Menopause can affect bowel movements in several ways. As estrogen levels decline during perimenopause and menopause, the colon and intestines may become more sensitive and react differently than before. Common bowel changes include:
Constipation
- Slower transit time. Estrogen helps move waste through the colon. With less estrogen, stools can become dry and difficult to pass.
- Strain and discomfort. Hard stools can require straining to pass. This can cause hemorrhoids or small tears in the anus.
- Bloating and gas. When waste moves slowly, more gas and bloating may occur.
Diarrhea
- Seepage of bile acids. Falling estrogen allows more bile acids to seep into the colon, causing loose stools.
- Stress and anxiety. The emotions of menopause can trigger diarrhea.
Irritable bowel syndrome (IBS)
Many women find their existing IBS symptoms worsen during menopause, likely due to hormone fluctuations.
*Why Menopause Impacts Bowel Habits*
Hormone changes during menopause, especially declining estrogen levels, are believed to directly impact bowel health and function. Specifically:
- Gut motility. Estrogen helps stimulate contractions to move stool through the intestines. With less estrogen, transit time slows.
- Serotonin levels. Estrogen helps regulate levels of serotonin, a key gut hormone. Disruptions may affect bowel habits.
- Inflammation. Estrogen has anti-inflammatory effects in the gut. A drop can trigger inflammation.
- Bile acids. Estrogen improves how the gut processes bile acids. Imbalances may cause diarrhea.
*Tips for Healthier Bowel Movements During Menopause*
- Exercise - Stay active with cardio and strength training to stimulate the gut.
- Diet - Eat more fiber and stay hydrated. Consider probiotic foods.
- Relieve stress - Try yoga, meditation, journaling, or joining a support group.
- OTC remedies - Ask a pharmacist about laxatives, stool softeners, probiotics.
- See your doctor - Discuss symptoms, testing, medications, or supplements that may help.
If menopause bowel issues become chronic or severe, see your healthcare provider. They can check for infection, inflammation, dietary issues, or other factors. Symptoms may be relieved by treating the underlying
hormone imbalance, such as through
hormone therapy or prescription medications.
*Bioidentical Hormone Treatment Could Help*
Imbalanced or falling hormones levels are a common trigger of menopause digestive issues. Correcting the hormonal imbalance may relieve symptoms. *Vitality Hormone Center* specializes in customized *bioidentical hormone therapy* to restore optimal hormone levels. Our experienced clinicians develop personalized treatment plans with monitored doses of estrogen,
testosterone, or
progesterone tailored to your unique needs. If menopause digestive troubles are diminishing your quality of life, we encourage you to schedule a consultation.
I hope this overview has helped explain how menopause can impact bowel movements through multiple mechanisms. Be sure to talk to your doctor if you develop new or concerning digestive issues during perimenopause or menopause. Understanding and addressing the hormonal influences may help resolve symptoms for good bowel health.
