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STOP performing DXA scans in healthy, perimenopausal women START counseling all women on lifestyle interventions to avoid fractures

The authors report no financial relationships relevant to this article.

CASE: Premature treatment for osteopenia

A 57-year-old woman presents to establish care and discuss concerns related to menopause and osteoporosis management. She is G2P2, healthy, 5 ft 6 in, and 130 lb. She underwent natural menopause at age 51; her vasomotor symptoms have been mild, and she has not used hormone therapy. Upon annual physical examination at age 52, her former physician referred her for a mammogram, bone-density assessment, and colonoscopy. Osteopenia (femoral neck T-score, –1.8) was noted on dual-energy x-ray absorptiometry (DXA), and alendronate 70 mg per week was started.

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Lisa Larkin, MD

Associate Professor, Department of Obstetrics and Gynecology, and Director, Division of Midlife Women’s Health and Primary Care, University of Cincinnati. Dr. Larkin is also Medical Director of the UC Health Women’s Center, West Chester, Ohio. She is a NAMS certified menopause practitioner.

Andrew M. Kaunitz, MD

Professor and Associate Chairman, Department of Obstetrics and Gynecology, University of Florida College of Medicine–Jacksonville. Dr. Kaunitz serves on the OBG Management Board of Editors.

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OBG Management - 25(01)
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33-34
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Lisa Larkin MD;Andrew M. Kaunitz MD;DXA scans;dual-energy x-ray absorptiometry;BMD;bone mineral density;perimenopause;menopause;lifestyle interventions;fractures;fracture risk assessment tool;FRAX;hormone therapy;vasomotor symptoms;vaginal dryness;osteopenia;osteoporosis;alendronate;raloxifene;calcitonin;calcium;vitamin D;exercise;alcohol intake;NAMS;North American Menopause Society;bisphosphonate;2006 Osteoporosis Position Statement;women aged 65 and older;low bone mass;bone health;
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EXPERT COMMENTARY


Lisa Larkin, MD

Associate Professor, Department of Obstetrics and Gynecology, and Director, Division of Midlife Women’s Health and Primary Care, University of Cincinnati. Dr. Larkin is also Medical Director of the UC Health Women’s Center, West Chester, Ohio. She is a NAMS certified menopause practitioner.

Andrew M. Kaunitz, MD

Professor and Associate Chairman, Department of Obstetrics and Gynecology, University of Florida College of Medicine–Jacksonville. Dr. Kaunitz serves on the OBG Management Board of Editors.

Author and Disclosure Information

EXPERT COMMENTARY


Lisa Larkin, MD

Associate Professor, Department of Obstetrics and Gynecology, and Director, Division of Midlife Women’s Health and Primary Care, University of Cincinnati. Dr. Larkin is also Medical Director of the UC Health Women’s Center, West Chester, Ohio. She is a NAMS certified menopause practitioner.

Andrew M. Kaunitz, MD

Professor and Associate Chairman, Department of Obstetrics and Gynecology, University of Florida College of Medicine–Jacksonville. Dr. Kaunitz serves on the OBG Management Board of Editors.

Article PDF
Article PDF

The authors report no financial relationships relevant to this article.

CASE: Premature treatment for osteopenia

A 57-year-old woman presents to establish care and discuss concerns related to menopause and osteoporosis management. She is G2P2, healthy, 5 ft 6 in, and 130 lb. She underwent natural menopause at age 51; her vasomotor symptoms have been mild, and she has not used hormone therapy. Upon annual physical examination at age 52, her former physician referred her for a mammogram, bone-density assessment, and colonoscopy. Osteopenia (femoral neck T-score, –1.8) was noted on dual-energy x-ray absorptiometry (DXA), and alendronate 70 mg per week was started.

CLICK HERE to read more

The authors report no financial relationships relevant to this article.

CASE: Premature treatment for osteopenia

A 57-year-old woman presents to establish care and discuss concerns related to menopause and osteoporosis management. She is G2P2, healthy, 5 ft 6 in, and 130 lb. She underwent natural menopause at age 51; her vasomotor symptoms have been mild, and she has not used hormone therapy. Upon annual physical examination at age 52, her former physician referred her for a mammogram, bone-density assessment, and colonoscopy. Osteopenia (femoral neck T-score, –1.8) was noted on dual-energy x-ray absorptiometry (DXA), and alendronate 70 mg per week was started.

CLICK HERE to read more

Issue
OBG Management - 25(01)
Issue
OBG Management - 25(01)
Page Number
33-34
Page Number
33-34
Publications
Publications
Topics
Article Type
Display Headline
STOP performing DXA scans in healthy, perimenopausal women START counseling all women on lifestyle interventions to avoid fractures
Display Headline
STOP performing DXA scans in healthy, perimenopausal women START counseling all women on lifestyle interventions to avoid fractures
Legacy Keywords
Lisa Larkin MD;Andrew M. Kaunitz MD;DXA scans;dual-energy x-ray absorptiometry;BMD;bone mineral density;perimenopause;menopause;lifestyle interventions;fractures;fracture risk assessment tool;FRAX;hormone therapy;vasomotor symptoms;vaginal dryness;osteopenia;osteoporosis;alendronate;raloxifene;calcitonin;calcium;vitamin D;exercise;alcohol intake;NAMS;North American Menopause Society;bisphosphonate;2006 Osteoporosis Position Statement;women aged 65 and older;low bone mass;bone health;
Legacy Keywords
Lisa Larkin MD;Andrew M. Kaunitz MD;DXA scans;dual-energy x-ray absorptiometry;BMD;bone mineral density;perimenopause;menopause;lifestyle interventions;fractures;fracture risk assessment tool;FRAX;hormone therapy;vasomotor symptoms;vaginal dryness;osteopenia;osteoporosis;alendronate;raloxifene;calcitonin;calcium;vitamin D;exercise;alcohol intake;NAMS;North American Menopause Society;bisphosphonate;2006 Osteoporosis Position Statement;women aged 65 and older;low bone mass;bone health;
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