Bowel function and transit rate during the menstrual cycle
M A Kamm1, M J Farthing, J E Lennard-Jones
1St Mark's Hospital, London.
Abstract:
The whole gut transit rate has been measured in the follicular and luteal phases of the menstrual cycle in 18 healthy women in whom ovulation was confirmed biochemically. Mean transit time in the follicular phase (45.2 (2.7) h, mean (SEM) was not significantly different from the luteal phase (51.3 (4.1], p = 0.12. Stool weight was also not significantly different in the two phases (132 (7) v 123 (10) g/day). A diary card kept for the entire menstrual cycle revealed no change in bowel frequency or stool consistency during the menstrual, follicular or luteal phases. Under normal physiological conditions the sex hormones do not have a major effect on bowel function.
Related Concept Videos
Hormonal Regulation of the Menstrual Cycle
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH release.
The Menstrual Cycle
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a uterine...
Menses Phase
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome


