What is the first treatment for postmenopausal osteoporosis?

A bone density scan measures bone mineral density at key sites and helps place the result alongside your age, previous fractures, medicines and other health factors. The scan is an assessment, not a treatment, but it guides the choice of bone-protective medicine.

Care may include resistance and balance exercise, adequate calcium and vitamin D from suitable sources, stopping smoking, moderating alcohol and reducing trip hazards. A clinician may discuss prescription treatment when fracture risk is elevated. Hormone replacement therapy can be relevant for some people with menopausal symptoms, but it is not suitable for everyone.

Take prescribed medicine as directed and mention dental treatment, kidney problems, previous fractures and all other medicines before starting therapy. Make the home safer with good lighting, clear walkways and supportive footwear. Ask for help with an exercise plan if pain, weakness or balance problems make activity difficult.

Seek prompt assessment after a fall with new hip, back or wrist pain, difficulty standing, or sudden loss of height. Urgent care is appropriate for severe pain, inability to bear weight or new numbness or weakness. Do not stop a prescribed osteoporosis medicine without discussing it with the prescriber.

Ask what your scan shows, how your fracture risk was assessed, which treatment fits your health history and how progress or side effects will be monitored.