Some women with rheumatoid arthritis sail through menopause without a care while others experience a full menu of menopause symptoms: hot flashes, insomnia, mood swings, weight gain. Menopause can also increase symptoms of RA, such as joint pain and fatigue.
There is actually a slight rise in new diagnoses of rheumatoid arthritis in women around the onset of menopause. Experts think this -- and the fact that menopause can aggravate RA symptoms -- are probably related to the body’s drop in estrogen, which is believed to affect RA. That may also be why pregnant women -- who have higher levels of estrogen while they're expecting -- may see their RA symptoms get better for a while.
When you work on the Verrazano-Narrows, one of the biggest suspension bridges in the world, the cold temperatures and heavy lifting can really take a toll on your body. Construction worker John Melendez thought the pain and swelling he was experiencing in his hands, arms, and legs were just side effects of his job. Eventually, the pain became so severe that the 52-year-old Staten Island resident was unable to work at all. “My fingers were so swollen that I couldn’t bend them,” Melendez recalls. “I...
Whether you've lived with RA for a while or just been diagnosed, menopause can pose new challenges to sex, intimacy, and overall well-being. You may feel that because menopause signals the end of fertility, it also means the end of sex. But women with RA can have a thriving sex life well past menopause. Work closely with your doctor, talk honestly with your partner, and try these strategies to help you move smoothly through this life passage.
RA, Menopause, and Vaginal Dryness
One of the first symptoms of menopause that many women experience is vaginal dryness. And it can be a special problem if you have Sjögren’s syndrome, a condition often seen with RA that includes eye, mouth, and vaginal dryness as well as fatigue and achiness. Vaginal dryness can make sex uncomfortable or even painful.
“Your rheumatologist or gynecologist can advise you on various lubricants that might be helpful,” says Linda Russell, MD, assistant attending physician in rheumatology at the Hospital for Special Surgery and assistant professor at Weill Cornell Medical College in New York. You may need to try different over-the-counter lubricants or moisturizers to find the right one for you. Staying sexually active also helps reduce vaginal dryness.
Putting Out Hot Flashes
Do certain foods seem to aggravate your RA symptoms? Some women may find that foods trigger their hot flashes, too. You may want to avoid or cut back on spicy foods, alcohol, and hot beverages if you’re having hot flashes.