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This month's questions answered by:Harvey S. Marchbein, MD,Chairman, Editorial Advisory Board,Osteoporosis Section, OBGYN.netRonald Barentsen, MD, PhD,Member, Editorial Advisory Board,Osteoporosis Section, OBGYN.net

Question from Johanna: hormone replacement therapy My mother is 69. She had a total hysterectomy in her early 40's. She had to stop hormone treatment due to blood clots. She has not been on any HRT since. She now has bad Osteoarthritis, joint pains, muscle pains, etc. She had Lyme disease a few years ago also in severe stages (10 years ago.) She still feels better when ever they put her on any antibiotics for sore throats for instance. She had a bone density test done recently and her doctor prescribed Miacalcin. Mom has been on 1000 milligrams of Calcium with a combination pill of vitamin D and boron for years. She is becoming more and more bowlegged and has increasingly difficulty walking (it is painful) She does ride her bike since it is not a weight bearing activity. By the afternoon she is very tired. Is it too late for her to have hormone replacement therapy, what kind of doctor should she be seeing, med.'s etc.? Is there a way to reverse this process? Mom has allergies with sinus drainage and gets frequent bronchitis because of it during the winter months. She takes Allegra. Will this interfere with the Miacalcin? Any information you could possibly give me would be appreciated. Thank you very much, Johanna

Questions this month have been answered by:Barry L. Gruber, MD, OBGYN.net Osteoporosis Editorial Advisor Alice Rhoton-Vlasak, MD, OBGYN.net Osteoporosis Editorial AdvisoR. Wayne Whitted, MD, MPh, OBGYN.net Osteoporosis Editorial Advisor Harvey S.Marchbein, MD, USA, OBGYN.net Osteoporosis Chairman and Editorial Advisor

In the May 2006 issue of Obstetrics & Gynecology, the American College of Obstetricians and Gynecologists (ACOG) reaffirmed its recommendation that teenage girls first visit an OB/GYN between the ages of 13 and 15.

Questions this month have been answered by:Simon Kipersztok, MD, OBGYN.net Osteoporosis Editorial AdvisorHarvey S. Marchbein, MD, USA, OBGYN.net Osteoporosis Chairman and Editorial Advisor

Q: Is the treatment for Osteoporosis different for males than females? I am a 67 year old male. Recently by x-rays of my back, it was stated in the report that I have osteoporosis . In a phone conversation with my primary physician's assistant, he stated that I should be on hormones, but that he would have to run it by the primary physician. Since that time, and this was at thanksgiving, I have tried to make contact, by phone to the primary physician. I was told, by office personnel, that I should make an appointment to discuss the situation. My question is, why is it necessary to discuss treatment face to face? Can't he advise me by phone? What is necessary? My schedule is very irregular and also why the extra expense for an office visit just to say here is what you do and if a prescription is necessary, can't he call it in as has been done on other occasions. I would like to know also, isn't it rather uncommon for a male to have this condition? Could you tell me what is the usual treatment in this kind of situation?

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It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.