Laxatives And Periods: What's The Link?

There are many reasons why a person's period may be late, from basic lifestyle changes to chronic illnesses. One question that has been posed is whether laxatives can cause a delay in menstruation. Laxatives are substances or medicines that loosen stools and increase bowel movements. While there is limited information on the direct link between laxatives and delayed periods, some people have reported experiencing late periods after taking laxatives. It is important to consult a doctor if you have concerns or if constipation persists.

Laxatives can delay your period

Constipation before and during periods is often due to hormonal changes. Fluctuations in progesterone and estrogen levels can slow down the digestive system, leading to constipation. This is particularly common in women with irritable bowel syndrome (IBS) and endometriosis. However, the exact cause of constipation during periods is not yet fully understood by experts.

Laxatives are substances or medications that loosen stools and increase bowel movements. While they can be effective in providing short-term relief from constipation, they may also impact the timing of your period. The use of laxatives can cause a delay in the menstrual cycle, as reported by some individuals who have experienced similar effects in the past.

It is important to note that constipation during periods is typically temporary and tends to improve once menstruation begins. This is due to a rapid drop in progesterone levels, which can result in a brief period of diarrhea. Additionally, an increase in prostaglandins, a hormone-like substance, may also contribute to intestinal contractions and faster bowel movements.

To manage constipation during periods, it is recommended to increase fiber intake, exercise regularly, and stay hydrated. Consulting a healthcare provider is advised if constipation persists or is accompanied by other concerning symptoms.

Constipation is common before and during periods

There are two theories on which hormone is the main cause of constipation. One theory posits that it is the rise in progesterone that is the cause. Immediately after ovulation, progesterone (a natural muscle relaxant) increases drastically, delaying the movement of food through the bowels and causing constipation. The other theory suggests that it is rising estrogen levels that are the culprit. A 2013 study on mice found that higher levels of estrogen slowed intestinal movement and caused constipation. However, more research on humans is needed to confirm this.

Regardless of the cause, most people find that their symptoms get better after their period starts and their hormone levels start to go down. If you are experiencing constipation, you may want to try increasing your fiber and water intake, as well as getting more exercise.

Hormonal changes can cause constipation

While laxatives can be used to treat constipation, they are not known to delay periods. However, hormonal changes can cause constipation, especially in women.

Constipation is one of the most common gastrointestinal complaints, with an estimated 4.5 million sufferers, two-thirds of whom are women. It can be caused by hormonal imbalances, lifestyle choices, and even serious diseases. Women are more prone to constipation than men, especially during pregnancy and in the days preceding menstruation.

Hormonal changes during menopause, such as a drop in estrogen levels, can lead to constipation and slow intestinal movement. Estrogen receptors in the small intestines and stomach can prevent muscles from contracting in the colon, making it harder to have bowel movements. Additionally, menopause weakens the pelvic floor muscles, further contributing to constipation.

During pregnancy, constipation can also occur due to increased estrogen levels, which slow down bowel movements. Studies in female and male mice have shown that administering estrogen resulted in decreased gastrointestinal movement and increased constipation.

Furthermore, stress can also cause constipation. When stressed, the body releases epinephrine, a hormone that triggers the fight-or-flight response. This response redirects blood flow away from the intestines to vital organs, slowing intestinal movement and potentially leading to constipation.

To alleviate constipation caused by hormonal changes, it is recommended to make lifestyle changes, such as increasing physical activity, staying hydrated, and consuming more fiber. In some cases, over-the-counter stool softeners or laxatives may be necessary.

IBS and endometriosis can increase constipation risk

Irritable bowel syndrome (IBS) and endometriosis are two conditions that can increase the risk of constipation. Both disorders share similar symptoms, and it is possible for an individual to have both.

IBS is a gastrointestinal (GI) disorder that causes abdominal pain, cramps, bloating, and other symptoms. It can cause constipation, diarrhoea, or both. However, it does not damage the bowel like ulcerative colitis or Crohn's disease. Women with endometriosis have IBS more frequently than those without it.

Endometriosis is a chronic, noncancerous condition where cells that resemble the uterus lining (endometrial cells) grow outside the uterus, often on the ovaries and fallopian tubes. Endometrial tissue can also grow in or on the intestine or other parts of the bowel, which can lead to IBS-like symptoms even if IBS is not present. This tissue growth can cause constipation, diarrhoea, or both.

The symptoms of endometriosis and IBS overlap, which can make diagnosis challenging for doctors. A common symptom of both conditions is visceral sensitivity, meaning that individuals with either condition have a lower pain tolerance for abdominal or pelvic pain. Their nerve endings may be especially sensitive, leading to a heightened response to pain.

If you are experiencing symptoms of either or both conditions, it is important to consult a doctor. While endometriosis and IBS do not currently have cures, successful management is possible.

Consult a doctor for severe constipation

Constipation is a common problem that can be caused by various factors, including diet, lifestyle, medication, and underlying medical conditions. While it is often treatable at home, severe or persistent constipation may require medical attention. Here are some reasons why consulting a doctor for severe constipation is important:

• Diagnosis and Underlying Conditions: Constipation can be a symptom of a more serious underlying health issue. Your doctor will perform a thorough evaluation to identify any underlying causes. This may include a physical examination, a review of your medical history, and discussions about your diet, lifestyle, and current medications. They may also recommend specific tests to check for any problems in your digestive system.
• Specialized Care: If your constipation is persistent or accompanied by other concerning symptoms, your doctor may refer you to a gastroenterologist. A gastroenterologist is a specialist in digestive system disorders and can provide more targeted care. They may perform additional tests, such as a colonoscopy or flexible sigmoidoscopy, to examine your intestines for any blockages or abnormalities.
• Medication Adjustment: Certain medications or supplements can cause or contribute to constipation. It is important to discuss all the medications and supplements you are currently taking with your doctor. They may adjust the dosage or prescribe alternative medications that are less likely to cause constipation. Do not stop or change any medication without consulting your healthcare provider.
• Personalized Treatment Plan: Consulting a doctor will help you receive a personalized treatment plan tailored to your specific needs. Depending on the underlying cause, your doctor may recommend dietary and lifestyle changes, such as increasing your fibre intake, staying hydrated, or engaging in regular physical activity. They can also prescribe medications, such as lubiprostone or linaclotide, to help regulate your bowel movements effectively.
• Address Complications: Chronic constipation can lead to complications such as hemorrhoids, anal fissures, fecal impaction, or rectal prolapse. By consulting a doctor, you can receive prompt treatment to address these complications and prevent further health issues. They may also recommend biofeedback therapy or, in severe cases, surgery to treat anorectal blockages or rectal prolapse.

Remember, if you are experiencing severe or persistent constipation, it is important to seek medical advice. They can provide an accurate diagnosis, rule out any serious conditions, and develop an effective treatment plan to relieve your constipation.

Frequently asked questions