Osteoporosis, bone & mineral

Postpartum timing of teriparatide initiation and BMD response in pregnancy- and lactation-associated osteoporosis: an observational study

Osteoporos IntPublished Observational study

Authors' conclusion

These data highlight the complexity of assessing treatment response in the context of postpartum bone physiology and can inform treatment response expectations for women with PLO.

Study context

Population
Women with pregnancy- and lactation-associated osteoporosis (PLO) treated with teriparatide, PLO Registry
Participants
31 women
Exposure
Teriparatide initiated <12 months postpartum vs ≥12 months postpartum
  • EarlyRxn = 10
  • DelayedRxn = 21reference
Outcome
BMD response to teriparatide (% change at LS, TH, FN)
Follow-up
12M
Methodological detailsregistry-based
  • Registry-based

Main finding

As reported in the abstract

LS BMD increase

EarlyRx

+ 21

SD 12 · %

DelayedRx

+ 8

SD 5 · %

Observational data: associations, not effects.

Further findings

OutcomeEarlyRxDelayedRx
TH BMD increase · 12M+ 9 (SD 6) %+ 4 (SD 4) %
FN BMD increase · 12M+ 7 (SD 6) %+ 2 (SD 3) %

Baseline BMD

Baseline BMD lower in EarlyRx vs DelayedRx

Original publication

Postpartum timing of teriparatide initiation and BMD response in pregnancy- and lactation-associated osteoporosis: an observational study. Osteoporos Int. Published 11 May 2026. doi:10.1007/s00198-026-08061-y

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