Introduction: Osteoporosis is a metabolic disease with decrease bone density and abnormality in bone mass that could effect on pathologic fracture in the people. The main aim of this research is evaluating the criteria for simple estimation of osteoporosis and its relationship with bone densitometry. Method & Material: This cross-sectional study was done in 250 women patients in pre – and postmenopausal stage referred to Shiraz Central Hospital. Risk factors determined by questionnaire with demographic information and questions about osteoporosis risk factor. Results: Out of 250 patients that enter the study, 39.4% had normal and 60.6% had abnormal bone osteoporosis. There was a significant correlation between osteoporosis score and hip densitometry (p<0.05). Relationship between the score and patient with rheumatic disease or previous fracture was significant (p<0.05). Relationship between vertebral densitometry and cigarette smoking, inadequate daily ingestion of vitamin D, inadequate daily products of calcium, post menopausal age and high tea or coffee intake were statistically significant (p<0.05). Vertebral bone densitometry sensitivity and specificity were 64.5% and 48.1% respectively. Conclusion: Simple osteoporosis risk estimation score can be used as a primary method for screening and prevention of osteoporosis. The score of more than 6 is and indication for bone densitometry.