Menopause is a key turning point in a woman’s bone health. In her article, Dr Ashlesha Dhairyawan explains how declining oestrogen levels during menopause can significantly increase the risk of bone loss and osteoporosis, leading to a higher likelihood of fractures and long-term mobility issues.
Key Insights from Dr Dhairyawan:
Oestrogen Decline and Bone Density
- Oestrogen plays a vital role in maintaining bone strength by slowing down bone resorption (the natural process where bone is broken down).
- During and after menopause, oestrogen levels drop sharply, causing the body to lose bone mass faster than it can rebuild it.
- Women can lose up to 20% of their bone density in the first 5–7 years post-menopause.
Osteoporosis Risk
- Osteoporosis is a silent condition that makes bones fragile and more susceptible to fractures, particularly in the spine, hips, and wrists.
- It often develops without symptoms until a fracture occurs, making early awareness and prevention essential.
Screening and Diagnosis
- Dr Dhairyawan highlights the importance of bone density testing (DEXA scan) for postmenopausal women, especially those with risk factors such as family history, low body weight, or early menopause.
- Regular screening helps identify bone loss early and guide appropriate treatment.
Protecting Your Bones
- Calcium- and vitamin D-rich diets, weight-bearing exercises (like walking or resistance training), and avoiding smoking or excessive alcohol are key to protecting bone health.
- In some cases, medications such as bisphosphonates or Hormone Replacement Therapy (HRT) may be recommended to help maintain bone density.
Proactive Care Is Key
Dr Dhairyawan stresses that bone loss is preventable and manageable, especially when women are proactive about their bone health during perimenopause and beyond. A personalised, preventive approach can help women stay strong, active, and independent as they age.
To read the full article, please click on the following link: Bone health and menopause: what’s the connection?
