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I would definitely check with your rheumatologist. Drug interactions may be key.

When I was 45 I was experiencing anemia and one of the solutions- which had

worked before - to regulate periods - was to put me on an estrogen based oral

contraceptive- not necessarily as birth control but to regulate bleeding. I was

also on prednisone and methotrexxate for the RA. Long story short -it helped the

anemia but I developed a DVT ( deep vein thrombosis) and then quickly two

pulmonary embolisms. (I had been diagnosed with pneumonia because of shortness

of breath - and pain and swelling in my legs and shoulders was ignored as just

RA symptoms). But for some quick thinking and enormous increase in leg swelling

- I could have died. I spent almost a week in cardiac intensive care. I was on

coumadin for 6 months. I found out later- methotrexate can create an increase an

increase homocysteine levels in the blood which makes it sluggish and more prone

to clotting. Prednisone can impact circulation. I think that along with the

standard blood clotting risk of estrogen based drugs- particularly after age 40-

caused the problems. Of course, I was told that the cause of the clots was

idiopathic- but I am convinced it was a drug interaction. I think my docs know

that too - or I would have remained on coumadin. It is 4 years later - I have

since had a hysterectomy- and I have had no reoccurence of the clotting problems

once the estrogen was removed. I would be particularly wary of anything with

estrogen in it - if you are taking a number of RA drugs and over 40. I would at

least talk to both docs about that risk.

Hugs,

> Anyone else experience some early symptoms of menopause from RA?

> Saw the gynecologist today and got a funky device ( " Femring " --newly

> available in June) for delivering estrogen locally. My main complaint

> is dryness. I'm only 43; the doc thought it was RA related, as " RA

> can affect mucousal tissues " .

> Thought I'd check in with the rheumatologist before starting the

> Femring. I'm well aware of the cancer risk associated with HRT; this

> should be much safer because the estrogen is delivered locally.

> Comments? Experiences?

>

> S.

>

>

>

>

>

>

>

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,

I am so sorry to hear you had to go through all of this. But I can certained

sympathize with you. I had horrible side effects on MTX and prednisone. I

am no longer taking either.

I am curious because I am also high risk for blood clots I had weight loss

surgery and I had a clot catching filter inserted before my big surgery. Did

they put in a clot filter to catch clots? My doc says once a clot always the

risk for a killer clot.

I spent 3 weeks post op on heperin injections to prevent DVT post-op. It was

a real " pain " taking shots 3 times a day for 21 days. But much better than

the other option of a clot to the lungs, heart or brain.

I am glad to hear that you are doing better.

Toni

In a message dated 7/7/2004 1:50:37 PM Central Daylight Time,

writes:

Date: Wed, 07 Jul 2004 14:37:50 +0000

From: k.j.choate@...

Subject: Re: Question for Women

I would definitely check with your rheumatologist. Drug interactions may be

key. When I was 45 I was experiencing anemia and one of the solutions- which

had worked before - to regulate periods - was to put me on an estrogen based

oral contraceptive- not necessarily as birth control but to regulate bleeding. I

was also on prednisone and methotrexxate for the RA. Long story short -it

helped the anemia but I developed a DVT ( deep vein thrombosis) and then quickly

two pulmonary embolisms. (I had been diagnosed with pneumonia because of

shortness of breath - and pain and swelling in my legs and shoulders was ignored

as

just RA symptoms). But for some quick thinking and enormous increase in leg

swelling - I could have died. I spent almost a week in cardiac intensive care.

I was on coumadin for 6 months. I found out later- methotrexate can create an

increase an increase homocysteine levels in the blood which makes it sluggish

and more prone to clotting. Prednisone can impact circulation. I think that

along with the standard blood clotting risk of estrogen based drugs-

particularly after age 40- caused the problems.

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-Hi. I have not begun to reach the symptoms of menopause, so please

excuse my ignorance and possible insensitivity to what you are going

through, but the thought of taking estrogen strikes some concern in

me. Have you asked your doctor about the possibility of estrogen

making RA worse? It seems to me that because RA and other

autoimmune issues are so much more common in women than men that

there may be some kind of link.

I seem to be very sensitive to hormonal fluctuations. When I was

pregnant with my daughter, I had such severe hyperemisis(morning,

noon and night sickness) that I lost 17 pounds in the first eight

weeks and ended up in the hosp with a pic line. I have never been

able to tolerate birth controll pills because of nausea and

headaches, I have had seven miscarriages and, at age 33, still break

out in acne pefore each period! I recently had my galbladder

removed because of a bunch of stones that my doctor said were

estrogen based and last fall I got my RA diagnosis. Anyway, my

point is not to complain, but to point out that the common link in

most of these things may be estrogen. -Again, I don't know if

estrogen could contribute to the onset or severity of RA, but I do

think it would be worth checking into. It is so unfair to think

that what could help one thing could hurt another. I guess that is

our constant battle with RA.

- In , " snowdrift52003 "

<snowdrift52003@y...> wrote:

> Anyone else experience some early symptoms of menopause from RA?

> Saw the gynecologist today and got a funky device ( " Femring " --

newly

> available in June) for delivering estrogen locally. My main

complaint

> is dryness. I'm only 43; the doc thought it was RA related, as " RA

> can affect mucousal tissues " .

> Thought I'd check in with the rheumatologist before starting the

> Femring. I'm well aware of the cancer risk associated with HRT;

this

> should be much safer because the estrogen is delivered locally.

> Comments? Experiences?

>

> S.

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  • 2 years later...
Guest guest

I hate to be indelicate but I really need to ask about asthma and

menstrual cycles. I apologize greatly if this makes anyone

uncomfortable but I desperately need help figuring out this mystery.

I think that I am allergic to my period. I am dead serious. Every

month about 4 days before my period, I cannot breathe at all. TO

recap, I am on tons of meds, Xolair, and I self inject epi as a

rescue medicine. I end up on Prednisone 4 days before my period

every month. And my cycle is very irregular so it isn't

psychosomatic. Will Xolair effect this? Does anyone know an

approach to dealing with this?

I have been on Xolair for 2 months and I do not see much change. I

know that it can take a while to have a noticeable effect. My IgE

was not terribly high (48) but my lungs are terribly bad. I am so

sick of giving myself shots in the stomach. I am more sick of my

kids getting my sharps off the shelf and the epi out of the fridge

and bringing them to me when I can't stop coughing.

I would greatly appreciate any information that could help me with

this.

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Guest guest

Don't worry about your question....the only bad

question is one that is not asked!

I have ALWAYS noticed a decrease in my ability to

control my asthma around " that time. " Which is why ,

when I started on Xolair my doctor and I decided to

plan my injections out so I would have one about a

week before " Aunt Flo " came to visit. I have noticed

that it helps quite a bit.

I've bee on on Xolair for almost two years now. I get

injections twice per month. Depending on what your

dosage and how many times you inject will depend on

how soon you start to see results.

Now I am not sure how many people in this group read

what you wrote, but I for one am a bit concerned by

some of the things you have said. I'm hoping that you

could clear up a few red flags I saw here by answering

a few questions.

1. Are you self injecting?! If so, what part of your

body are you injecting with Xolair?! You said

something about injecting into your stomach. Xolair

is NOT intended to be injected into your stomach. It

is injected to either your upper arm or thigh.

2. You said that you keep your Epi pen in the fridge.

Both the box and the says insert on mine say " DO NOT

REFRIGERATE " ! It then says " Store at 22`C or 77`F " .

Which is basically room temp!

3. You said that your children have access to your

sharps?!?!?! Do you not have a sharps container?! I

get one every few months from my insurance company

when they send me my Xolair. I then take my used

sharps, once that container is full, to my doctors

office and they dispose of it. If you don't have one,

I suggest that you get one ASAP! Allowing your kids

access to your sharps, used or unused is NOT A GOOD

THING!

--- schoolontherock <fromthebirdhouse@...>

wrote:

> I hate to be indelicate but I really need to ask

> about asthma and

> menstrual cycles. I apologize greatly if this makes

> anyone

> uncomfortable but I desperately need help figuring

> out this mystery.

>

> I think that I am allergic to my period. I am dead

> serious. Every

> month about 4 days before my period, I cannot

> breathe at all. TO

> recap, I am on tons of meds, Xolair, and I self

> inject epi as a

> rescue medicine. I end up on Prednisone 4 days

> before my period

> every month. And my cycle is very irregular so it

> isn't

> psychosomatic. Will Xolair effect this? Does

> anyone know an

> approach to dealing with this?

>

> I have been on Xolair for 2 months and I do not see

> much change. I

> know that it can take a while to have a noticeable

> effect. My IgE

> was not terribly high (48) but my lungs are terribly

> bad. I am so

> sick of giving myself shots in the stomach. I am

> more sick of my

> kids getting my sharps off the shelf and the epi out

> of the fridge

> and bringing them to me when I can't stop coughing.

>

> I would greatly appreciate any information that

> could help me with

> this.

>

>

>

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