An underlying cause of osteoporosis can be identified in about half of the men who have the disorder. The most common causes include
- the use of corticosteroid medications
- low testosterone levels
- excessive alcohol consumption
Treatment should be tailored to the underlying cause. For example, if testosterone levels are low, testosterone replacement therapy would be the appropriate course of treatment. In the past, testosterone could only be given by injection, usually every two weeks. Today, newer preparations include skin patches (Androderm), buccal delivery through application to the cheek and gum (Striant), and testosterone gel (AndroGel, Testim), which make hormone therapy far easier.
Bone medications that are approved for the treatment of osteoporosis in men include Fosamax, Actonel, and Forteo.