Osteoporosis is a condition characterised by a reduction in bone density, leading to bones becoming more porous and fragile, thus increasing the risk of fractures. While commonly associated with women, osteoporosis also affects a considerable number of men, especially as they age, and remains a notable health concern.
Approximately one in five men over the age of 50 will suffer from an osteoporotic fracture, yet the identification of osteoporosis in men is often insufficient, possibly due to its historical classification as primarily affecting women. Although most hip fractures occur in women, men who experience such fractures are more likely to endure severe consequences like disability or mortality.
Common risk factors for osteoporosis include inadequate dietary calcium intake, lack of weight-bearing exercise, vitamin D deficiency, smoking, excessive alcohol consumption, and certain medications such as corticosteroids and anti-epileptics. Additional risk factors comprise a family history of osteoporosis, thyroid disorders, being underweight, and a history of falls.
Low testosterone levels also pose a risk for osteoporosis, and treatment involving testosterone can enhance bone mineral density. The European Association of Urology (EAU) recommends considering osteoporosis screening for men aged over 50 who have confirmed testosterone deficiency.
Men with significant risk factors should consider undergoing screening. Should you wish to discuss this further, we are available to assist.
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