WOMENS-HEALTH Messages for May, 1997: Re: bone density

Re: bone density

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 31 May 1997 22:05:43 -0500 (CDT)

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At Fri, 30 May 1997, Joanne wrote: >
>Hi everyone. Have another question regarding my treatment post
>hysterectomy for endometriosis.
>I will not be taking estrogen for at least 3-6 months, if I can stand
>the menopausal symptoms.
>My past diet was abysmal when it came to calcium intake. It wasn't until
>my coworkers and I attended a nursing forum on nutrition that we all
>became aware of how little calcium we actually consume. Since then (only
>a little over a year ago) I began taking oscal 500 mg twice a day along
>with some magnesium.
>For years now, I've been working out on a regular basis, doing step
>aerobics, ski machine, light weight workouts, etc. I had to stop
>recently due to the increased pain of endo, then my subsequent surgery.
>In view of all of the above, is it wise to consider having a bone
>density study done? Though it hasn't been suggested, I think it may be
>wise. What is your take on the situation.
>Thanks for your time.

Joanne,

It is very variable throughout the country and the world (as evidenced by the responses on OB-GYN-L to similar threads) as to whether or not bone densitometry is recommended. Practicing in NY, it is customaary to order a DEXA (a type of bone densitometry apparatus) bone densitometry when a patient has become menopausal (medically, surgically or naturally) for initial evaluation.

This may be done earlier in patients with a strong family history of osteoporsis and may wait 0-3 years after monepause depending upon paatient need and concern (pro and con).

Since you will be starting ERT, many physicians would just start therapy at the appropriate time without doing a DEXA. We frequently use Fosamax for patients with osteoporosis for patients already on ERT/HRT or for patients with (severe) osteoporosis with either contraindications to ERT/HRT (at this point in time........breast cancer, for example) or bone loss so massive that ERT/HRT would not be expected to make up the loss.

-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York http://www.obgyn.net/states/bios/marchbein.htm http://www.obgyn.net/women/heroes/harveym.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

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