosis. Surveillance with bone density scans should start aroound fifty if at risk and after 60 if not at high risk. ...Read more

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57 year old Asian woman with osteoporosis. Any studies that show that diet & exercise alone can maintain health, i.e., drugs aren't necessary?

57 year old Asian woman with osteoporosis. Any studies that show that diet & exercise alone can maintain health, i.e., drugs aren't necessary?

A nutritionally-: oriented doc or a natural medicine doc can help. You need to be monitored but there are natural options such as a combo product of minerals and co-factors or strontium. Please do this under professional guidance. Peace and good health. ...Read more

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Why does osteoporosis happen more often in women?

Why does osteoporosis happen more often in women?

Several causes: Women generally have lower peak bone mass than men. At menopause (which men usually don't experience) the fall in estrogen levels leads to accelerated bone loss. They start at a lower level and lose faster -> more osteoporosis. ...Read more

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What is the single most important factor in reducing osteoporosis in older women?

Osteoporosis: There are many very good medications that can help control osteoporosis. The bone mineral density should be measured at least once a year while on therapy, or preferably every 6 months. ...Read more

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What is the treatment for osteoporosis for young women?

What is the treatment for osteoporosis for young women?

Osteoporosis: Osteoporosis is not common in young women unless there is a specific condition that causes it. Surely if your doctor has ordered a bone density test she/he has put you on the proper medication. If you have not had a test, how do you know you have osteoporosis? Can you provide me with other details please. ...Read more

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What is the best way for a woman to prevent osteoporosis?

Supplements: At your age you should take calcium 1200 mg per day and vitamin d3 1000 units per day and do impaction type exercises like running. ...Read more

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Is osteoarthritis and osteoporosis something only women get?

No: Both are common in men also. Osteoporosis will affect woman at a younger age on the average. ...Read more

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Does a woman with osteoporosis also have a more breakable skull?

Does a woman with osteoporosis also have a more breakable skull?

Not necessarily: Although osteo affects all bones, the spine and extremities are at higher risk for fracture. ...Read more

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I am a 64 year old female with osteoporosis. How much supplemental calcium should I take?

I am a 64 year old female with osteoporosis. How much  supplemental calcium should I take?

1000-1200mg: recommended total dietary calcium intake(combination from the diet plus supplements) for patient's less than 65 years old is 1000 mgs.
For patient's more than 65 years, total daily calcium intake recommended is 1200 mgs ...Read more

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Is vagifem helpful or otherwise a negative factor for a 67 yr. Old woman with osteoporosis?

Neither: The amount of estrogen that is absorbed into your circulation (and therefore helpful to your bones) is quite minimal with vagifem. That is both it's benefit (the estrogen stays local) and the limit (it doesn't get into the circulation). So - vagifem will neither help nor hurt your osteoporosis. Good luck! ...Read more

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What's the best treatment for pre menapausale women who are suffering from sever osteoporosis ?

What's the best treatment for pre menapausale women who are suffering from sever osteoporosis ?

Vit D3, ?Ca+2 ?Meds: Bone basically cartilage hardened with ca+2 & po4-2 ions, called hydroxyapatite. Vitamin d3 essential for ca+2 absorption & getting it into bones. Check vitamin d3 level, if low supplement to 50 ng/ml range or > & supplement dietary ca+2 with dairy and/or supplements, citracal one of the best. Bone stress also important (just not enough to break), exercise, not low impact. Biphophanate med option. ...Read more

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What would cause a spinal T-score of -6.0 in a 28 yr old female? Im really scared of my osteoporosis diagnoses! Help

What would cause a spinal T-score of -6.0 in a 28 yr old female? Im really scared of my osteoporosis diagnoses! Help

Very low LS T-score: A lumbar spine T-score of -6.0 is extremely low, but is difficult to interpret before menopause because the scoring system was designed for postmenopausal women. Young women with a family history of osteoporosis and/or with anorexia nervosa can have T-scores this low. Fortunately, peak (highest) bone mass is not reached until your early 30s, so your bone density can improve with weight gain. ...Read more

Dr. Mark Pack Dr. Pack
4 doctors agreed:
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Is light running acceptable to start if I am an otherwise healthy 54 year old female with osteoporosis? I worry mainly about causing spinal problems.

Dr. Mark Pack Dr. Pack
4 doctors agreed:

Depends: That frustrating comment that many exercise shows and most exercise programs say ' please see your doctor prior to beginning any exercise routine' is so true. It would be hard to answer your question without knowing your health status, the extent of your osteoporosis, and other pertinent factors about you. Please ask your doctor what would be safe for you to do. ...Read more