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Welcome to Burning Questions, where experts tackle those awkward topics you’re too shy to bring up. This edition is dedicated to anyone with a uterus who experiences frequent bathroom visits during their menstrual cycle.
Today’s question is straightforward and lacks a creative title, as it arrived in my inbox before I started requesting witty names. I’ll let it slide this time.
I’ve always been curious about why I experience severe gas during the initial days of my period. What’s the link between my reproductive system and my digestive tract?
According to Dr. Ellen Stein, a gastroenterologist at Johns Hopkins, the answer is simple: “Prostaglandins.”
“Please elaborate,” I requested.
She clarified that prostaglandins assist in dilating the cervix and aiding the uterus in shedding its lining during menstruation. These hormone-like compounds, naturally produced by the body, can also influence the digestive system, even when their primary target is the reproductive organs.
As your uterus contracts to expel its contents, your intestines might follow suit. Conversely, a lack of prostaglandins during pregnancy (to maintain the pregnancy) can result in constipation.
Individuals vary in their sensitivity to prostaglandins. If you’re particularly sensitive, you may experience cramping, diarrhea, and gas during your menstrual cycle.
How can you manage prostaglandin-related discomfort? Dr. Stein recommends ibuprofen, not only for pain relief but also for its anti-inflammatory properties, which help reduce prostaglandin levels. Additionally, a hot water bottle can soothe the gut and provide comfort.
Keep in mind, your menstrual cycle spans an entire month, with hormones constantly shifting. If you experience diarrhea during your period, you might face constipation at another point in the cycle. Using a period and symptom tracker or maintaining a basic journal grid can help identify any recurring patterns.
Once you understand your digestive system’s monthly rhythm, take note of foods that increase gas production. Avoid these a day or two before your period. However, earlier in the cycle, when constipation is more likely, feel free to consume more fiber-rich foods and stay hydrated. Probiotics, such as Activia, can also be beneficial. If needed, an over-the-counter stool softener can help maintain regularity.
That concludes this edition of Burning Questions. We’ve only scratched the surface of topics like digestion, intimacy, and quirky curiosities, so keep your questions coming. Email me at [email protected] (include BURNING QUESTION in the subject line) or submit anonymously at bethskw.sarahah.com. Until next time, plan your meals wisely to manage gas-inducing foods.
