Why Our Menstrual Cycle Can Be a Total Mess (Literally)

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Let’s get straight to the point: my digestive system seems to be heavily influenced by my menstrual cycle, and it’s truly chaotic.

Some weeks, everything runs smoothly in the bathroom department. I have a satisfying morning release after breakfast and glide through the day without a hitch. But other weeks? I’m caught in a tug-of-war between being painfully constipated and experiencing explosive bowel movements multiple times a day. I can even predict these shifts based on my cycle—talk about a wild ride!

I can’t be the only one dealing with this. Most of my friends experience some form of digestive distress during their periods. For me, the day before my period hits is marked by frequent trips to the toilet—approximately 40 times! Then there’s my friend, Lisa, who sometimes finds herself nauseous on the first day of her cycle.

Why don’t we discuss the literal chaos that often accompanies PMS and menstrual cramps? Even ovulation isn’t without its challenges. My friend Sarah has been known to throw up each time she ovulates—a handy clue for her when trying to conceive. As for me, I bloat so much during ovulation that I look ready to pop, all because of an egg release. What’s the deal with our hormones, ladies? Why do they have to mess with our intestines every month? And why is this topic so shrouded in silence?

When it comes to period-related digestive issues, we can typically point the finger at prostaglandins. These compounds are released to help the uterus contract and facilitate menstrual flow, but they also impact our bowels. As Dr. Emily Parker explains, “Prostaglandins affect smooth muscle, and the bowel is made of smooth muscle too.” This can lead to looser stools and increased bathroom urgency—essentially, a recipe for disaster during that time of the month.

Not all women experience the same level of discomfort with these prostaglandins, as individual production levels vary. Unfortunately, I seem to be one of those who produce an excess of them. Dr. Parker suggests some dietary changes leading up to your period, like reducing fried or high-fiber foods, which can exacerbate digestive issues. Managing stress levels can also help, though that’s often easier said than done when PMS is in full swing. If your digestive woes are significant, hormonal birth control or taking ibuprofen a day before your period starts might help by limiting prostaglandin release. Who knew?

As for the bloating and discomfort many of us face during ovulation, there’s limited medical recognition of this phenomenon. If you search “bloating during ovulation” online, you’ll find endless accounts from women echoing similar experiences. The only medically acknowledged symptom linked to ovulation is Mittelschmerz, which refers to one-sided abdominal pain during ovulation. Many of us, however, also deal with bloating, constipation, and even nausea during this time—sorry, Lisa!

For most of us, these digestive challenges related to our periods are manageable, but if they’re severe, it’s crucial to speak with your healthcare provider about it—you deserve to feel your best. We are resilient women, and we handle whatever life throws our way, but let’s not pretend that our bodies don’t throw some serious curveballs at times.

It’s high time we start talking about these issues more openly. Our bodies are extraordinary, but they can also be a literal pain in the butt sometimes. And we have every right to voice our frustrations about it!

In summary, menstrual and ovulation-related digestive issues are common yet often overlooked. Prostaglandins play a significant role in causing these disruptions, leading to everything from bloating to diarrhea. While some women experience these symptoms intensely, there are ways to mitigate them through dietary changes and medical options. Let’s continue the conversation and support one another in navigating these challenges.

For more information on fertility and pregnancy, check out this excellent resource from ACOG. And if you’re interested in enhancing your fertility journey, consider reading more about fertility boosters for men.

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