Rheumatoid arthritis (RA) affects more women than men. Around 1.5 million Americans have RA, with about three times more women affected than men. RA often strikes women at a younger age and with more severe symptoms. Early in the disease, women are less likely to reach remission compared to men. Hormones might play a role, as some women get RA during hormonal changes like post-pregnancy or pre-menopause. Pregnant women may see improvement in RA symptoms, but they might flare up after childbirth. Breastfeeding for two years or more may reduce the risk of developing RA by half. Early treatment is crucial for both men and women to slow down the disease and prevent complications like osteoporosis and heart disease. Besides medication, lifestyle changes and support from friends and family are important.