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Re: GYN: Osteoporosis/Osteopenia in pre-menopausal womenFrom: DoctorJoe@aol.comSun Aug 3 13:04:27 2003
In a message dated 8/3/03 08:41:18, garrys@mindspring.com writes: > > >From time to time, a premenopausal woman, usually in her later 30's or > 40's, will have osteopenia or osteoporosis found on DEXA. For the sake > of discussion, let's assume that the patients are cycling, or on OCPs, > and that they are otherwise healthy, on no meds. > > What do you do? > > 1. Refer to an endocrinologist/other for workup and/or treatment. > 2. Treat? If so, with Actonel/Fosamax, or other. > 3. Other. First, evaluate their history for risk factors (any dietary problems), calcium/vit D intake (any dietary problems), or symptoms of anything else (thyroid/parathyroid, etc.). THEN, get some type of work-up if you think they're normally cycling, etc. Remember, if they're on low-dose pills and "cycle" but are at risk for osteo (like the distance runners or sarcopenically obese chronic starvers or whatever) they may fool you into thinking they're "normal."
-- Joe P.
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