Studies show that women with HIV may experience menopause 5 years earlier than those without HIV. HIV affects the immune system, leading to chronic infection, lower estrogen levels, chronic stress response, immunodeficiency, and metabolic changes, which can all contribute to earlier menopause. Women who enter menopause early have a higher risk of osteoporosis due to lower bone density. HIV itself is a risk factor for osteoporosis, and behaviors like smoking and drinking alcohol can increase this risk. A new Canadian study found that HIV-positive women with good healthcare access experience menopause at similar ages as HIV-negative women. Maintaining a balanced diet, avoiding excessive alcohol, and taking calcium and vitamin D supplements can help prevent osteoporosis. Hormone replacement therapy may also be beneficial for relieving menopausal symptoms.