The gut is a fascinating organ that is influenced by your hormones. During perimenopause, progesterone levels drop more rapidly than oestrogen, which can result in oestrogen dominance. This may cause your body to retain water, leading to harder stools. This often results in constipation, bloating, and flatulence.
Later in menopause, sex hormone levels decline further. This can impact your intestinal muscles and metabolism, causing both constipation and diarrhoea.
Digestive issues are common during menopause. Women often notice this through symptoms such as constipation, diarrhoea, abdominal pain, bloating, or stomach cramps. These symptoms are typically most noticeable in the two years before and after the final menstrual period, as hormonal fluctuations are at their peak during this time. In postmenopause, hormone levels stabilise, and symptoms often diminish.