07/10/2026
🦴 Osteopenia vs. Osteoporosis: Know the Difference Before a Fracture Happens
Bone loss is often called the "silent disease" because most people don't know they have it until they break a bone.
🔸 Osteopenia is the early stage of bone loss. Your bones are weaker than normal but not fragile enough to be classified as osteoporosis. It's a warning sign that it's time to protect your bone health.
🔸 Osteoporosis is advanced bone loss. Bones become porous and fragile, increasing the risk of fractures from a simple fall—or even everyday movements.
📊 How is it detected?
The gold standard is a DEXA (DXA) bone density scan, a quick, painless, low-radiation test that measures bone mineral density and helps determine your fracture risk.
📅 When should you be screened?
✔️ All women should have a bone density scan starting at age 65.
✔️ If you're postmenopausal and under 65, talk to your healthcare provider about earlier screening if you have risk factors such as:
• A hysterectomy—especially if your ovaries were removed (surgical menopause) or you experienced menopause at an early age
• Early menopause (before age 45)
• Long-term steroid use
• Smoking
• Low body weight
• A previous fracture after age 50
• A parent with a hip fracture
• Certain medical conditions or medications that increase bone loss
🖤 What about Black women?
Black women are often thought to be "protected" from osteoporosis because, on average, they start with higher bone density. However, about 2 million Black women in the U.S. are living with osteopenia or osteoporosis, and when fractures occur, Black women are less likely to be screened or treated and often experience worse outcomes. Don't let this myth keep you from advocating for your bone health.
💪 Bone health isn't just about calcium.
Strength training, weight-bearing exercise, adequate protein, vitamin D, calcium, and healthy hormone support all play a role in maintaining strong bones—especially during and after menopause.
✨ Whether your menopause was natural or caused by surgery, protecting your bones should be part of your wellness plan.
Have you ever had a DEXA scan? Share your experience in the comments! 👇