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Osteoporosis in Men by anamaulida

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									Following on from our previous posts, today we are going to discuss the
subject In of osteoporosis in men in the UK; please contact us if any of
the issues raised in the article affect you directly and you want to
share your experiences.      Overview


  As a reminder, osteoporosis is a condition which affects the bones,
making them weak and thin and thus susceptible to breaking very easily.
This can lead to fractures of the bones.      There are no warning signs
with osteoporosis, which means it often goes undiagnosed. It is normally
picked up when the patient has a fracture, typically of the hips, spine
or wrists.      Osteoporosis affects in 1 in 5 men in the UK, and it
usually increases exponentially. In general, men have poorer outcomes
from fractures of the hip and spine and other major fractures. Men also
have greater mortality associated with major fractures.       Diagnosis
Very few men are diagnosed and treated for osteoporosis; only about 5% of
men are treated correctly after osteoporosis fracture compared to 50% for
women.      Causes for Osteoporosis in Men       In around 50% of cases of
osteoporosis in men, the causes are unknown. This means that for many men
osteoporosis remains under-reported and under-diagnosed.       Risk
factors      The main risk factor affecting whether or not a man will
contract osteoporosis are hereditary - contributing up to 80% of the
risk. Men with a close family history of osteoporosis will generally
have a lower than expected bone mineral density and thus have an
increased risk of fractures.      Other major causes of osteoporosis in
men are low levels of testosterone (hypogonadism) and taking
corticosteroid tablets, for conditions such as asthma.        To ensure
good healthy bones, men need both testosterone and estrogen; the
testosterone is converted into estrogen which is used to preserve the
bones. Hence if there is a testosterone deficiency, this could result in
a lack of good healthy bones because not enough estrogen is being
produced.      Alcohol abuse also accounts for a significant number of
cases of osteoporosis in men. Men who drink excessive amounts of alcohol
in their younger years run the risk of developing osteoporosis in later
life. In addition smoking and inactive sedentary lifestyle are also
contributory factors for developing osteoporosis.        Other Conditions
There are other conditions that can affect the onset of osteoporosis.
These other conditions include secondary hyperparathyroidism (excessive
levels of parathyroid hormone), hyperthyroidism (caused by an over-active
thyroid gland) and medical conditions which affect the absorption of
nutrients from food, such as coeliac disease or Crohn's disease, can also
result in osteoporosis.       Reducing the Risks       If you can reduce
alcohol intake and lead a more active and healthy life, you can
significantly reduce your risk of developing osteoporosis. If you have
any of these conditions you should discuss your risk of osteoporosis with
your doctor. You may also want to discuss your experiences in our forum.
If you would like to contact Dr Mahmud, please use the contact form
below; he will be able to give general good practice guidelines but
cannot diagnose your condition, for this you should always consult your
local GP.


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