At what age should a woman get her first bone density test?

✓ Accepted answer

Women should generally receive their first baseline bone density test at age 65.

However, there are important exceptions and nuances for those in premenopausal or early postmenopausal stages. Here is a practical guide to help you determine if you need one earlier:

• Risk Factor Exceptions: If you have specific risk factors, testing may be recommended before 65. This includes a history of low-trauma fractures, current smoking, family history of osteoporosis, or being underweight (BMI under 21). Since you mentioned being small for your frame, this is a key factor to discuss with your doctor.
• The Gold Standard Test: The most common and accurate test is the Dual-energy X-ray Absorptiometry (DXA or DEXA) scan. It is painless, quick, and uses a very low dose of radiation. It measures your bone mineral density in your hip and spine.
• Fragility Fracture History: If you have had a fracture from a simple fall or minor injury, you should not wait until 65. Many guidelines suggest that any fragility fracture in a postmenopausal woman warrants immediate bone density assessment and likely initiation of treatment.
• Cost and Coverage: Medicare Part B typically covers DXA scans for women 65 and older with no prior test, or for younger women with a documented clinical need (like high risk or fracture history). Check with your insurer for the specific billing code.
• Your Next Step: At 62, if you have no other risk factors, you could reasonably wait until 65. However, given your postmenopausal status, it is reasonable to ask your doctor about a 'clinical risk assessment' tool now. If your risk score is high, you can get the test earlier without waiting.

admin · 2026-10-02 12:33:54