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Re: GYN: Osteoporosis/Osteopenia in pre-menopausal women From: Efrain Ramirez (eramirezt@coqui.net) Sun Aug 3 15:41:15 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Douglas Krell: "Re: GYN: Osteoporosis/Osteopenia in pre-menopausal women" Previous message: Efrain Ramirez: "Re: GYN: New patients--to examine, or not to examine" In reply to: DoctorJoe@aol.com: "Re: GYN: Osteoporosis/Osteopenia in pre-menopausal women" Next in thread: Douglas Krell: "Re: GYN: Osteoporosis/Osteopenia in pre-menopausal women" Agree - family history is also very important - Weight bearing excersises - I won't quarrel with someone giving Fosamax 35 mgs weekly.... At Sun, 3 Aug 2003, DoctorJoe@aol.com wrote: > >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. > -- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth." Niels Bohr (1885 - 1962) Next message: Douglas Krell: "Re: GYN: Osteoporosis/Osteopenia in pre-menopausal women" Previous message: Efrain Ramirez: "Re: GYN: New patients--to examine, or not to examine" In reply to: DoctorJoe@aol.com: "Re: GYN: Osteoporosis/Osteopenia in pre-menopausal women" Next in thread: Douglas Krell: "Re: GYN: Osteoporosis/Osteopenia in pre-menopausal women"

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