If you’re a woman in your 40s or 50s, you’ll eventually stop having your period for at least 12 months. This natural part of life is known as menopause. The time period leading up to menopause is known as perimenopause. This time period varies among women and lasts about 4 years on average. Hormonal changes in your body during this time period may lead to uncomfortable symptoms, such as hot flashes, sleep disruptions, and mood changes. Menopause can also interact with other health conditions, including psoriatic arthritis (PsA). Understanding how menopause and PsA affect each other can help you to manage flares and reduce your risk of related diseases, including osteoporosis. Research suggests that fluctuations in female hormones during menopause may also cause PsA and psoriasis flares to worsen. Common menopause symptoms can also make PsA flares feel worse. Tracking your symptoms, diet, sleep, and stress levels can help you to pinpoint and manage your potential PsA triggers. Osteoporosis is a disease that causes weak and brittle bones. The reduction in estrogen levels during menopause increases a woman’s chances of developing osteoporosis. Chronic inflammation may increase these risks. Research suggests that women with PsA may be at an even greater risk of osteoporosis after menopause. Discussing strategies with your doctor to minimize your risk of osteoporosis is very important. Hormone therapy can provide relief from hot flashes and other menopause symptoms, and help prevent bone loss, but early research suggests it won’t improve PsA symptoms. Managing your PsA, limiting your exposure to potential triggers of PsA flares, and controlling your menopause symptoms can help keep you as comfortable as possible during this time in your life.