Birth Control Pills prevent/help RA? | Arthritis Information

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Hi Everyone,

I've read several articles about Birth control pills possibly helping or preventing RA. Has anyone else heard about this or have anymore info on it?

Strangely enough, I stopped my birth control pills after being on them for 12 years.  A few years later is when my RA came on. Now I wonder if I would've stayed on the BCP if it would've prevented it? I am going to re-start the pill here in a few weeks and will be interesting to see if it helps me.

Here's one article I found:

Dear Dr. Borigini,

I'm newly diagnosed with Rheumatoid Arthritis. After doing only preliminary reading, it seemed that there is evidence that changes in hormones estrogen/progesterone can cause the onset of RA symptoms-- i.e., following childbirth and remission of symptoms during pregnancy. If this is true, couldn't hormone therapy in the form of birth control pills help in the reduction or elimination of symptoms after RA onset?

Pregnancy in most cases is associated with remission of rheumatoid arthritis, but at least 25% of patients continue to have active disease, or even worsening of disease. In general, those patients who do improve during pregnancy relapse in the postpartum period. It is assumed that hormonal immunologic changes during pregnancy can explain this, but over the years the exact mechanism has not been well-established. There was research data published in the July issue of the scientific journal Arthritis and Rheumatism which found that fetal DNA levels in the blood of mothers who improved during pregnancy was higher compared to the mothers who did not improve during pregnancy. Three to four months after delivery, 90% of the mothers who had improved were suffering from active rheumatoid arthritis; when the mothers’ blood was analyzed at that point, the fetal DNA was almost non-existent. So, it appears that the fetal DNA might affect the immune system in a positive way, allowing for remission during pregnancy.

The effect of birth control pills and estrogen replacement on the risk of rheumatoid arthritis was studied, the results published in the Journal of Rheumatology in 2004. The authors found that exposure to birth control pills, but not estrogen replacement therapy, significantly reduced the risk of developing rheumatoid arthritis; this risk appeared even lower during the era when birth control pills contained higher amounts of estrogens and progestins. However, this protective effect is not guaranteed, and no one is recommending that women take birth control pills solely to avoid rheumatoid arthritis.

I've been on BCP for 20 years straight, and not only did it not prevent my RA, but after 2 years of symptoms, my RA isn't under control yet.  Of course I'm just one person, but also keep this in mind...I've just learned that elevated triglycerides are common in people with RA, and that some immune-suppressing RA meds can make that worse, but so can BCP! 
 
Are you re-starting the BCP just because of the RA, or for other reasons?
I have used the birthcontrol pill for  31 years and it didn't prevent my RAThat's interesting about elevated triglycerides... I didn't know that.  My doctor said I need to be on a good bcp before starting Methorexate, plus I have irregular periods, so I need to be on them. I did read something on a brochure, while sitting at my doctor appt but haven't been able to find it since...something about people with RA need to be careful while taking bcp but couldn't finish the brochure!  Do you know if it's safe to take BCP with RA meds? i asked my RA doctor and he said it should be fine.
 
Thanks !!!
There's no reason you can't take BCP with RA meds (although I have no idea why he wants you on them before mtx, other than actual BC reasons).  Just make sure they're checking your lipid panel on the blood work so you know how high your triglycerides are getting, and do what you can to keep them low otherwise (diet, exercise, etc).I started the birth control pill a month before my RA went into full flair, i was taking it to help with my polyps while waiting for surgery.  I had to quit taking it cuz it made my body swell up further than ra did itself.  I wonder if it helped my ra come out.
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