Osteoporosis Screening Recommendations Shifted
Medical experts now advocate for bone density assessment starting during the perimenopause transition.
Updated on Oct. 6, 2026 in Women’s Health
Live Poll
Do you believe women should begin osteoporosis screening as early as perimenopause?
Medical professionals have recommended that women begin osteoporosis screening during perimenopause rather than waiting until age 65. This change addresses the rapid bone loss that occurs in the years surrounding a final menstrual period.
Why it matters
Waiting until age 65 to assess bone health is increasingly viewed as ineffective because a significant proportion of bone density loss occurs during the perimenopause transition. Early intervention allows for better management of fracture risks before critical thresholds are reached.
Women experience an average lumbar spine bone density loss of 10.6% and hip density loss of 9.1% within five years of their final period. Up to 30% of women meet the clinical criteria for osteoporosis before reaching age 65.
The players
Oregon Osteoporosis Center
This facility is a specialized medical center in Portland, Oregon, focused on the diagnosis and long-term treatment of skeletal health conditions.
The details
Clinicians now emphasize an individualized treatment approach using bone-building agents followed by anti-remodeling drugs to maintain skeletal gains. Effective management strategies may include alendronate administered for two years or zoledronate given every five years for maintenance.
Timeline
Perimenopause is the recommended timeframe for beginning screening.
Significant bone mineral density loss occurs within 5 years of the final menstrual period.
Age 65 has historically been the conventional milestone for initial bone density assessment.
The Big Picture
This recommendation marks a departure from the traditional age 65 osteoporosis screening threshold by shifting the focus toward earlier, perimenopausal detection.
Women nearing menopause should discuss bone density testing with their doctors sooner than previously advised to identify potential risks. Early screening may lead to a more personalized, long-term treatment plan to preserve bone health and prevent future fractures.
The takeaway
Osteoporosis is an indefinite condition, making early identification and consistent management critical for long-term health. Prioritizing bone density checks during the perimenopause transition helps bridge the gap between initial bone loss and conventional screening ages.
Further reading
For more on preventative care, explore the Women’s Health section.
Source note: This article includes information reported by Healio.
Live Poll
Do you believe women should begin osteoporosis screening as early as perimenopause?
