You are absolutely not alone in this! Perimenopause with lupus can feel like a double whammy. As hormone levels become unstable during this transition, lupus flares can become more frequent and intense — because hormonal shifts are a known flare trigger.
Lupus can also cause inflammation that affects the ovaries, and some Show Full Answer
You are absolutely not alone in this! Perimenopause with lupus can feel like a double whammy. As hormone levels become unstable during this transition, lupus flares can become more frequent and intense — because hormonal shifts are a known flare trigger.
Lupus can also cause inflammation that affects the ovaries, and some lupus medications like corticosteroids and cyclophosphamide can impact how the ovaries function, sometimes even speeding up the transition to menopause. Here are some things that may help manage this difficult time:
- Track your cycle and symptoms — noting patterns can help your doctor adjust your treatment plan
- Talk to your rheumatologist and gynecologist together — they can coordinate care specific to lupus and hormonal changes
- Discuss birth control or hormonal options — some, like certain IUDs, may help regulate hormones and reduce heavy or painful periods
- Manage stress actively — stress is a major flare trigger and perimenopause can bring plenty of it
- Review your current lupus medications — some may be contributing to cycle irregularities
One important caution: always check with your doctor before starting any over-the-counter hormonal options, as some can actually worsen lupus symptoms.
July 16
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