[Management and treatment of osteoporotic patients at gynecological clinic base].

The importance of diagnosis and management of osteoporosis at out-patient based gynecological clinic was mentioned. For the diagnosis of osteoporosis, assessment of spinal bone mineral density by DEXA system is necessary. This data is useful for the evaluation of treatment and the management of the patient motivation. Hormone replacement therapy is effective for postmenopausal osteoporosis, but in Japan patient acceptance of HRT is still low, and thus gynecologists are required of more effort to get an informed consent of HRT from the patient. As there is a large social demand of improving the quality of life of postmenopausal women, clinic based education of HRT to the postmenopausal women is also necessary for an easy acceptance of HRT in future.