There has been recent evidence that suggests that the incidence of menopausal arthritis is higher than first thought.
While inhibiting estrogen is one of the side effects of menopause, what has been downplayed by the medical community is the associated joint pain and musculoskeltal aching that can come with it and in some cases severe enough to slow down and stop some women.
This evidence is coming to light from a unique quarter of the women's community - breast cancer survivors in early menopause.
Because the use of aromatese inhibitors work powerfully at blocking and preventing re-occurrence of the disease by lowering levels of estrogen in peripheral tissues, it has become apparent that it also increases the incidences of joint pain in women.
Estrogen deprivation in correlation to joint inflammation and pain is not a well-explored area. It is well-established that estrogen deprivation in tissues have a direct response in sensitivity of women to suffer more as depletion rises.
Studies of natural menopause offers compelling evidence associated with estrogen deprivation and the rise in joint pain.
In a post menopausal estrogen/progesterone intervention trial, when women received estrogen they had a significant decrease in episodes and severity of joint pain somewhere between 32 to 38%.
With the control group who received instead a placebo, muscle stiffness, joint pain and inflammation and skull and neck aching was reported.
In the Asian community, menopausal women are more susceptible to the syndrome, "menopausal arthritis" because Asian women have been found to have lower estradiol levels than their Caucasian counterparts.
As well, they report a high rate of osteoarthritis and rheumatoid arthritis in post menopausal women.
Estrogen deficiency's correlation to musculoskeletal problems, muscle stiffness and joint pain during menopause is very common.
Some of the side effects and symptoms are often misunderstood or just not mentioned.
For women experiencing these symptoms including the debilitation persistent joint pain problems, it is an all to real day to day drama where they seek help and can't find answers.
Many more women develop musche aches during menopause and stand a higher incidence of osteoporosis where the bones become weak.
This is as a result of hormonal changes during menopause coupled with insufficient physical activity which aggravates the development of the condition.
While all of the studies are not in, there are strong indicators that further research is needed to understand this puzzling symptom of the female menopausal process.