DXA - Measurement of Bone Mineral Density

Within our gynecological clinic, we have been operating a bone mineral density measurement clinic for twenty years.

During this time, we have developed a unique patient care model in Slovenia. We first engage in a conversation with the individual and inquire about information that may seem unimportant at first glance. These details can provide valuable insights to the doctor in providing high-quality care and advice on treatment choices. We also provide guidance on a healthy lifestyle and proper nutrition that helps maintain bone mineral density. We maintain records for patients who return to our clinic multiple times, which is essential for the quality of treatment. We interpret the results and send them to the patient’s home address.

ginekolog Dr. Franić


assist. prof. Damir Franić MD PhD, Specialist in Gynecology and Obstetrics

ginekologinja Dr. Maja Franić


Maja Franić Ivanišević MD PhD, Specialist in Gynecology and Obstetrics

What is osteoporosis?

Osteoporosis is a systemic skeletal disease characterized by a reduction in bone density. As bone density decreases, bones become more fragile and, as a result, more prone to fractures, even with minor stress. Osteoporosis can develop over many years without any visible signs or pain, earning it the nickname ‘the silent disease.

How does osteoporosis develop, and how is it detected?

Bones are living and constantly renewing themselves. Bone mass continually increases until around the age of thirty, then it remains stable for the next decade before beginning to decrease. Some loss of bone mass is a natural part of the aging process, but bones should not become so brittle that they can’t withstand the normal stresses of daily life. Because osteoporosis often progresses without noticeable signs or pain, it is challenging to detect without a specific X-ray test called DEXA or bone density measurement. This examination is safe, painless, and takes approximately 20 minutes. It is typically performed based on your doctor’s recommendation or your personal choice. For women, it is advisable to have their bone density measured at the onset of menopause because during this time, as the ovaries lose function, they are left without their own estrogen, which is a key factor in regulating bone density. The greatest loss of bone mineral density occurs within the first 5 years after menopause, approximately 5% per year (see Figure 1). However, there are other risk factors for osteoporosis as well.

Risk factors for developing osteoporosis include:

  • Hormonal changes (early menopause before 45 years, premature menopause before 40 years)
  • Lifestyle factors (smoking, excessive consumption of coffee and alcohol)
  • Poor nutrition (inadequate intake of calcium and vitamin D, excessive saturated fats)
  • Endocrine disorders
  • Certain medications (corticosteroids, as well as chemotherapy and radiation therapy for cancer)
  • Lack of physical activity
  • Body composition and genetics (thin bones and a petite body structure, very fair skin)

What are the signs and consequences of the disease?

The first signs of osteoporosis are primarily vertebral compression (most commonly manifesting as lower back pain), altered body posture (spinal curvature), and reduced body height (Figure 2). When osteoporosis advances significantly, even minor stresses or falls can lead to fractures of the wrist or hip. Hip fracture is the most dangerous osteoporotic fracture, with one-third of patients not surviving the first year after the fracture, one-third never regaining their ability to walk, and only one-third returning to mobility with some difficulties. Recovery is usually very prolonged, and the patient may struggle to reintegrate into independent living due to reduced mobility.

What's next when osteoporosis is diagnosed?

The best way to prevent and treat osteoporosis is its timely detection. The older we get, the harder it is for our body to regenerate, and treatment takes longer. When a doctor prescribes medications, they need to be taken regularly, and one year after starting treatment, a follow-up measurement should be performed to assess the treatment’s effectiveness. If the follow-up measurement is done on the same device, a comparative analysis of the results is performed, allowing for a precise determination of the percentage by which the bone mineral density has improved or worsened compared to the last report. Based on these results, the doctor determines guidelines for further action.

We also take care of proper posture and flexibility!

It is very important to maintain correct posture in our everyday activities, especially when lifting, standing, and sitting. Regular physical exercise is also one way to prevent osteoporosis. It needs to be carefully planned and carried out even when the disease is already present. Greater body mobility results in fewer falls and, consequently, fewer fractures. Enjoy a walk in nature and spend time in the sun. Don’t forget about mental activities that keep your mind flexible, as this will also help keep you physically agile. Consume foods rich in calcium and vitamin D.

Scanning and analyzing the whole body BMD, analysis of body tissue composition

The examination is very useful for athletes as it allows us to assess the amount of muscle mass. During weight loss or exercise programs, we can determine the ratio of muscle mass to fat. Based on these results, a nutritionist or trainer can create a specific diet or exercise program. Additionally, after completing the program, we can repeat the analyses and evaluate the program’s success.

Where to get a bone mineral density test?

All measurements can be performed by prior appointment at the DXA center, located on the 1st floor of the Sonce Business Center, above Dr. Franić’s gynecological clinic.

Working hours: The bone density measurement clinic operates daily by appointment or by prior arrangement.

You can schedule an appointment on any working day by calling 03 5 815 550. The measurements are subject to a fee.

How to reach us?

Do you need assistance?

Contact us

Office hours of the clinic

MONDAY 13:00 - 20:00

TUESDAY 08:00 - 15:00

WEDESDAY 8:00 - 15:00

THURSDAY 8:00 - 15:00

FRIDAY 8:00 - 15:00

Appointment scheduling

  • PHONE APPOINTMENTS (tel: 03 5 815 550) Afternoons from 3:00 PM to 7:00 PM, mornings from 8:00 AM to 12:00 PM.
  • EMAIL APPOINTMENTS: ginekologija.drfranic@siol.net
  • MAIL APPOINTMENTS: Private Gynecology and Obstetrics Clinic, Celjska cesta 7, 3250 Rogaška Slatina, Slovenia


    The responsible person for scheduling is sr. Hedvika Verbajs

    BONE DENSITY MEASUREMENT (DXA) CLINIC only by prior appointment.

Do you need assistance?

Schedule an appointment with us!

You will receive the date of your first visit at your email address.

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