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	<title>Comments on: MTX Month Five: Side Effects</title>
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	<link>http://thislusciousra.wordpress.com/2010/06/15/mtx-month-five-side-effects/</link>
	<description>A new voyage ... life with Rheumatoid Arthritis</description>
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		<title>By: Reiko</title>
		<link>http://thislusciousra.wordpress.com/2010/06/15/mtx-month-five-side-effects/#comment-89</link>
		<dc:creator><![CDATA[Reiko]]></dc:creator>
		<pubDate>Sat, 16 Apr 2011 05:53:00 +0000</pubDate>
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		<description><![CDATA[Hi, I read your blog about MTX journey... I have been on MTX since March for RA and currently my dose is 6 tablets (15mg). I hope you are doing well now, I mean, for us RA patients, doing well means of course you have less fatigue and pain.  I am a Japanese woman, living in US, 45 years old.  As for your menstral cycle issue, I have the exactly the same experience.  Right after I started the MTX, around my expected period starting date was the 4th week of MTX... and my extremely punctual cycle (used to be) suddenly was not longer the case and this cycle I had almost 2 weeks of delay.  As you said, it appears that this is not really recognized in American&#039;s rheumatologists.  However, I had a chance of listening to a recent Japanese Rheumatologist&#039;s  conference and they were discussing this. According to them, although this side affect was not listed officialy, this side affect was a very common one among the rheumatologists who were experienced with this medication. So, they were saying that the doctors SHOULD inform their female patients of this particular side affect so that the patients do not fleak out.  I am not sure why it is not recognized by the doctors here.  My rheumy is also thinking that the menstral cycle disruption is normal because of my age. :(

Anyway, good luck with your treatment and hope we will still live pretty good life even with our RA.

Reiko]]></description>
		<content:encoded><![CDATA[<p>Hi, I read your blog about MTX journey&#8230; I have been on MTX since March for RA and currently my dose is 6 tablets (15mg). I hope you are doing well now, I mean, for us RA patients, doing well means of course you have less fatigue and pain.  I am a Japanese woman, living in US, 45 years old.  As for your menstral cycle issue, I have the exactly the same experience.  Right after I started the MTX, around my expected period starting date was the 4th week of MTX&#8230; and my extremely punctual cycle (used to be) suddenly was not longer the case and this cycle I had almost 2 weeks of delay.  As you said, it appears that this is not really recognized in American&#8217;s rheumatologists.  However, I had a chance of listening to a recent Japanese Rheumatologist&#8217;s  conference and they were discussing this. According to them, although this side affect was not listed officialy, this side affect was a very common one among the rheumatologists who were experienced with this medication. So, they were saying that the doctors SHOULD inform their female patients of this particular side affect so that the patients do not fleak out.  I am not sure why it is not recognized by the doctors here.  My rheumy is also thinking that the menstral cycle disruption is normal because of my age. <img src='http://s0.wp.com/wp-includes/images/smilies/icon_sad.gif' alt=':(' class='wp-smiley' /> </p>
<p>Anyway, good luck with your treatment and hope we will still live pretty good life even with our RA.</p>
<p>Reiko</p>
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