Re: Osteoporosis/Osteopenia in pre-menopausal women

From: Myer Bornstein (mborn@massmed.org)
Mon Aug 4 05:45:45 2003


Before I would treat, I would have this patient worked up for another cause for the osteopenia/osteoporosis; either by a rheumatologist or an endocrinologist. Myer

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Myer S. Bornstein, MD, MMM, FACOG, FACPE, CPE

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Sunday, August 03, 2003 9:41 AM To: Multiple recipients of list OB-GYN-L Subject: GYN: Osteoporosis/Osteopenia in pre-menopausal women

>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.

Garry

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Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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