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Re: Gyn: Osteopenia pre-menopausally From: Andrew Folley (agfolley@hotmail.com) Tue Oct 18 09:32:03 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: doctorjoe@aol.com: "Re: Gyn: Osteopenia pre-menopausally" Previous message: Charlie Chambers: "Re: Speaking English - for el" In reply to: Garry E. Siegel, M.D.: "Gyn: Osteopenia pre-menopausally" Next in thread: Terrence.Jones@kp.org: "Re: Gyn: Osteopenia pre-menopausally" It suggest she may have an underlying problem. Thyroid parathyroid etc. Also consider urine NTX to see if there is increased osteoclastic activity. She may simply have low density bones from lack of quality bone formation in her teen years and is not truly loosing bone at this time, in which case subscribe calcium and vitamin D and exercise and not worry about bisphosphonates until menopause. andrew >From: garrys@mindspring.com (Garry E. Siegel, M.D.) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Gyn: Osteopenia pre-menopausally >Date: Mon, 17 Oct 2005 16:26:17 -0500 > >37 YO who is 6 months PP had bone density screening somewhere on her >wrist, and was told it was low. She then had a full DEXA showing >osteopenia (my partner attended to this). He recommended a >biphosphonate. She is bottle feeding and never breast fed. > >She then called for my opinion. > >My opinion is that I'm not so sure about pre-menopausal DEXAs, and she >needs an evaluation (see the internist/endocrinologist) first. > >Opinions welcome. > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA Next message: doctorjoe@aol.com: "Re: Gyn: Osteopenia pre-menopausally" Previous message: Charlie Chambers: "Re: Speaking English - for el" In reply to: Garry E. Siegel, M.D.: "Gyn: Osteopenia pre-menopausally" Next in thread: Terrence.Jones@kp.org: "Re: Gyn: Osteopenia pre-menopausally"

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