Noticing more aching or stiffness during perimenopause? Estrogen receptors are found throughout the body, and fluctuating and declining estrogen can contribute to a variety of symptoms during the menopause transition. While joint symptoms shouldn’t automatically be attributed to menopause, this is an important time to consider your overall musculoskeletal health—including conditions such as osteoarthritis and rheumatoid arthritis. Supporting strong bones matters too, especially since rheumatoid arthritis is a risk factor for low bone density. Adequate calcium and vitamin D are important for bone health, with 1,200 mg of calcium daily recommended for women aged 51 and older. Whenever possible, meet calcium needs through food, alongside regular movement and adequate vitamin D.