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The Surprising Link Between Menopause and Abdominal Discomfort
Contributor: Andrea Donsky
Here’s what you should know about abdominal pain during perimenopause and menopause, along with ways to manage it. I want you to understand that you’re not alone in this. Despite being a common symptom, this issue is often overlooked. Many women face this discomfort, starting in perimenopause and continuing into postmenopause.
Why Does Abdominal Pain Occur During Menopause?
The primary cause of abdominal pain during menopause is hormonal fluctuations, particularly the decline in estrogen and progesterone. These hormonal changes can affect your digestive system in several ways:
- Slowed digestion: Lower hormone levels can slow digestion, leading to bloating and constipation.
- Changes in bile production: Hormonal changes can thicken bile, which can cause issues with the gallbladder.
- Increased cortisol: Lower estrogen levels can produce higher cortisol levels, which may impact the digestive system and lead to abdominal discomfort. Cortisol is higher because we’re often more stressed or anxious, and we’re not able to handle it as well as we once did. Chronic fight-or-flight responses divert blood to the muscles instead of the digestive system, where it is necessary for proper digestion.

What Can We Do to Help Digestion?
Before we launch into solutions, it’s crucial to always check with your healthcare provider to rule out any health issues. This step will give you the confidence that you’re on the right track.
There are several ways to manage and alleviate abdominal discomfort during this phase of life. These strategies can empower you to take control of your health and well-being.
- Apply heat: Use a hot water bottle or heating pad on the affected area for relief.
- Try gentle yoga: Poses like child’s pose, bridge pose, and cat-cow can help.
- Take regular walks: Light exercise can improve digestion and reduce pain.
- Increase fiber intake: Add more fruits and vegetables to combat constipation, or consider a fiber supplement like Morphus Fiberus.
- Stay hydrated: Drink plenty of water throughout the day to support digestion.
- Consider magnesium supplements: A daily dose of magnesium can help relax muscles and reduce pain.
- Modify your diet: Focus on fresh, whole foods and minimize fatty, processed items.
- Try anti-inflammatory herbs: Ginger and chamomile tea may help ease cramping and discomfort.

When Should I See a Doctor?
While some abdominal pain during menopause can happen, consult a healthcare provider if:
- Pain persists or worsens after menopause.
- You experience unexplained abdominal pain.
- Pain is accompanied by other symptoms, especially vaginal or rectal bleeding.
Keep in mind that although abdominal pain during menopause is common, any persistent or severe pain should always be assessed by a healthcare professional to exclude serious underlying conditions.

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