Menopause and Osteoporosis

Help with menopause

Gynecology has come a long way in recent years, giving gyn doctors and patients new and better options to manage perimenopause and menopause. At Desert Bloom OBGYN, David Mainman, MD is experienced and up-to-date with the latest methods of evaluation and treatments available to help women navigate this sometimes challenging life phase, as well as:

  • Hot flashes and night sweats
  • Vaginal dryness
  • Menstrual irregularity
  • Mood swings
  • Decreased sex drive
  • Low bone density
  • Pelvic support issues (prolapse)

These days it’s no longer a simple issue of hormones or not. That’s why we thoroughly review each patient’s symptoms, offer appropriate testing and discuss various hormonal and non-hormonal treatment options. Our providers have the latest information on screening effectiveness and the risks/benefits of different treatments:

  • Mammogram
  • BRCA cancer gene testing
  • Bone density testing
  • Hormone replacement therapy
  • Non-hormonal treatment for menopause & osteoporosis
  • Minimally invasive da Vinci laparoscopic pelvic surgery (robotic surgery)

Osteoporosis

Osteoporosis is the deterioration of the body’s bone structure making it brittle and susceptible to fractures. Many women do not know they have osteoporosis until they fracture or break a bone, at which time a bone density test is performed and X-rays are taken (X-rays alone cannot diagnose osteoporosis). DEXA scans (specialized X-rays) can be taken to provide precise measurements of bone density at important bone sites (spine, hip and femur) to determine a patient’s risk level of osteoporosis. Bone mass (bone density) decreases in women after the age of 35 and decreases more rapidly in women after menopause. Among others, some of the key risk factors for osteoporosis include genetics, lack of exercise, lack of calcium and vitamin, cigarette smoking and excessive alcohol consumption.

Treating osteoporosis

The goal of treatment of osteoporosis is to prevent future bone fractures by reducing bone deterioration and increasing bone density and strength. Although early detection and timely treatment can decrease the risk of future fractures, none of the treatments available are complete cures. Therefore, prevention of osteoporosis is as important as treatment. Lifestyle changes such as exercising and eating healthy, stopping smoking and reducing alcohol intake can help prevent osteoporosis. We may also prescribe medications that stop bone loss and increase bone strength or medications that increase bone formation.