According to WHO data, osteoporosis ranks fourth among non-communicable diseases as a cause of disability and mortality of patients from bone fractures (only 25% of patients are completely cured after hip fracture, 50% of patients remain disabled and 25% of patients die from complications. It is known that the perimenopasal period of life is a kind of risk factor for bone diseases. We assessed the state of the bone system of 62 women of the perimenopausal period, complaints, clinical symptoms of menopause, hormonal status, metabolism of CA and vit. D. Based on the data obtained, a scale "Evaluation of clinical signs of osteoporosis during menopause" was developed. A score assessment of the studied 10 parameters is given, which makes it possible to form risk groups for the development of bone fractures in perimenopausal age.