Table 6.

Indications for bone mineral density measurement by DXA scan.

Women ≥ 65 years and men ≥ 70 years

Early menopause (before 45 years), including surgical menopause

A history of hypoestrogenism ≥ 1 year before menopause, excluding pregnancy and lactation -Receiving GnRH agonist -Functional hypothalamic amenorrhea, eg, medical condition, excessive exercise, anorexia nervosa

Women <65 years and men <70 years with a risk factor for osteoporotic fracture -Fragility fracture -Radiographic osteopenia or vertebral compression fracture -Height loss (≥ 4 cm without record or ≥ 2 cm with a record) -Taking medications associated with bone loss (glucocorticoids, aromatase inhibitors, or androgen deprivation therapy) -BMI < 20 kg/m2 -A history of parental hip fracture

Before starting osteoporosis drug and 1–2 years after treatment