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Survey study, 2002

Does the menstrual cycle change gut sensitivity in women with IBS?

Yes. Women with IBS have more sensitive bowels during their period compared to other times, which may explain why their IBS gets worse. Women without IBS do not show this change.

Early or limited evidence 29 women aged 21-44 with IBS diagnosed by Rome I criteria

What they did

29 women aged 21-44 with IBS were tested at four different times in their cycle: days 1-4 (period), days 8-10 (middle of cycle), days 18-20 (late cycle), and days 24-28 (before period). Researchers measured gut sensitivity, pain, bloating, bowel habits, and mood.

What they found

During the period, women with IBS had worse abdominal pain and bloating compared with other cycle phases. Bowel movements became more frequent during the period. Gut sensitivity increased during the period compared with all other phases. No changes were found in gut wall tension, muscle contractions, or anal pressure across the cycle.

What it means for you

Women with IBS respond differently to their menstrual cycle than women without IBS do. Their gut becomes more sensitive during their period, which explains why their IBS symptoms get worse. This is a small study (29 women) so more research is needed to confirm these findings.

29 women

Number of participants

aged 21-44

Age range

4 phases

Cycle phases tested

About the study

Original title
The menstrual cycle affects rectal sensitivity in patients with irritable bowel syndrome but not healthy volunteers
Authors
Houghton LA, Lea R, Jackson N et al.
Journal
Gut
Year
2002
Study design
Survey study
Participants
29
What was tested
None - observational study tracking changes across the cycle
Open access
Yes

Topics