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Osteoporosis, a condition characterised by loss of bone mass, is already well known and managed in women. Although fewer men than women are affected by osteoporosis, it is increasingly recognised as a health problem in men. The same primary risk factors and lifestyle habits affect the development of osteoporosis in men as they do in women, but secondary causes of osteoporosis (most commonly hypogonadism, hyperparathyroidism and chronic medication) are frequently identified in men. Testosterone replacement treatment is considered where appropriate, but the bisphosphonates are generally the treatment of choice.