Osteoporosis causes changes in your bone structure, weakening its density and quality, making bones more fragile and likely to fracture or break. Routine screenings using special imaging technology can help identify osteoporosis and allow preventive measures to be taken. The timing of these screenings depends on certain risk factors, including gender and age. Osteoporosis is called a “silent” disease because you often don't know you have it until you break a bone or notice worsening posture. The most common imaging method for osteoporosis screening is Dual-energy X-ray Absorptiometry (DEXA or DXA). A DEXA scan is a non-invasive test involving an X-ray scanner passing over your body while you lie down. The X-rays are low dose, and the whole process takes only a few minutes. DXA scans are usually directed at the hips and spine, areas prone to fractures. Besides imaging technology, an online tool called FRAX can also be used to evaluate your 10-year probability of osteoporosis-related fractures. Prevention of osteoporosis can be achieved by increasing your intake of calcium and vitamin D, regular exercise, quitting smoking, and reducing alcohol intake. If diagnosed, doctors may recommend medications, including anti-resorptive and anabolic drugs. Anti-resorptive medications like bisphosphonates can slow bone loss, while anabolic medications help increase bone formation. Early screening and preventive measures can effectively reduce the risks associated with osteoporosis.