Cracking the Code: Keeping Your Bones in Good Health Through Menopause

Most women are familiar with symptoms of the menopausal transition like hot flashes, night sweats, mood swings, vaginal dryness, and possible weight gain. There’s another symptom to add to the list which you can’t feel or see happening but has significant implications for your health—bone loss.

Estrogen and Your Bones When you’re young, bones rebuild quickly.  It’s natural for women to start losing bone in their 30s. Menopause significantly increases the speed of bone loss and the risk of osteoporosis.  According to research, up to 20 percent of bone loss occurs during perimenopause and post menopause. Approximately one in 10 women over age 60 have osteoporosis worldwide.  Caucasian and Asian women in the US are at higher risk of osteoporosis than Black or Hispanic women, but half of all women over 50 have low bone mass.   During perimenopause, the time period when your ovaries slow down production of hormones, estrogen levels fluctuate and drop. Since estrogen slows the natural breakdown of bones, its loss accelerates bone loss. Over time, lower levels of estradiol, one of the three estrogen hormones the ovaries produce, can lead to osteoporosis. Your general health before the menopausal transition affects your chances of bone loss because it determines your bone density. Women who have or have had eating disorders like bulimia or anorexia are at increased risk of osteoporosis.

Bone Loss and Your Health Osteoporosis is a bone disease that develops when the structure and strength of bone changes.  This can lead to a decrease in bone strength and increased risk of fractures (broken bones).  Osteoporosis is the major cause of fractures in postmenopausal women and older men. Bones can become so fragile that they break spontaneously or from minor falls that wouldn’t normally cause a bone to break, or even from coughing or bending.  Fractures are serious because they decrease mobility and function, cause pain, and are associated with decreased quality of life and increased risk of death.

Preventing Bone Loss Taking actions that are good for your health in general is also good for your bones.  Particularly important are:
  • Eating a healthy diet and getting enough calcium and vitamin D (which helps your body absorb calcium). 
  • Exercising regularly, including weight-bearing exercises like walking, dancing, stair climbing, hiking, jogging, or running.  Low levels of physical activity can contribute to the rate of bone loss and increase the risk of falling.
  • Stopping smoking.
  • Avoiding chronic heavy drinking of alcohol.
Hormone replacement therapy (HRT) prevents osteoporosis by replacing estrogen, reducing the breakdown of bone.  Other treatments include calcium and vitamin D supplements and bisphosphonates, an oral medication that slows bone loss and increases bone mass. 

Have other questions about menopause? Let’s talk! WIN Nurse Care Advocates are experts in identifying menopause symptoms and can work with you to find a solution best suited for you. 

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