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Digestive Troubles During Menopause

Menopause, a natural phase in a woman's life, can bring about several digestive issues, often leaving many women puzzled about the changes they're experiencing. In the Winter 2023-24 issue of The Menopause Exchange newsletter, Dr. Jeni Worden sheds light on this topic, discussing how fluctuating hormones during menopause can impact digestive health.

Hormones and Digestion

The link between menopause and digestive problems is primarily due to hormonal fluctuations. As women approach their 40s and beyond, changes in estrogen and progesterone levels can affect the gastrointestinal (GI) tract, leading to various symptoms.

Common Digestive Problems

  • Irritable Bowel Syndrome (IBS): Many women find their IBS symptoms fluctuate with their menstrual cycle, and these can intensify or change during perimenopause due to irregular periods.

  • Gallstones: Hormone Replacement Therapy (HRT) is known to exacerbate gallstones, a concern for many going through menopause.

  • Inflammatory Bowel Disease (IBD): The impact of menopause on IBD is less clear, requiring further discussion and research.

The Importance of Medical Consultation

Norma Goldman emphasizes the importance of discussing any changes in bowel habits with a GP. It can be challenging to discern whether digestive symptoms are menopause-related or indicative of another underlying issue.

Managing Digestive Health During Menopause

Lifestyle Modifications

  • Diet: Eating a balanced diet rich in fiber can aid digestion and alleviate symptoms like bloating and constipation.

  • Hydration: Drinking plenty of water helps in maintaining digestive health.

  • Exercise: Regular physical activity can improve GI function and overall well-being.

Medical Advice and Treatment

Consulting with healthcare providers is crucial for appropriate diagnosis and treatment. This may involve dietary adjustments, medication, or in some cases, hormone therapy, depending on the individual's health status and specific symptoms.

Understanding and Awareness

Educating oneself about the potential digestive issues during menopause and seeking timely medical advice can significantly help in managing these symptoms effectively.