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Related Experiment Videos

Does the menstrual cycle affect anorectal physiology?

N A Jackson1, L A Houghton, P J Whorwell

  • 1Department of Medicine, University Hospital of South Manchester, UK.

Digestive Diseases and Sciences
|December 1, 1994
PubMed
Summary
This summary is machine-generated.

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Women experience looser stools during menses, but anorectal physiology remains unchanged throughout the menstrual cycle. This indicates bowel habit changes are not linked to anorectal function, suggesting manometry testing can be done anytime.

Area of Science:

  • Gastroenterology
  • Gynecology
  • Physiology

Background:

  • Bowel habits, including stool consistency and transit time, vary across the menstrual cycle.
  • Women report harder stools and delayed transit during the luteal phase and looser, more frequent stools during menses.
  • The impact of the menstrual cycle on anorectal physiology and manometry testing timing is not well understood.

Purpose of the Study:

  • To investigate the relationship between the menstrual cycle and anorectal physiology.
  • To determine if anorectal manometry testing needs to be standardized within the menstrual cycle.

Main Methods:

  • Anorectal responses to balloon distension were measured in 20 healthy women across four menstrual cycle phases: menses (days 1-4), follicular (days 8-10), luteal (days 18-20), and premenstrual (days 24-28).

Related Experiment Videos

  • Measurements included rectal sensitivity, rectal motility, rectal compliance, and sphincter relaxations.
  • Stool consistency was also assessed.
  • Main Results:

    • Stools were significantly looser during menses compared to the luteal phase (P < 0.04).
    • No significant changes were observed in rectal sensitivity, distension-induced rectal motility, rectal compliance, or the volumes required for internal anal sphincter relaxations across the cycle phases.
    • The Bristol Stool Scale scores indicated looser stools during menses (2.32) versus the luteal phase (1.98).

    Conclusions:

    • While stool consistency changes during the menstrual cycle, anorectal physiological responses to balloon distension remain unaltered.
    • Menstrual cycle-related changes in bowel habits appear independent of alterations in anorectal physiology.
    • Routine anorectal manometry can be performed at any point in the menstrual cycle without compromising results.