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Bowel dysfunction in postmenopausal women

G Triadafilopoulos1, M Finlayson, C Grellet

  • 1Gastroenterology Section, Palo Alto VA Health Care System (111-GI), CA 94304, USA. vagt@leland.stanford.edu

Women & Health
|October 31, 1998
PubMed
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Perimenopausal and postmenopausal women experience frequent gastrointestinal issues, including altered bowel function and irritable bowel syndrome (IBS)-like symptoms. These complaints warrant careful assessment and potential treatment to improve women

Area of Science:

  • Gastroenterology
  • Women's Health
  • Menopause Studies

Background:

  • Hormonal imbalances during perimenopause and postmenopause often cause various symptoms.
  • While vasomotor and vaginal symptoms are common, gastrointestinal complaints like bloating can also occur.

Purpose of the Study:

  • To investigate the prevalence and nature of gastrointestinal and irritable bowel syndrome (IBS)-type complaints in women during their climacteric and postmenopausal periods.

Main Methods:

  • Prospective evaluation of 228 women (170 postmenopausal, 58 premenopausal) using a validated gastrointestinal symptoms questionnaire.
  • Participants were recruited from a women's health primary care practice and were not presenting for abdominal or genitourinary symptoms.

Main Results:

Related Experiment Videos

  • 38% of postmenopausal women reported altered bowel function compared to 14% of premenopausal women (p < 0.001).
  • Prevalence of IBS-type complaints peaked at 36% in the 40-49 age group.
  • Laxative use, gaseousness, and heartburn were more common in postmenopausal women; estrogen use did not significantly impact symptoms.

Conclusions:

  • Peri- and postmenopausal women exhibit a high prevalence of altered bowel function and IBS-like symptoms.
  • These gastrointestinal complaints require thorough assessment.
  • Further research is needed to confirm the efficacy of IBS treatments in this population.