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Bone health

When to have a DEXA scan

The risk factors and life stages that make a bone density scan worthwhile, and when testing is not needed.

Key facts

At a glance

  • Strong reasons: a fracture from a minor fall after 50, long-term steroid tablets, early menopause, or a parent who broke a hip.

  • Other prompts: coeliac disease, rheumatoid arthritis, some breast and prostate cancer treatments, low body weight and heavy smoking or drinking.

  • Not usually needed: routine scanning of healthy younger adults without risk factors adds little and is not recommended.

  • Results: scans are reported within a few working days privately, and repeat scans are rarely useful sooner than two years apart.

  • Follow-up: your GP or a specialist decides whether the result changes anything - lifestyle advice, further tests or bone-protecting treatment.

The full picture

What this test involves, and how to get it

Bone density testing is most valuable when the result could change what you do next. The clearest triggers are a fragility fracture - a bone broken in a fall from standing height after the age of 50 - long courses of steroid tablets, menopause before 45, and a parental hip fracture. Conditions that quietly accelerate bone loss also justify a scan: coeliac disease, inflammatory arthritis, an overactive thyroid, eating disorders and hormone-suppressing cancer treatments among them. For healthy adults without risk factors, routine scanning is not recommended; a normal result in a low-risk person rarely changes advice beyond the exercise, vitamin D and calcium guidance that applies anyway.

On the NHS, your GP applies these criteria and refers where they are met, with waiting times varying by area. Privately, DEXA can usually be booked within one to two weeks, often by self-referral, which suits people at life stages the criteria handle awkwardly - around menopause, after stopping HRT, or with a family history that worries them. Whichever route you choose, the score should be interpreted with a clinician alongside a formal fracture-risk assessment, because that combination, not the scan alone, guides treatment.

A quiet reminder

This guide is for information, not medical advice.

Your own clinician knows your history and can tell you which parts apply to you. Next review of this page: 2027-09-27.

Frequently asked

Common questions about When to have a DEXA scan.

Quick, plain-English answers to what people ask us most.

  • What is When to have a DEXA scan?

    When to have a DEXA scan is a diagnostic test used to look at a specific part of the body or how it is functioning, helping doctors reach a clear diagnosis. It is usually requested when symptoms, an examination finding, or an earlier test result needs further investigation. Your doctor can explain exactly why it has been suggested in your case.

  • Why would a doctor order When to have a DEXA scan?

    Doctors typically request this test to confirm or rule out a suspected condition, investigate unexplained symptoms, or monitor something that has already been diagnosed. It gives more detailed information than a standard examination alone can provide. The result helps guide what treatment or further investigation, if any, is needed.

  • Do I need to prepare for When to have a DEXA scan?

    Preparation depends on the exact scan; some require fasting, a full bladder, or pausing certain medications, while others need no preparation at all. You will usually be sent clear instructions when the appointment is booked, and any implants, allergies, or previous surgery should be flagged in advance. If you are unsure what applies to you, check with the booking team beforehand.

  • What happens during When to have a DEXA scan?

    You will usually be positioned comfortably while the scanner or ultrasound probe captures images of the relevant area; the appointment itself is typically straightforward and does not usually require an overnight stay. A radiographer or sonographer guides you through each step, and most appointments are completed within an hour. You can normally go home and resume your usual activities shortly afterwards, unless told otherwise.

  • Does When to have a DEXA scan hurt or carry risks?

    Most imaging tests are painless and non-invasive, though scans with contrast dye or those requiring an injection may involve brief discomfort. Serious complications are uncommon, and the team will explain any relevant risks, such as those linked to contrast agents or radiation exposure, before you go ahead. Let staff know about any allergies or kidney problems beforehand.

  • How long do results take?

    Results are usually reported by a specialist within a few days, though this can vary depending on the complexity of the test and whether further analysis is needed. You will normally be told when and how to expect your results at the time of booking. Urgent findings are typically flagged and communicated more quickly.

  • What do abnormal results mean, and what happens next?

    An abnormal result does not automatically mean something serious - it simply indicates that further assessment may be needed. Your doctor will review the findings in the context of your symptoms, history, and any other test results before recommending next steps, which might include further investigation, referral to a specialist, or reassurance that no action is needed. Always discuss your specific results with a doctor rather than interpreting them alone.

  • Is When to have a DEXA scan available privately, or should I wait for the NHS?

    When to have a DEXA scan can usually be arranged privately, often within days, with results reviewed by a specialist rather than waiting for routine NHS scheduling, which can take considerably longer depending on local demand. Cost varies by provider, and many private providers accept both self-referral and GP or specialist referral. Your GP can also advise on the appropriate NHS pathway if you would prefer to wait.

  • Is When to have a DEXA scan accurate and reliable?

    This is a well-established test used routinely in clinical practice, and when performed and interpreted by an experienced specialist it is generally considered reliable. As with any test, results are always interpreted alongside your symptoms and medical history rather than in isolation. Occasionally a test may need to be repeated or supplemented with further investigation for a fully clear picture.

  • How do I book When to have a DEXA scan privately, and how quickly can I be seen?

    You can typically book privately with or without a GP referral, and appointments are often available within a matter of days. A specialist reviews and reports the results, with a clear explanation of what they mean and any recommended next steps.