• you have a family history of osteoporosis (especially maternal hip fracture)
• your periods have stopped for more than 6 months without reason
• you have had an early menopause (before age 45) or surgery removing the ovaries
• you have had anorexia or bulimia or undertake extreme exercise (marathon running, ballet etc.)
• you have previously had a hip or wrist fracture after a minor fall
• you have lost height over age 65 or become stooped
• you are concerned you are at risk of osteoporosis and do not wish to take hormone replacement therapy (HRT)
• you have taken steroid tablets for more than three months continuously
• you are a heavy smoker or drinker
• your dietary intake of calcium and vitamin D is low
• you have a sedentary lifestyle without any regular exercise.

What happens at an osteoporosis screen?
You will be given a gown to change into. No other preparation is necessary. The scanner is passed over your spine and hips by a radiographer whilst you lie still on a scanning table. The scan is painless and emits a negligible radiation dose (one tenth of that of a conventional X-ray).

How long does an osteoporosis screen take?
The screen takes approximately 20 minutes.

When do I get the results?
A Consultant with a specialist interest in bone disease will read and report your scan and you will know the result by post within seven days. A copy of the report will also be sent to your GP. If the report recommends further action, such as referral to a Consultant Rheumatologist or Gynaecologist, your GP will be able to arrange this with you.

What is the treatment for osteoporosis?
Osteoporosis does respond to treatment and it is possible to reduce the risk of fracture with appropriate treatment.

Common preventable measures include:

• hormone replacement therapy (HRT)
• medicines such as bisphosphonates or selective oestrogen receptor modulators (SERMS)
• vitamin D and calcium (especially in the elderly)
• lifestyle advice and measures to reduce falls, such as keeping fit and having eyes tested in old age
• These should be supervised by a specialist in osteoporosis.

How often can I have an osteoporosis screen?
After an initial scan, usually around age 40-45, a subsequent scan may be required after an interval of two to three years. In low-risk patients who do not want treatment, this is to provide a better overall view of lifetime risk, and in high-risk patients, this is to assess the effects of lifestyle changes and treatment.

I would like an osteoporosis screen
You may refer yourself for an osteoporosis screen without going through your GP. Please call 020 8936 1202 for an appointment.