Q. Is HRT [Hormone Replacement Therapy] still recommended as good treatment for early postmenopausal women with osteopenia? Is there any evidence that naturopathic remedies (phytoestrogens) can help bone density at this time?

HRT is an excellent way of preventing loss of bone strength. There is no evidence that phytoestrogens do this, although phytoestrogens are part of a generally healthy diet.

Q. Can you get a bone density test done as described, through your GP and on Medicare?

A bone density test (DXA) can be ordered by your GP. The cost is approximately id=mce_marker00. A Medicare rebate is available in certain situations such as early menopause (before 45 years old), if you are taking steroid treatment or if are over 70 years old.

Q. Will calcium supplements assist with preventing osteoporosis? I am 43 and am postmenopausal.

Adequate calcium is helpful for preventing osteoporosis. Postmenopausal women need at least 1200-1500mg of calcium each day (three glasses of milk or equivalent). Women who have difficulty consuming this amount should take a calcium supplement at night. Adequate vitamin D from sunshine and/or supplements is also important.

Q. Should all women have their bone density measured?

No. Each woman should be assessed by her doctor to discuss her risk of developing osteoporosis and be referred for a bone density measurement if necessary.

Q. Is there a relationship between menopause and osteoarthritis?

Osteoarthritis is an age-related disease and often develops to some significance around the age of the menopause.

Content updated 26 August 2011