Where available, measurement of bone mineral density using dual x-ray absorptiometry (DXA) at diagnosis of POI is recommended for all women. |
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If bone mineral density is normal and adequate systemic HT is commenced and adhered to, the value of a repeated DXA scan within 5 years is low. |
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Bone mineral density using DXA should be reassessed every 1–3 years, based on individual risk factors, in women with POI who have osteoporosis or low bone density. |
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The guideline group recommends that a decrease in bone mineral density should prompt review of HT and potential factors contributing to bone loss. Referral to a specialist may be required. | GPP |