Osteoporosis in Men: Risk Factors and When to Discuss Testing
Osteoporosis is often viewed as a women’s health condition, but men can develop it too. Men should consider discussing bone density testing with a healthcare provider around age 70 or earlier if they have risk factors such as a previous fracture, low body weight, long-term steroid use, low testosterone, smoking, or certain chronic conditions.
Because osteoporosis usually causes no symptoms before a fracture, reviewing an osteoporosis risk factors checklist can help men recognize when it may be time to speak with a provider.
Why Osteoporosis in Men Is Frequently Overlooked
Men generally begin adulthood with greater bone mass and tend to lose bone more slowly than women. However, bone density and strength still decline with age.
According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases, fractures caused by fragile bones are becoming more common in men. Men are also less likely than women to receive an osteoporosis evaluation after breaking a bone.
A fracture after age 50, particularly from a standing-height fall or another low-impact event, can be an important warning sign. Osteoporosis-related fractures commonly affect the hip, wrist, and vertebrae in the spine.
What Increases a Man’s Osteoporosis Risk?
A man may have a higher risk if he:
Is 70 or older
Broke a bone as an adult, especially after age 50
Has a parent who experienced osteoporosis or a hip fracture
Has low testosterone or another hormonal condition
Has low body weight or significant weight loss
Smokes or regularly consumes excessive alcohol
Has diabetes, rheumatoid arthritis, or a gastrointestinal condition
Has muscle weakness, limited mobility, or a history of falls
Takes glucocorticoids such as prednisone
Has received certain treatments for prostate cancer
Men should tell their providers about a family history of osteoporosis and review any medications that may affect bone density. These factors can become more significant when combined with age, previous fractures, or chronic medical conditions.
When Should Men Discuss Bone Density Testing?
There is no single screening rule for every man. The 2025 U.S. Preventive Services Task Force recommendation found that evidence remains insufficient to recommend for or against routine screening in all men. This does not mean men should avoid testing. It means the decision should be based on individual risk.
The Endocrine Society recommends testing higher-risk men age 70 and older, along with men ages 50 to 69 who have relevant risk factors. A provider can consider age, fracture history, medications, medical conditions, family history, and fall risk when deciding whether testing is appropriate.
Bone health assessments may also consider more than density alone. Understanding the difference between bone density and a REMS fragility score can help patients have a more informed conversation about fracture risk.
Take a Proactive Approach to Bone Health
Men should not wait for a fracture to begin asking about their bones. Osteo Scan provides mobile, at-home bone density testing throughout Florida using radiation-free REMS technology. Results can be shared with a qualified healthcare provider when discussing monitoring and next steps.
