Periwell
Category: MusculoskeletalClinical Profile

Bone Density Loss

The silent acceleration of bone remodeling that begins well before your final period.

Biological Mechanism

Estrogen restrains osteoclasts (the cells that break down bone). As estrogen declines in perimenopause, the brakes come off bone resorption. Up to 10% of a woman's total bone mass can be lost during the transition alone, long before clinical menopause.

Common Misdiagnoses

Normal aging, Assumed normal until a fracture occurs

Evidence-Based Treatments

  • 01HRT

    The most effective intervention for preventing menopausal bone loss if started early.

  • 02Resistance training

    Heavy lifting stimulates osteoblast activity.