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During menopause, which occurs at age 51 on average, a woman’s body drastically cuts its production of the hormone estrogen. Estrogen may help the kidneys excrete uric acid, so after menopause, a woman’s uric acid level begins to increase. It usually takes several years for the uric acid level to reach the point where crystals can form. By about age 60, the number of cases of gout in women and men are about equal; after age 80, more women than men have gout.
Your doctor can determine whether your body makes too much uric acid (an “overproducer”) or doesn’t excrete uric acid fast enough (an “underexcreter”) in diagnosing gout. Women who are overproducers can take allopurinol (Zyloprim) to decrease their bodies’ uric acid production. Underexcreters can take probenecid (Benemid, Probalan) to help their bodies eliminate uric acid.
In addition to medication, you can control how much uric acid your body produces by avoiding foods high in purines, which increase the uric acid level when digested and metabolized. Such off-limit foods include alcohol, bacon, haddock, liver, scallops, turkey, veal and venison. Go light on moderate-purine foods, such as asparagus, beef, chicken, ham, mushrooms and shellfish.