Rheumer Has it: Rheumatoid Arthritis and Menopause: What Every Woman Should Know, Dr. Diana Girnita
Dr. Girnita explains how estrogen and other hormones influence the immune system, why perimenopause can be particularly confusing for people living with rheumatic diseases, and what patients should know about distinguishing hormonal symptoms from an autoimmune disease flare.Cheryl and Dr. Girnita also discuss the evolving evidence around menopause hormone therapy (also known as hormone replacement therapy or HRT), including whether it's an option for people with RA, lupus, and Sjögren's disease. They explore the importance of protecting bone health, maintaining muscle strength, finding knowledgeable healthcare providers, and advocating for yourself when symptoms are dismissed. Throughout the conversation, they emphasize that menopause is a normal life transition, not a disease, and that people living with autoimmune conditions deserve individualized, evidence-informed care to help them thrive through every stage of life.Episode at a glance:Hormones and autoimmunity: Why estrogen and other hormones influence inflammation, joint health, and autoimmune disease.Understanding perimenopause: When it can begin, how long it can last, and why symptoms can be difficult to recognize.RA flare or perimenopause? How overlapping symptoms like fatigue, joint pain, brain fog, and sleep disturbances can complicate diagnosis.The musculoskeletal syndrome of menopause: How hormonal changes may contribute to joint pain, tendon problems, and other musculoskeletal symptoms.Hormone replacement therapy (HRT): What people with RA, lupus, and Sjögren's should know about potential benefits, risks, and individualized treatment.Finding the right healthcare team: Why menopause expertise, rheumatology knowledge, and shared decision-making matter.Protecting your long-term health: The importance of bone density, strength training, exercise, and healthy habits during midlife.Self-advocacy and empowerment: Tracking symptom patterns, asking questions, seeking second opinions, and rejecting the idea that menopause is something to fear.Medical disclaimer: All content found on Arthritis Life public channels (including Rheumer Has It) was created for generalized informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.Episode SponsorsRheum to THRIVE, an online course and support program Cheryl created to help people with rheumatic disease go from overwhelmed, confused and alone to confident, supported and connected. See all the details and join the program or waitlist now! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.