Arthritis

Many women experience stiff or painful joints during menopause. Declining hormone levels make cartilage and joints less flexible. Pain does not always indicate arthritis, but the risk of developing the condition increases in postmenopause. What can help?

A close-up of two hands clasped together resting on a wooden table, with the person wearing a light brown knit sweater. A gold ring is visible on the ring finger of one hand. The gesture conveys a deep sense of intimacy, connection, and mutual support. Set against a blurred natural background with soft lighting, the image exudes a warm, serene, and comforting atmosphere.

Summary

  • During menopause, hormone levels drop and fluctuate. This can affect your joints, muscles, or bones.
  • The decrease in oestrogen seems to make you more sensitive to inflammation. This can lead to stiff and tender joints. Reduced collagen production also appears to play a role.
  • Arthritis is a collective term that includes osteoarthritis and rheumatoid arthritis (RA). In osteoarthritis, cartilage becomes damaged. RA is an autoimmune disease.
  • Many women experience joint issues, such as stiffness or pain. This is not always arthritis. Women in postmenopause are at a higher risk of developing rheumatoid arthritis (RA).
  • A healthy lifestyle and supplements can help alleviate symptoms. Additionally, there are various treatments available.
I experienced severe pain in my hands. The medication is working, but I feel so tired. All the time. My body takes longer to recover.
A woman with short hair sits on a sofa in a cozy indoor setting, wearing a light brown knitted cardigan over a white top and a delicate necklace. She exhibits a calm and relaxed demeanor, seamlessly fitting into the warm, domestic atmosphere created by the decorative paintings and shelves in the background.
Melanie50 years

What happens in your body?

Some studies suggest that the drop in oestrogen may contribute to an increased risk of arthritis. Oestrogen helps keep joints strong and flexible. During menopause, hormone levels decline, causing cartilage to thin and mucous membranes to dry out. This can lead to pain, stiffness, and sometimes inflammation. Existing arthritis may also worsen.

Researchers also believe that a decrease in oestrogen may reduce collagen production. This can make joints less flexible and sturdy. However, there is no evidence yet that this leads to joint damage.

Arthritis is a collective term that includes osteoarthritis and rheumatoid arthritis (RA). In osteoarthritis, cartilage becomes damaged, which can affect the entire joint and cause changes in the bone. The connective tissues that hold the joint together may also deteriorate. RA is an autoimmune disease where your immune system attacks your joints, causing inflammation. Women often experience swelling and pain in and around the joints. Arthritis can occur in the hands, feet, hips, knees, and/or back.

Postmenopausal women may have a 35% higher risk of developing rheumatoid arthritis (RA). For women who already have arthritis, symptoms may worsen. The connection between arthritis and menopause is not yet fully understood by researchers. The role of hormonal changes is taken seriously, but the relationship is still being studied.

A woman wearing a patterned knit cardigan standing in a bright, tidy kitchen. She conveys a sense of quiet focus and introspection as she looks down intently at her hands. The background features cabinets, a sink, and various kitchen utensils, creating a warm and daily domestic atmosphere.

Other causes

In addition to menopause, there are other possible causes of arthritis:

  • Genetics play a role, but this does not mean you will definitely develop the condition. Environmental factors also contribute.
  • Joint injuries.
  • Autoimmune diseases.
  • Gut issues, such as Crohn's disease or ulcerative colitis.
  • Infections, such as Lyme disease, can trigger arthritis.
  • Certain occupations may lead to earlier onset of osteoarthritis due to repetitive knee bending and squatting.
  • Chronic stress can affect the immune system, making the body more susceptible to inflammation.
  • Lack of exercise, smoking, being overweight, and alcohol consumption increase the risk of arthritis.

What are the symptoms?

Many women with arthritis experience swollen, stiff, or painful joints, especially in the morning. Their range of motion may also decrease. Other symptoms of arthritis include:

  • Warmth and redness around the joint
  • Fatigue or low energy
  • Reduced appetite
  • Mild fever
  • Sometimes mild anaemia with prolonged inflammation, especially in rheumatoid arthritis (RA)

If you have symptoms or if they worsen, talk to your (general) practitioner.

Personalised menopause care, guided by doctors

Personalised product advice for your menopause symptoms  

What treatments can help?

There are various ways to effectively manage arthritis. You don’t have to simply live with it. You can support your body naturally with healthy nutrition, adequate exercise, and rest. Additionally, supplements, medications, and hormone therapy (HRT) can help.

Nutrition and lifestyle: getting the basics right

When your hormonal balance changes during menopause, it can affect your energy levels, sleep, digestion, and metabolism. Healthy nutrition, regular exercise, and rest can help prevent or alleviate symptoms. Small adjustments can already make a difference in how you feel.

When using medications or supplements, a balanced lifestyle supports your body in absorbing nutrients and processing medications. This makes supplements and medications more effective. Experts recommend the following for arthritis:

  • A Mediterranean diet has anti-inflammatory effects. This includes plenty of vegetables, fruits, fatty fish, olive oil, nuts, and seeds. Also, eat whole grains if you tolerate them well.
  • Processed foods, sugar, soft drinks, trans fats, and excessive alcohol can worsen inflammation.
  • Smoking is a major risk factor for arthritis. If you smoke, try to quit.
  • Being overweight puts stress on the joints, making you more prone to inflammation. Even losing a small amount of weight can reduce joint symptoms.
  • Exercise regularly. It’s beneficial for your overall health.
  • Reduce stress. Engage in activities that help you relax, such as mindfulness or walking in nature.
  • Get enough sleep to allow your body and mind to recover.
  • Omega-3, vitamin D, and calcium can contribute to healthy bones and joints. Consult your doctor to see if a supplement might help.

Hormone therapy

Replacing the hormones that decline during menopause is the most effective treatment for various menopausal symptoms. Hormone therapy (HRT) directly addresses vasomotor symptoms, such as hot flushes and night sweats, as well as vaginal symptoms like dryness. HRT may also (indirectly) improve other symptoms, such as sleep problems, concentration issues, and arthritis.

HRT is not the first choice for everyone. A doctor will always carefully assess whether this treatment is suitable for your health and symptoms.

You only realise how wonderful it is to move freely when you can no longer move freely...
A woman with light grey curly hair wearing a beige knit sweater, exuding a serene and cozy demeanor in a warmly lit home environment.
Ellen58 years

Hormone-free medication

Many women are unaware that, in addition to hormone therapy, there are proven effective hormone-free medications to relieve menopausal symptoms. While hormone therapy can address multiple symptoms simultaneously, hormone-free medications often target a specific symptom. For example, certain antidepressants (SNRIs) for hot flushes, anti-inflammatory drugs for joint pain, or antacids for heartburn.

Hormone-free medications are always prescribed by a doctor. They can be a good option for those who cannot or do not want to use hormone therapy. These medications work directly on the symptom without affecting your hormonal balance, allowing you to address your symptoms in a targeted way and support your body.

Supplements

During menopause, changes occur in how your body produces energy, builds muscle, and repairs skin. You can naturally support these processes with high-quality supplements. Magnesium, vitamin D, and omega-3 are recommended for every woman going through menopause.

The effectiveness of supplements depends on factors such as your lifestyle and health and can vary from person to person. The quality of the product also determines how well it works. Choose high-quality supplements without unnecessary fillers.

Personalised menopause care, guided by doctors

Alleviate your menopause symptoms

Complete an online medical questionnaire and receive tailored product recommendations from a doctor, customised to your circumstances, preferences, and health.   

Understand your menopause symptoms and discover what you can do