When Should You Get a Bone Density (DEXA) Scan?

What a DEXA Scan Actually Does

When Screening Becomes Necessary

  • Women aged 65 and older should get scanned routinely because postmenopausal hormonal drops rapidly accelerate bone loss.
  • Postmenopausal women under 65 need a scan if they carry heavy risk factors like low body weight, a family history of broken bones, or a smoking habit.
  • Men don’t get a free pass either; routine screening kicks in at age 70.
  • Men between 50 and 69 should schedule a scan if they have underlying vulnerabilities like low testosterone or long-term steroid use.

Signs That Mean You Shouldn’t Wait

  • Fracturing a bone from a minor fall or minimal impact after age 50 is a loud warning sign.
  • Chronic conditions like rheumatoid arthritis, severe gastrointestinal issues, or thyroid imbalances drain bone strength over time.
  • Prescription drugs, especially long-term glucocorticoids or certain cancer therapies like aromatase inhibitors, take a heavy toll on your skeletal framework.
  • Everyday habits matter too; heavy drinking, a completely sedentary routine, or running low on calcium and vitamin D will catch up to you.

Tracking Your Progress

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