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Did you know that osteoporosis causes more than 8.9 million fractures worldwide every year? What is frightening is many of these fractures are now taking place among the youth due to deficit diet and poor lifestyle coupled with genetic predisposition. Both osteoporosis and osteopenia are two forms of bone loss conditions, with the latter being a precursor to the former. To distinguish between the two a bone mineral density test is usually performed.
What is difference between Osteoporosis and Osteopenia?
A BMD (bone mineral density) T-score between -1 SD and -2.5 SD indicates osteopenia with a high chance of osteoporosis. On the other hand, a T-score of -2.5 SD and below stands for osteoporosis. A higher bone density (above -1SD) is usually indicative of stronger bones. Fragility index is more accurate way to assess risk of fractures.
In osteoporosis the bone loss or weakening of bones take place over a long period of time, and results in unexpected fractures and severe bone problems. Disfigurement, fractures in the spine, loss of mobility and independence are usual characteristics of this bone disease once it progresses further.
Prevention is better than cure, ALWAYS!
To keep bones strong and healthy, calcium and phosphate is continuously absorbed by the body. But after 30, the body’s ability to absorb calcium slows down and there’s a decrease in the production of new bones. In contrast, bone desorption (the process of transferring calcium from the bone to the blood) continues unabated.
When the body starts absorbing the store of calcium in the bones to meets its needs, it leads to calcium depletion and is one of the causes of weakening of the bone.
At present, the age limit (50-60 years) for osteoporosis has seen a drop with many younger people increasingly suffering from the ailment. Factors like unhealthy lifestyle, late-night shifts, smoking and alcohol consumption have been found to be the culprits behind the rise in osteoporosis cases among the young. Recent studies have identified vitamin D deficiency as a major factor for poor bone health and bone mass density in the young.
How to keep your bones strong and healthy? And manage Osteo - penia/porosis complications:
Bone loss can be prevented by adopting these very simple but effective ways:
- Exercising can help in building strong bones and muscles, while preventing bone loss.
- Maintaining a calcium intake of 1000 mg for pre-menopausal women and 1200 mg for women post menopause.
- Staying out in the sun for 20 minutes to produce requisite amount of Vitamin D for calcium absorption and using supplements of vitamin D.
- There are many safe medicines available to prevent and treat osteoporosis like alendronates, calcitonin, Parathyroid , teriparatide preparation etc.
- In osteoporosis induced /associated fractures we have to to modify implants to negate weak purchase of implants in bone and improve mobility.
We have been using these modifications in established osteopenia/porosis case in fractures treatment/joint replacement/ arthroscopic fixations and MIS spine fracture management.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Miscarriage is a spontaneous abortion that occurs around the first to second trimester of pregnancy; wherein the foetus is automatically expelled from the uterus due to its inability to survive because of environmental influences or chromosomal abnormalities.
Unless the miscarriage occurs due to a severe health issue, the fertility of the woman may not necessarily be compromised. Studies show that one miscarriage doesn’t predict the possibility of a future one. Once the bleeding and pain subside, it is the emotional trauma that must be addressed to begin with which poses a greater threat than the physical one.
The fertility of the woman remains unaltered and the body can be ready after the menstrual cycle returns to normal. However, it still requires some time for the woman to be physically and emotionally prepared to go through another pregnancy. The medical history and reasons behind miscarriage must be evaluated before the couple decides to try again.
Complications after miscarriage only occur if the woman is above 35 years of age or has a rather unhealthy lifestyle. The concept of fertility varies from person to person and it isn’t possible to pass a common judgement about fertility in this scenario.
The gynaecologist mostly suggests couple therapy after the trauma of the miscarriage. The psychological loss is given more importance before considering another attempt by most doctors. The fertility loss only occurs with age and unhealthy lifestyle and it is widely accepted and proven that a miscarriage has little or nothing to do with it.
Ways to Increase Fertility
If a couple is certain they are ready to conceive again, there are a few things a woman can do to help her chances of becoming pregnant-
- The first thing to do is to stop any unhealthy habits. These include smoking, drug use, or alcohol abuse. It’s reported that high consumption levels of caffeine are detrimental to conception so that should also be limited.
- Eliminating stress can also help. Eliminating stress is one of the most important factors in having a successful pregnancy. So, it makes sense that getting over-stressed can reduce fertility levels.
- Eat healthy. If depression was experienced due to the miscarriage, it’s possible that the woman’s diet has not been the healthiest. It’s common for women who have experienced a miscarriage to have a loss of appetite and not eat enough or to eat out of sorrow, eating too much. More attention should be paid to the diet and more healthy foods added to meals.
Talk to a Doctor
If a couple is having issues with fertility after early miscarriage, they should talk to a doctor. There are many options available. More than likely, the first thing the doctor will do is to test fertility levels of both the man and the woman. If you don't want to visit a doctor for this, there is a new at-home kit available called Fertell. This test, retailing for approximately $100, measures fertility levels for both a man and a woman.
If it is found that there is a loss of fertility after early miscarriage, fertility drugs or therapies may be prescribed for a period of time.
The doctor may report that there are no issues with fertility. At this point, it would be a good idea to use an ovulation predictor in order to time effective intercourse. This isn't the most romantic idea, but it may well be one of the most logical ways for a couple to conceive.
Fertility is not normally decreased after miscarriage. A woman's fertility levels return to normal as soon as her menstrual cycle returns. Fertility may be decreased due to emotional issues as a result of the miscarriage. However, if a couple is ready, both physically and emotionally, there should be no physiological hindrances to conception.
The decision to try again is not an easy one. However, fertility won't typically be an issue.