About OsteoporosisHow is Osteoporosis Diagnosed?

- If a doctor thinks their patient has osteoporosis, they will recommend a Bone Mineral Density (BMD) test called dual x-ray absorptiometry (DXA or DEXA for short)
- A BMD test will measure the density of minerals (such as calcium) in bones. This is then used to determine the strength of bones
- A low BMD does not necessarily mean a patient will suffer a break or a fracture. However, it is important that women know the value of their BMD and discuss this aspect of their condition and possible treatment options with their doctor
- If a doctor has no access to BMD testing facilities, the FRAX® tool can be used to calculate the ten-year probability of fracture of an individual
- Ideally, combining the use of FRAX® and DXA provides the most adequate prediction of fracture.

DXA Test Readings
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What is FRAX®?
- BMD is currently the best single indicator of the risk of future fracture. However, several other considerations need to be taken into account
- The World Health Organization (WHO) has launched a tool called “FRAX®” which is a major advance in helping physicians to improve identification of patients at high risk of fracture for treatment
- It is a tool, combining risk factors such as age, sex, weight, smoking habits, etc. FRAX® then gives a figure indicating a ten-year fracture probability, which provides guidance for determining the need for treatment. For more information visit www.shef.ac.uk/FRAX/
If you are concerned about osteoporosis, make an appointment to see your doctor. Use the Doctor Conversation Tips to assist you when discussing osteoporosis with your doctor.