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Premenopausal Bone Health: Osteoporosis in Premenopausal Women

ABRAHAM, ALICE MD; COHEN, ADI MD; SHANE, ELIZABETH MD

Clinical Obstetrics and Gynecology: December 2013 - Volume 56 - Issue 4 - p 722–729
doi: 10.1097/GRF.0b013e3182a8ae55
Osteoporosis: Diagnosis and Management

This article will discuss the diagnosis of osteoporosis in premenopausal women and the evaluation and management of those with low-trauma fractures and/or low bone mineral density. As secondary causes (glucocorticoid excess, anorexia nervosa, premenopausal estrogen deficiency, and celiac disease) are commonly the underlying cause of osteoporosis in this population, treatment of the underlying condition should be the focus of management. Additional management options, generally reserved for those with major or multiple fractures and/or ongoing bone loss, will also be described.

Department of Medicine, Division of Endocrinology, College of Physicians & Surgeons, Columbia University, New York, New York

The authors declare that they have nothing to disclose.

Correspondence: Elizabeth Shane, MD, Department of Medicine, Division of Endocrinology, College of Physicians & Surgeons, Columbia University, PH8-864, 630 West 168th Street, New York, NY. E-mail: es54@columbia.edu

© 2013 by Lippincott Williams & Wilkins.