Patient's Query
Hello doctor,
I am a 40-year-old woman living with rheumatoid arthritis for five years. Lately, my joint pain has worsened around my menstrual cycle, and I have missed periods for three months now. Could RA (rheumatoid arthritis) or my medications be causing hormonal imbalances? I am also worried about bone health and early menopause. Is it common in women with RA?
Please suggest.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
Symptoms associated with menopause are vasomotor symptoms (hot flushes and sweats), genitourinary symptoms (for example, vaginal dryness), effects on mood (for example, depressive symptoms), musculoskeletal symptoms (for example, joint and muscle pain) and sexual difficulties (for example, low sexual desire). See, for example, the Faculty of Sexual and Reproductive Healthcare (FSRH) gives guidance on contraception for women aged over 40 years. So, you can check and get information about contraception..
Advice on bone health is given to people experiencing menopause at review appointments [see NICE (National Institute for Health and Care Excellence) guidelines on assessing the risk of fragility fracture in people with osteoporosis]. Explaining to people experiencing menopause and the importance of maintaining muscle mass and strength through physical activity. They will offer support and provide information about menopause and fertility to people who are likely to experience menopause as a result of medical or surgical treatment. This is done before and after they have their treatment. They also offer psychological support to people who are experiencing early menopause (that is, menopause between the ages of 40 and 44) and are distressed by their diagnosis or its consequences. If needed, they are referred to psychology services.
I will advise you to consult a rheumatologist for further management of RA. You should take multivitamins regularly. Take oral tablet or Injection Cholecalciferol 2000 IU (international units) orally or IM (intramuscular) weekly for up to one year, tablet Calpro-D once at night for one or two months, and tablet Dydrogesterone 10 mg once in the morning and night for up to six months.
I hope this answers your query.
Let me know if I need to assist you further.
Thank you.
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Answered byDr. Ali Osman
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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