Menopause is a natural stage in a woman’s life, but when you live with a rheumatic disease—such as lupus, rheumatoid arthritis, spondyloarthritis, or Sjögren’s syndrome—it can bring additional challenges. Hormonal changes affect bones, joints, the cardiovascular system, and quality of life, so this stage deserves special attention.
What happens during menopause?
The decrease in estrogen is associated with:
- Accelerated bone loss, increasing the risk of osteoporosis and fractures.
- Changes in joints and muscles, which can intensify pain or stiffness.
- Increased cardiovascular risk, which is important in inflammatory diseases.
- Vasomotor and emotional symptoms: hot flashes, insomnia, irritability, which can aggravate fatigue and chronic pain.
Recommended care for women with rheumatic diseases:
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Bone health: regular bone mineral density checks, adequate calcium and vitamin D intake, resistance exercise, and, when indicated, specific treatments for osteoporosis.
- Adapted physical activity: walking, yoga, or Pilates help maintain muscle strength, flexibility, and emotional well-being.
- Balanced diet: rich in fruits, vegetables, lean proteins, and low in ultra-processed foods. Promotes cardiovascular health and inflammatory control.
- Cardiovascular control: monitor blood pressure, cholesterol, and glucose. Quit smoking and moderate alcohol consumption.
- Sleep and stress management: relaxation techniques, sleep hygiene, and psychological support if necessary.
Regular visits to the rheumatologist and gynecologist: coordination between specialties ensures comprehensive and safe management, including evaluation of hormone replacement therapy if indicated.
Menopause does not have to be synonymous with deterioration. With a comprehensive self-care plan and specialized medical follow-up, it is possible to maintain bone, joint, and cardiovascular health, reducing the impact of rheumatic diseases and improving quality of life.
Our commitment to you
At Rheumatology Plus, we believe that menopause can be a time of renewal and self-care, even if you live with a rheumatic disease. Dr. Carolina Mejía Otero and our team are here to support you.