400 Section - Strength in the Silent Years: Transforming Post-Menopausal Osteoporosis from Burden to Opportunity in low resourced Country

To reframe post-menopausal osteoporosis in low-resource contexts, moving from a paradigm of neglect to one of prevention, empowerment, and resilience.

Design: Its a descriptive analytical study includes literature review and data analysis with patient diagnosed as osteoporosis living at low resource setting.

Results:

Transforming osteoporosis care in constrained settings demands both pragmatism and creativity. Clinical risk algorithms and simple screening tools can partially offset the lack of DXA facilities. Cost-effective strategies like adequate dietary calcium, vitamin D fortification, culturally appropriate exercise programs, fall-prevention measures, and early education may be the powerful yet underutilized tools. Pharmacological advances, though often costly, can be optimized by prioritizing essential anti-resorptives and integrating treatment into existing primary care systems. At the system level, fracture liaison services, even when adapted to modest resources, have proven to reduce recurrent fractures and mortality. Moreover, digital health platforms and community peer networks offer novel, scalable pathways for awareness and adherence in hard-to-reach populations.

Conclusions:

In low-resourced countries such as Bangladesh, post-menopausal osteoporosis must no longer be regarded as an unavoidable burden of aging. Through early recognition, affordable interventions, and innovative system-level integration, the silent years of menopause can instead be transformed into a period of resilience, dignity, and strength.