RHEUMATOID ARTHRITIS

This study investigates the influence of menopause on rheumatoid arthritis (RA) in menopausal women attending the Consultant Outpatient Department at the University of Benin Teaching Hospital (UBTH), Nigeria. Rheumatoid arthritis, a chronic autoimmune disorder, disproportionately affects women, with hormonal changes during menopause potentially exacerbating disease activity. The study aimed to assess the prevalence of RA among menopausal women, examine the perceived impact of menopause on RA symptoms, evaluate changes in disease progression post-menopause, and identify coping strategies for symptom management. A descriptive cross-sectional survey design was employed, with data collected from 144 menopausal women diagnosed with RA using a structured questionnaire. Convenience sampling was utilized, and statistical analysis was performed using SPSS version 27.0, incorporating descriptive and inferential statistics (Chi-square tests). Results revealed that 70.8% of respondents were menopausal at the time of RA diagnosis, with 83.3%
reporting a formal RA diagnosis. Menopause was significantly associated with worsened joint pain (mean score = 4.64), increased stiffness, and heightened fatigue. A strong correlation (p = 0.000) was observed between menopausal status and RA diagnosis. Common coping strategies included dietary adjustments (mean = 4.34) and seeking emotional support
(mean = 4.33). The study concludes that menopause significantly exacerbates RA severity and symptom progression, highlighting the need for integrated healthcare strategies that address both hormonal changes and RA management. Recommendations include improving patient-provider communication, developing tailored treatment plans, and further research into the biological mechanisms linking menopause and RA