Maya Oppenheim wrote this article in The Independent:

Poor bone health in menopausal women is rising yet many remain unaware of the issue, a study has found.

Research shared exclusively with The Independent noted ill bone health in menopausal and post-menopausal women was increasing due to ageing populations around the world.

Many of the 3.4 million women aged between 50 and 64 in the UK will be experiencing symptoms of the menopause, with side effects ranging from heart palpitations to hot flushes, vaginal pain, anxiety and depression.

Researchers, whose findings were published on World Menopause Day, warned the problem of poor bone health was a commonly overlooked menopausal symptom.

Women going through menopause will often lose bone quickly, the report by the International Menopause Society noted. More than 200 million women around the world are estimated to have osteoporosis, while one in three around the world who are over 50 will suffer osteoporosis fractures.

Osteoporosis leads to bones becoming fragile due to the loss of tissue, with the medical condition generally triggered by hormonal changes or a dearth of calcium or vitamin D.

The report identified osteoporosis a key global health issue with fractures linked to the condition impacting on people’s quality of life and increasing the risk of disability.

Steven R Goldstein, the International Menopause Society’s president, said: “Bone health is a crucial issue for midlife women.”

Dr Goldstein, who is professor of Obstetrics and Gynecology at NYU Grossman School of Medicine, warned developing osteoporosis can have a substantial impact on people’s “day to day functioning, quality of life and ability to live independently”.

He added: “Worldwide, osteoporosis causes more than 8.9 million fractures annually. The implications of this are extremely serious, sadly 21 per cent of women who fracture their hip will die within one year. In addition, poor bone health places a huge burden on health and social care systems globally.”

Women’s ovaries stop generating the hormone oestrogen after their last menstrual period - with this causing the strength of the bone to decline.

Tobie de Villiers, a consultant gynaecologist and one of the report’s authors, added: “Osteoporosis is often referred to as a silent disease”. Previously, it was only diagnosed when a fracture occurred, but we can now make predictions using the presence of risk factors.

“And women should be helped by health services to make lifestyle changes or discuss the need for specific medication to restore bone strength.

“Healthcare practitioners should also acknowledge the increased fracture risk associated with osteosarcopenia so that diagnosis and treatment becomes part of routine health care for post-menopausal women.”

The International Menopause Society recommends women preserve healthy bones by raising how much calcium, vitamin D and protein they consume, as well as exercising to preserve muscle mass, refraining from smoking and curtailing alcohol usage.