Bone Density

From: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net)
Tue Dec 16 12:08:59 2003


Happy Holidays To One and All: I have a 29 y.o. patient who is anovulatory (folliculogram confirmations), but has monthly periods. She recently sustained a spiral fracture of her tibia during minimal activity and subsequent bone scan revealed marginal density for age in her spine.

Both orthopedist and internist are telling the patient that her decreased bone density and subsequent fracture are the result of her anovulation - I say no, as long as she is having her periods, she doesn't fit the classic I haven't had the chance to check her labs and they haven't evaluated any cause they feel they have the answer.

I have certainly seen this in truly amenorrheic patients who are anorexic, or extreme fitness with very low body fat percentile, but not in regularly menstruating females who are not ovulating.

Comments... Lynn

--
Lynn D. Montgomery, M.D.
Rocky Mountain Women's Health
2835 Fort Missoula Rd., Suite 303
Missoula, Montana, 59804
406-549-0978
fax 406-549-0987
e-mail: apgar10@montanadsl.net




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