Does Rheumatoid Arthritis Affect Menstrual Cycles?

by | Last updated on January 24, 2024

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Daily examination of symptoms during 69 menstrual cycles in 14 patients with rheumatoid arthritis revealed that

rheumatoid arthritis was significantly reduced during the postovulatory phase of the menstrual cycle

. This reduction was clinically and statistically significant.

Can arthritis affect your menstrual cycle?

Hormones such as estrogen may have an influence on the immune system.

The relationship of flares in arthritis symptoms at the time of menstruation may also be due to the effects of pain perception related to estrogen.

Can an autoimmune disease affect your period?


Lupus can disrupt the menstrual cycle as flare-ups interfere with normal hormone processes

. “When patients are really inflamed, it can affect the hypothalamic-pituitary-adrenal axis,” Grossman says. The HPA axis refers to an interaction between three types of glands that are involved in the body’s stress response.

Can inflammation cause irregular periods?


Crohn’s disease causes inflammation, which can alter levels of the hormones that control your menstrual cycle. This can lead to more irregular periods

.

Can rheumatoid arthritis cause hormonal imbalance?


A number of hormonal abnormalities are present in RA patients

. A major theme of these abnormalities seems to be that deficiencies in the production or action of gonadal (estrogens and androgens) and adrenal (corticosteroids and DHEA) hormones may be involved in regulating the onset, severity, and progression of RA.

How do you know you have rheumatoid arthritis?

  1. Skin.
  2. Eyes.
  3. Lungs.
  4. Heart.
  5. Kidneys.
  6. Salivary glands.
  7. Nerve tissue.
  8. Bone marrow.

Why does my RA flare up before my period?

Research suggests that

variations in hormone levels that occur during the menstrual cycle may influence arthritis disease activity and the severity of symptoms

. “It seems likely that hormones may impact disease activity directly, such as by promoting or alleviating inflammation,” said Dr. Sammaritano.

Why does my arthritis hurt before my period?

Many women with OA, RA, lupus, and fibromyalgia report an increase in joint pain just before or during their periods. This is likely because

estrogen levels plummet right before menstruation and rise again after a woman’s period is over

. “Estrogen is believed to be protective against pain,” says Dr. Tucker.

Does inflammation increase during menstruation?

During the follicular phase of the menstrual cycle (i.e. the first part of the cycle, from the first day of the period until ovulation), people tend to have higher levels of antibodies in their body and have an increased inflammatory response (1, 4).

Can your period cause an autoimmune flare?


The menstrual cycle plays a role in the exacerbation of rheumatologic conditions, such as rheumatoid arthritis and systemic lupus erythematosus, with flares occurring prior to and during menses, respectively

(Colangelo et al., 2011, Latman, 1983).

Can autoimmune disease cause heavy periods?

This is due to several factors including the destruction of red blood cells by the immune system and certain medications. However, because lupus is most prevalent in women,

menorrhagia – particularly heavy or unusual bleeding during menstruation – is potentially also a cause of lupus-related anemia

.

What are the symptoms of an autoimmune flare up?

  • Fatigue.
  • Joint pain and swelling.
  • Skin problems.
  • Abdominal pain or digestive issues.
  • Recurring fever.
  • Swollen glands.

Why have my periods suddenly changed?


Pregnancy, aging, medical conditions, or medications

are common culprits for a change in menstrual cycle length. You should see a healthcare provider for any sudden change in your menstrual cycle. This includes skipped periods, painful periods, unusually heavy bleeding, or longer menstrual cycles than usual.

What counts as an irregular period?

What are irregular periods? You have irregular periods

if the length of your menstrual cycle (the gap between your periods starting) keeps changing

. Your periods may come early or late. The average menstrual cycle lasts 28 days, although it’s normal for it to be a bit shorter or longer than this.

What happens if you leave rheumatoid arthritis untreated?

Without appropriate treatment, chronic pain, disability, and excess mortality are unfortunate outcomes of this disease. RA causes joint damage in 80% to 85% of patients, with the brunt of the damage occurring during the first 2 years of the disease. Left untreated,

the risk of mortality is increased

.

Does RA cause early menopause?

Studies in 2012 and 2013 suggest that

women with RA may go through early menopause

that the age that menopause occurs may affect RA disease activity.

Is arthritis linked to menopause?

Estrogen receptors are also found in the synovium of joints.

It is this decline in estrogen in the run up to menopause

that can give rise to joint pains and stiffness. Osteoarthritis is the most common form of arthritis in men and women.

What are 3 symptoms of rheumatoid arthritis?

  • Pain or aching in more than one joint.
  • Stiffness in more than one joint.
  • Tenderness and swelling in more than one joint.
  • The same symptoms on both sides of the body (such as in both hands or both knees)
  • Weight loss.
  • Fever.
  • Fatigue or tiredness.
  • Weakness.

What triggers rheumatoid arthritis?

Rheumatoid arthritis is an autoimmune condition, which means it’s caused by the immune system attacking healthy body tissue. However,

it’s not yet known what triggers this

. Your immune system normally makes antibodies that attack bacteria and viruses, helping to fight infection.

What triggers rheumatoid arthritis flare ups?

Flare Types and Triggers


Overexertion, poor sleep, stress or an infection like the flu

can all set off RA symptoms. With a predictable flare you’ll temporarily feel worse, but your symptoms will resolve in time. Unpredictable flares have more uncertainty associated with them.

Can low estrogen cause rheumatoid arthritis?

While we know that estrogen plays an important role in our immune systems, the exact nature of how it works is not clear. There is evidence, however, that

low estrogen levels can trigger RA

and higher levels may help prevent it.

Why do my legs hurt on my period?


When endometrial tissue grows outside the uterus, the cells still shed, but they cannot leave the body, causing painful symptoms

. In some cases, endometrial tissues grow in and around the many nerves that travel through the pelvis and hip. These nerves supply sensation to the leg.

How do you know if you are perimenopausal?


If you have a persistent change of seven days or more in the length of your menstrual cycle

, you may be in early perimenopause. If you have a space of 60 days or more between periods, you’re likely in late perimenopause. Hot flashes and sleep problems. Hot flashes are common during perimenopause.

What is lupus joint pain like?

Lupus can also cause inflammation in the joints, which doctors call “inflammatory arthritis.” It can make your joints hurt and feel

stiff, tender, warm, and swollen

. Lupus arthritis most often affects joints that are farther from the middle of your body, like your fingers, wrists, elbows, knees, ankles, and toes.

Is rheumatoid arthritis the same as fibromyalgia?


The causes of these conditions are very different

. RA is an autoimmune disease that causes the body’s immune system to attack its joints. Fibromyalgia is a disorder marked by musculoskeletal pain and symptoms of fatigue, trouble sleeping, and problems with memory and mood.

Can methotrexate affect menstrual cycle?

This medication

may affect your reproductive system, resulting in the menstrual cycle or sperm production becoming irregular or stopping permanently

. Women may experience menopausal effects including hot flashes and vaginal dryness.

James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.