Feature Article

When to suspect and when to treat osteoporosis in men

Ie-Wen Sim, Peter R Ebeling



Osteoporosis is a significant cause of morbidity and mortality in men. There is now increasing evidence to support the use of various osteoporosis therapies in men and treatment should be considered in those with a high fracture risk.

Key Points

  • Osteoporosis in men is underdiagnosed and undertreated.
  • Evaluation of men with a low bone mineral density and/or fragility fractures should include consideration of contributing secondary causes of osteoporosis.
  • In addition to optimising calcium and vitamin D intake, all men with osteoporosis should be encouraged to undertake lifestyle modifications.
  • Clinical studies are increasingly supporting the efficacy of most osteoporosis therapies in men.