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My RRMS (undiagnosed at the time) turned to SPMS during menopause. When did yours become SPMS and do you think hormones may play their part? Any other SPMS thoughts would be interesting too so, please, feel free to chat.

I think I'm SPMS but was diagnosed with RRMS because that's the only way my insurance would cover Ocrevus.  But I've been menopausal for a good 10 years or so, and the progression from RRMS only began about 4 years ago.  I've never had any type of hormone therapy, so maybe your theory has some basis in fact.

And maybe it's just due to my interest in genealogy, but I wish the researchers would start delving into our historical and environmental backgrounds a little more.  I can't help but think that there are common denominators that can only be found if they go back 100 years or more.

Interesting, I had my most severe relapse during menopause and have been classed as SP since then. My menopause was relatively easy no hormone replacement.

I have MS

I went straight in as SPMS, diagnosed aged 46yrs, I had symptoms since my late 20's, but very mild so I didn't bother getting them check out, I was however diagnosed with iritis aged 29, they seem to think this was the start for me, so to answer your question, was this down to hormones, I'm not sure and neither are they.