Not necessarily. Your health care professional will take into account a number of factors to determine your risk of osteoporosis. These include your family health history, personal health history, personal risks, lifestyle—including whether you exercise and are getting enough calcium—and the results of a bone mineral density (BMD) test. The more risk factors you have that you cannot change, the more you should do to try impact the risk factors over which you do have some control. It's better to be aware of your risks and prevent osteoporosis or treat it early, than to wait until after a fracture.