Menopause affects women with rheumatoid arthritis (RA) differently. Due to hormonal changes, RA symptoms may worsen during menopause. It also increases the risk of osteoporosis, so regular bone density checks and adequate calcium and vitamin D intake are necessary. Doctors may recommend medications to maintain bone density and strength. Exercise is particularly important for RA patients as it boosts energy, improves joint flexibility, and alleviates depression and heart disease risk. For sexual issues, lubricants and suitable positions can help reduce pain. Overall, managing the combined effects of RA and menopause requires close cooperation with a doctor.