Joint pain in perimenopause: why it happens

Joint aches and stiffness — often morning stiffness, often symmetrical, often without injury — are a recognised but underdiscussed symptom of perimenopause and menopause. Many women are sent down the rheumatology pathway when the actual driver is hormonal.

Why it happens

Oestrogen has a role in maintaining joint and connective tissue. As levels fall, women experience more joint stiffness, more diffuse aches, and reduced exercise tolerance. The pattern is typically multiple joints, mild to moderate, and worse in the morning.

What helps

A proper differential — ruling in hormonal causes and ruling out inflammatory arthritis where indicated. For women whose symptoms are clearly hormonal, hormone therapy often substantially improves joint symptoms. Strength training maintains musculoskeletal health. Anti-inflammatory diet and weight management contribute.

Full article coming soon. The [perimenopause programme page](/perimenopause) covers the consultation approach.

This is general health information and not medical advice. Your doctor will discuss your specific situation during a consultation.