Women can answer the following questions to get a sense of their likelihood of having or developing osteoporosis.
Are you over the age of 50?
Yes
No
Are you postmenopausal?
Yes
No
Did you experience early onset of menopause (before the age of 45)?
Yes
No
Do you have a light-skinned complexion?
Yes
No
Are you naturally thin-boned in body build?
Yes
No
Are you Caucasian or of Asian descent?
Yes
No
Do you lead a inactive lifestyle, with little daily exercise?
Yes
No
Do you have an immediate family member (parent, sibling, or child) who has had osteoporosis?
Yes
No
Do you limit the amount of sun you receive in the course of a year?
Yes
No
Have you never or only sporadically taken supplements that include vitamin D and calcium?
Yes
No
Do you have a diet with little calcium intake?
Yes
No
Have you experienced past bone fractures?
Yes
No
Have you experienced collapsed vertebra, stooped posture, or loss of height?
Yes
No
Do you smoke?
Yes
No
Do you drink the equivalent of more than two alcoholic drinks per day?
Yes
No
Is your nutrition and health generally poor?
Yes
No
Do you drink caffeine-containing drinks regularly or in significant amounts (more than two daily)?
Yes
No
Have you ever been diagnosed with an eating disorder?
Yes
No
Have you had extended periods in your life without a menstrual cycle?
Yes
No
Have you ever or recently taken steroids, thyroid hormones, or any other medications that can negatively affect bone strength,
for an extended period of time?
Yes
No
Do you have either rheumatoid arthritis, hepatitis C, or hyperthyroidism?
Yes
No
The more often you answered “Yes” to the above questions, the greater your risk for developing or already having a sexually
transmitted disease. If you answered “Yes” to questions above, consider discussing osteoporosis with one of our Women’s Center
healthcare providers.
Print this page and bring it with you, filled out, to your appointment.
