Table 1.

Characteristics of 600 women with rheumatoid arthritis (RA) according to presence or absence of early menopause.

CharacteristicsNo Early Menopause, n = 521Early Menopause*, n = 79p
Mean age at index date, yrs (SD)63.6 (11.7)61.4 (11.0)0.195
Mean age at menopause, yrs (SD)50.7 (2.8)40.9 (5.0)< 0.001
RF positivity, n (%)331 (66)50 (66)0.97
ESR at RA incidence, mm/h33.9 (24.6)31.7 (24.5)0.36
Presence of rheumatoid nodules in the first year after RA incidence, n (%)70 (13)19 (24)0.013
Presence of erosions on radiographs in the first year after RA incidence, n (%)159 (30)21 (27)0.48
Mean length of followup, yrs (SD)11.9 (8.9)11.0 (8.1)
Natural menopause, n (%)**474 (93)46 (58)< 0.001
Artificial menopause, n (%)**31 (6)33 (42)< 0.001
Type of artificial menopause, n (%)0.034
  Still menstruating5 (14)0 (0.0)
  Hysterectomy/bilateral oophorectomy24 (67)27 (82)
  Bilateral oophorectomy2 (6)2 (6)
  Radiation4 (11)0 (0.0)
  Chemical1 (3)1 (3)
  Other0 (0.0)3 (9)
Mean gravidity (SD)3.1 (2.5)2.8 (2.6)0.392
Mean parity (SD)2.6 (2.2)2.4 (2.1)0.568
Any pregnancy or live birth, n (%)424 (81)61 (77)0.381
Mean age at menarche, yrs (SD)13.0 (1.3)13.0 (1.5)0.470
Hormone replacement therapy before RA incidence, n (%)144 (28)31 (39)0.035
  • * Early menopause was defined as natural or artificial menopause at age ≤ 45 years.

  • ** The difference between the natural menopause and the artificial menopause variables is the 5 patients who are still menstruating at RA incidence. RF: rheumatoid factor; ESR: erythrocyte sedimentation rate.