Osteoporosis is often called the "silent disease" because it progresses without noticeable symptoms until a fracture occurs. People who go through menopause are especially at risk due to the decline in estrogen levels, which play a vital role in maintaining bone density. Menopause affects not only women; it can impact all individuals with ovaries and a uterus regardless of their gender identity.

A woman of menopausal age smiling with a flower in her hand.
As people age, particularly after menopause, they experience a decrease in bone density, which can lead to osteoporosis.

The Importance of Early Prevention

Preventing osteoporosis should start early in life, ideally in childhood and adolescence when bone growth is at its peak. Building strong bones during these formative years can help reduce the risk of osteoporosis later in life. However, it’s never too late to start taking measures to protect bone health.

Early prevention involves several key strategies:

  1. Nutrition: ensure a diet rich in calcium and vitamin D from a young age. These nutrients are vital for bone development and strength.
  2. Physical activity: regular physical activity, especially balance and muscle-strengthening exercises, stimulates bone growth and density.
  3. Avoiding smoking and excessive alcohol: these habits can weaken bones.

As you approach your 50s – when menopause typically occurs – it’s important to start thinking about bone mineral density (BMD) tests. These tests use x-rays to see how much light passes through bones in locations where fractures are likely to occur, such as your spine or hip. This tells your health care provider how thick or thin your bones are.

While most people start BMD testing as they reach their 50s, some people may start in earlier or later years, depending on their medical history. BMD tests are only one part of estimating your risk for bone fractures. Your health care provider will consider both your scan results as well as other details such as your lifestyle habits, family history, and if you have other medical conditions.

For more information on osteoporosis prevention and management, you can visit Osteoporosis Canada.

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