What are the real causes of osteoporosis in women? ..  A consultant answers

Osteoporosis, a condition characterized by weakened bones prone to fractures, poses a significant concern for women. Joint pain, fractures, and bone ruptures are among the distressing outcomes of this condition. Dr. Ahmed Shafiq, a seasoned consultant in orthopedics, fractures, and artificial joints, sheds light on the causes of osteoporosis in women.

In this comprehensive report, we delve into the intricate details of this bone-related ailment, exploring its origins, symptoms, and preventive measures.

Understanding the Causes of Osteoporosis in Women:

  1. Women’s Entry into Menopause: One prominent factor contributing to osteoporosis in women is the onset of menopause. Dr. Shafiq emphasizes that women are more susceptible to osteoporosis than men, a vulnerability tied to hormonal changes during menopause. The decline in estrogen levels during this stage plays a pivotal role in the weakening of bones.
  2. Hormonal Changes and Lack of Estrogen: The fluctuations in hormonal levels, particularly a decrease in estrogen, significantly impact bone health. Estrogen plays a crucial role in maintaining bone density, and its decline during menopause accelerates bone loss. This hormonal shift creates an environment where bones become more fragile and prone to fractures.
  3. Calcium Deficiency Due to Pregnancy and Childbirth: The demands of pregnancy and childbirth can lead to a lack of calcium in the bones. The body prioritizes the needs of the growing fetus, potentially depleting calcium reserves in the mother’s bones. This depletion can contribute to the development of osteoporosis in women post-pregnancy.

Advice for Those Suffering from Osteoporosis:

Dr. Ahmed Shafiq offers valuable advice for individuals, especially women, grappling with osteoporosis. These proactive measures aim to mitigate the impact of osteoporosis and promote overall bone health:

a. Commitment to Non-Violent Exercise: Regular exercise, particularly non-violent activities such as walking and swimming, strengthens bones and muscles. Dr. Shafiq recommends incorporating these exercises into daily routines to enhance bone density and reduce the risk of fractures.

b. Adequate Exposure to Sunlight: Sunlight is a natural source of vitamin D, essential for calcium absorption and bone health. Ensuring consistent exposure to sunlight can aid in maintaining optimal vitamin D levels, contributing to overall bone strength.

c. Nutritional Supplements: Supplementing the diet with calcium and vitamin D is crucial for individuals with osteoporosis. These supplements support bone health and address deficiencies that may exacerbate the condition.

d. Adequate Rest and Consultation with a Specialist: Individuals with osteoporosis should prioritize rest, especially after activities involving back or spine bending. Consulting with a specialist doctor ensures personalized guidance and tailored recommendations for managing the condition.

Does Osteoporosis Cause Pain?

Contrary to common belief, osteoporosis typically does not cause pain unless a fracture or bone rupture occurs. The absence of pain in osteoporosis patients changes when a fracture takes place, leading to severe and persistent pain. Dr. Shafiq highlights that fractures in the spine can result in some of the most intense pain associated with osteoporosis.

How to Identify Osteoporosis:

Recognizing osteoporosis involves observing specific signs and undergoing diagnostic tests. The following scenarios may indicate the presence of osteoporosis:

a. Fractures in the Bones: Experiencing fractures, especially with minimal trauma or force, could signal underlying osteoporosis. Such fractures may occur in the spine, hip, or other vulnerable areas.

b. Persistent Bone Pain: Ongoing and unexplained pain in the bones may indicate a potential issue with bone density. This pain can manifest in various areas, prompting further investigation.

c. Back Pain Following Spinal Collapse: While immediate pain might not accompany a collapse in the bones of the spine, later stages may bring about back pain, particularly when standing or walking. This discomfort is often a consequence of weakened spinal integrity.

d. Bone Density Measurement: A painless and effective method for identifying osteoporosis is through bone density measurements. Specialized devices utilizing low levels of X-rays assess the mineral percentage in bones. Typically, hip bones and the spine are the focal points of examination.


Osteoporosis in women is a multifaceted condition influenced by hormonal changes, calcium deficiencies, and the aging process. Dr. Ahmed Shafiq’s insights provide a comprehensive understanding of the causes and preventive measures for osteoporosis, emphasizing the importance of tailored advice for individuals dealing with this bone-related ailment.

By prioritizing non-violent exercise, ensuring exposure to sunlight, incorporating nutritional supplements, and seeking adequate rest, individuals can actively manage osteoporosis and mitigate its impact on their lives. Furthermore, recognizing potential signs such as fractures or persistent bone pain, coupled with bone density measurements, enables early intervention and targeted treatment.

In the pursuit of bone health, it is crucial for women, in particular, to empower themselves with knowledge, engage in preventive measures, and collaborate with healthcare professionals to navigate the complexities of osteoporosis. This comprehensive understanding and proactive approach serve as vital components in the journey towards optimal bone health and overall well-being.

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