Osteoporosis refers to a condition where bone density decreases, resulting in bones becoming more porous and weaker. Individuals with osteoporosis are at higher risk of fractures. While more commonly associated with women, osteoporosis also affects a significant number of men, particularly as they age, and remains a significant health concern.
One in five men over the age of 50 will experience an osteoporotic fracture, yet osteoporosis identification in men is often inadequate, possibly due to its historical association as a predominantly female condition.
Although the majority of hip fractures occur in women, when men experience a hip fracture, they are more likely than women to face severe consequences such as disability or death. Common risk factors for osteoporosis include poor dietary calcium intake, lack of weight-bearing exercise, vitamin D deficiency, smoking, excessive alcohol consumption, and certain medications like corticosteroids and anti-epileptics. Other risk factors include a family history of osteoporosis, thyroid dysfunction, being underweight, and a history of falls.
Low testosterone levels are also a risk factor for osteoporosis, and treatment with testosterone can help improve bone mineral density. The European Association of Urology (EAU) recommends considering osteoporosis screening for men over 50 years old with confirmed testosterone deficiency.
Men with significant risk factors should undergo screening. We are available to discuss this further with you if desired.
