# European osteoporosis diagnosis and prevention efforts > Live situation record from CLSTR: https://clstr.news/situations/european-osteoporosis-diagnosis-and-prevention-efforts > Updated: 2026-10-14T23:01:01.000Z. Sources: 4. Developments: 2. Medical experts and health organizations across Europe are highlighting critical gaps in the diagnosis, assessment, and treatment of osteoporosis. In Germany and Switzerland, reports indicate that many patients do not receive adequate follow-up care or bone density measurements after an initial fracture, despite a fivefold increase in subsequent fracture risk. In Switzerland, the Swiss Rheumatology League has launched a national awareness campaign and a new risk assessment tool to address the approximately 684,000 women lacking appropriate treatment. In Spain, medical organizations such as Fhoemo and Seiomm are advocating for the integration of osteoporosis risk assessments into care for women during perimenopause. This follows international recommendations to evaluate bone loss during the menopausal transition. Experts note that the decline in estrogen accelerates bone mass loss, often without symptoms, making early identification through tools like FRAX essential to prevent chronic pain and loss of autonomy. Prevention strategies emphasized include nutritional support, regular exercise, and lifestyle adjustments. ## Timeline ### 2026-10-14: Spanish health experts call for early osteoporosis risk assessment Spanish medical experts urge early osteoporosis screening during perimenopause to prevent fractures and mitigate the disease's significant impact on women's health and autonomy. 2 sources. https://clstr.news/cluster/spanish-health-experts-call-for-early-osteoporosis-risk-assessment ### 2026-10-12: Osteoporosis diagnosis and treatment gaps highlighted by health experts Medical experts warn of diagnostic gaps in osteoporosis care, noting that the risk of further fractures increases fivefold after an initial break. Significant under-treatment is reported in Germany and Switerz. 2 sources. https://clstr.news/cluster/osteoporosis-diagnosis-and-treatment-gaps-highlighted-by-health-experts --- Cite as: European osteoporosis diagnosis and prevention efforts. CLSTR, https://clstr.news/situations/european-osteoporosis-diagnosis-and-prevention-efforts