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Menstruation & IBS

Posted: 25th March 2022

Menstruation & IBS

Understanding the Correlation Between IBS and the Menstrual Cycle Plus, 10 Natural Ways to Manage Symptoms.


Let’s look into IBS, the symptoms associated with IBS and the menstrual cycle including the sex ratio in IBS is highly skewed towards the female gender – Meleine & Matricon (2014)


Sex hormones play a key role in IBS physiopathology

Fluctuations in IBS symptoms during the menstrual cycle, especially exacerbation of abdominal pain at menses

IBS patients report that their symptoms (pain, bloating, altered bowel habits) are more severe in the perimenstrual period – Mayer et al. (1999)

IBD patients also report that they experience IBS symptoms around their menstrual cycle –


(PMID: 33614302)

A very interesting study with regards to menstruation and IBS: PMCID: PMC1773170

Looks and monitors IBS symptoms in women who suffer with IBS and women who do not suffer with IBS. They previously uncovered that the menstrual cycle has no effect on rectal sensitivity of normal healthy women, despite them having looser stools at the time of menses. Patients with irritable bowel syndrome (IBS) often report significant exacerbation of their IBS symptoms with menses, raising the possibility that IBS patients may respond differently to the menstrual cycle.


Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder characterised by symptoms such as abdominal pain, bloating, diarrhea, and constipation. For many individuals with IBS, these symptoms often worsen or fluctuate in severity during certain times of the menstrual cycle, particularly in the days leading up to menstruation. This correlation between IBS and the menstrual cycle is thought to be influenced by hormonal changes, neurotransmitter fluctuations, and other factors. In this blog, we'll delve into the connection between IBS and the menstrual cycle and explore 10 natural ways to help manage symptoms effectively.

Understanding the Correlation:


  1. Hormonal Influence: Fluctuations in estrogen and progesterone levels throughout the menstrual cycle can affect gastrointestinal motility and sensitivity, potentially exacerbating symptoms of IBS.
  2. Serotonin Levels: Serotonin, often referred to as the "feel-good" neurotransmitter, plays a crucial role in regulating bowel function. Changes in serotonin levels during the menstrual cycle may contribute to alterations in gut motility and sensation.
  3. Prostaglandins: Prostaglandins, hormone-like substances produced in the body, are involved in inflammation and smooth muscle contraction. Elevated levels of prostaglandins during menstruation can lead to increased bowel contractions and abdominal discomfort in individuals with IBS.
  4. Stress Response: The menstrual cycle can also influence stress levels, which in turn may exacerbate symptoms of IBS. Stress management techniques are essential for mitigating the impact of stress on gastrointestinal function.
  5. Gut Microbiota: Emerging research suggests that fluctuations in the gut microbiota composition throughout the menstrual cycle may influence IBS symptoms. Maintaining a healthy balance of gut bacteria is crucial for digestive health.


Natural Ways to Manage Symptoms:


  1. Dietary Modifications: Adopting a low-FODMAP diet or identifying trigger foods can help alleviate gastrointestinal symptoms associated with IBS. Consuming smaller, more frequent meals and staying hydrated can also be beneficial.
  2. Stress Reduction Techniques: Practicing relaxation techniques such as deep breathing, meditation, yoga, and mindfulness can help reduce stress levels and improve overall well-being.
  3. Regular Exercise: Engaging in regular physical activity can help regulate bowel function, reduce bloating, and alleviate abdominal discomfort. Aim for moderate exercise such as walking, swimming, or cycling.
  4. Herbal Remedies: Certain herbal supplements such as peppermint oil, ginger, and chamomile tea may provide symptomatic relief from IBS symptoms. However, it's essential to consult with a healthcare professional before using herbal remedies.
  5. Probiotics: Probiotic supplements containing beneficial bacteria strains may help support gut health and alleviate symptoms of IBS. Look for probiotic strains such as Lactobacillus and Bifidobacterium with evidence supporting their efficacy.
  6. Adequate Sleep: Prioritise good sleep hygiene and aim for 7-9 hours of quality sleep per night. Poor sleep can exacerbate symptoms of IBS and disrupt hormonal balance.
  7. Mindful Eating: Practice mindful eating habits, such as chewing food slowly, paying attention to hunger and fullness cues, and avoiding distractions during meals. Mindful eating can help improve digestion and reduce gastrointestinal discomfort.
  8. Hydration: Drink plenty of water throughout the day to support healthy digestion and prevent constipation. Herbal teas and infused water can also be hydrating and soothing for the digestive system.
  9. Heat Therapy: Applying heat to the abdomen in the form of a heating pad or warm compress can help relax abdominal muscles and alleviate cramping and discomfort associated with IBS.
  10. Holistic Therapies: Consider exploring complementary therapies such as acupuncture, acupressure, or abdominal massage to help manage IBS symptoms and promote relaxation.



By understanding the correlation between IBS and the menstrual cycle and implementing these natural strategies, you can effectively manage symptoms and improve your quality of life. It's essential to work with a healthcare professional to develop a personalised treatment plan tailored to individual needs and preferences. With a holistic approach that addresses diet, lifestyle, stress management, and natural therapies, individuals with IBS can find relief and support their overall well-being.

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