Bone and Muscle Health in Perimenopause

Bone and Muscle Health in Perimenopause

Jocelyn Wittstein, MD 

This evidence-based session equips clinicians with a comprehensive framework for identifying and managing musculoskeletal changes in perimenopausal and menopausal patients. Dr. Wittstein draws on current research to cover the hormonal mechanisms driving bone loss and sarcopenia, risk stratification using tools such as DEXA and the FRAX calculator, and the musculoskeletal benefits of hormone therapy as supported by the Women's Health Initiative and subsequent meta-analyses.

Participants will also explore evidence-based non-pharmacological interventions including resistance and impact training protocols, targeted nutritional strategies, and supplementation — including hydrolyzed collagen and creatine monohydrate — with direct application to clinical practice.

Special attention is given to higher-risk populations, including women with surgical menopause and those on aromatase inhibitors. Upon completion, clinicians will be prepared to screen earlier, counsel more effectively, and intervene before significant bone mineral density loss occurs.

Applicable to physicians, nurse practitioners, registered dietitians, physical therapists, and allied health professionals working with midlife women.

  • Instructors

    Jocelyn Wittstein, MD

  • 49min

    Video duration

  • Presentation Powerpoint File 

    Included with 46 slides

  • 1 Self-Assessment Quiz

  • 1 Patient Talk Sheet

    Perry Academy — Pricing

    Perry Academy

    Join to access this course

    This course is part of the Perry Academy membership — choose the plan that fits your role. All annual plans include a 7-day free trial.

    7-day free trial — no commitment required
    Most popular for allied health professionals
    For allied health professionals
    Perry Academy Core
    Nurses, dietitians, health coaches, and allied health professionals
    CE credits included
    $649
    per year
    • This course + full allied health library, updated year-round
    • Perimenopause Certificate® — CE accredited for 8+ health professions
    • Client tools: patient handouts, talk sheets, and ebooks
    • Certified Provider listing and Perry badge
    Join Perry Academy Core — $649/year

    7-day free trial · cancel anytime

    or
    For prescribers
    Perry Academy Advanced
    Physicians, NPs, and PAs who diagnose and prescribe
    CME credits included
    $949
    per year
    • This course + full prescribing-focused library, updated year-round
    • Advanced Perimenopause Certificate® — CME accredited
    • HT dosing, complex case management, and clinical decision pathways
    • Quarterly small-group case study sessions with faculty
    • Premium Certified Provider listing and Perry badge
    Join Perry Academy Advanced — $949/year

    7-day free trial · cancel anytime

    or
    All content, no accreditation
    Perry Academy Learn
    Full access to Perry Academy content — without CE or CME accreditation
    No CE or CME accreditation
    $297
    per year
    • Lifetime access to all Perry Academy content and materials
    • Certificate of completion
    • Upgrade to Core or Advanced at any time — price credited
    Join Perry Academy Learn — $297

    7-day free trial · cancel anytime

    Not sure which plan? Email us

    Perry Academy — Why membership
    Why a membership — not just this course?

    Perimenopause care is one of the fastest-moving areas in women's health. A single course gives you a snapshot. A membership keeps you current — every new course, clinical update, and resource added during your membership is included at no extra cost.

    A library that grows with you
    This course is one of many. New clinical content is added throughout the year — your membership covers all of it.
    Recognition patients and referrers can see
    Your Perry badge, Certified Provider listing, and verified credentials stay active for as long as your membership is — keeping your expertise visible where it matters.
    Tools you can use with patients today
    Live Q&As with faculty, patient handouts, symptom trackers, and a peer community of clinicians — all active throughout the year.

    PERRY ACADEMY INSTRUCTOR

    Jocelyn Wittstein, MD

    Dr. Jocelyn R. Wittstein is an Associate Professor of Orthopaedic Surgery at Duke University, specializing in sports medicine.

    Her clinical and research interests span the shoulder, elbow, and knee in both pediatric and adult populations​ with focus on the female athlete across the lifespan, post traumatic arthritis after knee injuries, and the musculoskeletal syndrome of menopause and its repercussions.


    She is an NIH funded researcher in the field of post traumatic arthritis, co-author of The Complete Bone and Joint Health Plan, and a leader in the Duke Female Athlete Program as well as co-PI on several studies looking at joint health, frozen shoulder, and musculoskeletal benefits of hormone therapy in menopausal women.


    She is also president of the Forum: Women in Sports Medicine, a national organization of female orthopaedic surgeons subspecialized in sports medicine.

    Write your awesome label here.

    Masterclass Outline

    Lesson series

    Stay certified. Stay current.

    This and many more courses, resources, live events and case studies are part of an active Perry Academy Membership.

    Become a Perry Academy member for ongoing education, events, and CE access to a growing library—all year long
    Write your awesome label here.
    Perry Academy — Pricing

    Perry Academy

    Join to access this course

    This course is part of the Perry Academy membership — choose the plan that fits your role. All annual plans include a 7-day free trial.

    7-day free trial — no commitment required
    Most popular for allied health professionals
    For allied health professionals
    Perry Academy Core
    Nurses, dietitians, health coaches, and allied health professionals
    CE credits included
    $649
    per year
    • This course + full allied health library, updated year-round
    • Perimenopause Certificate® — CE accredited for 8+ health professions
    • Client tools: patient handouts, talk sheets, and ebooks
    • Certified Provider listing and Perry badge
    Join Perry Academy Core — $649/year

    7-day free trial · cancel anytime

    or
    For prescribers
    Perry Academy Advanced
    Physicians, NPs, and PAs who diagnose and prescribe
    CME credits included
    $949
    per year
    • This course + full prescribing-focused library, updated year-round
    • Advanced Perimenopause Certificate® — CME accredited
    • HT dosing, complex case management, and clinical decision pathways
    • Quarterly small-group case study sessions with faculty
    • Premium Certified Provider listing and Perry badge
    Join Perry Academy Advanced — $949/year

    7-day free trial · cancel anytime

    or
    All content, no accreditation
    Perry Academy Learn
    Full access to Perry Academy content — without CE or CME accreditation
    No CE or CME accreditation
    $297
    per year
    • Lifetime access to all Perry Academy content and materials
    • Certificate of completion
    • Upgrade to Core or Advanced at any time — price credited
    Join Perry Academy Learn — $297

    7-day free trial · cancel anytime

    Not sure which plan? Email us