Let's talk gas. 

No one does, right? It's humiliating, and few of us want to talk about embarrassing bodily functions after about 8th grade. But digestive issues happen: gas, menopause bloating, irregularity, stomach cramps in older women can all be a whole lot worse in perimenopause and menopause. Even women who've rarely experienced these issues previously can suddenly find there are no "safe" foods anymore, and anything they eat is likely to cause public embarrassment.

Why do digestive issues happen in perimenopause and menopause?

First, we should make it clear that flatulence isn't really a "problem." According to metabolic surgeon, gut expert, and frequent Gennev podcast guest Dr. Erika La Vella, gas is how you know those gorgeous little bacteria are doing their jobs in your gut. Unfortunately, society has turned this process into an embarrassment, so most of us are still pretty eager to keep it under control.

VitalityWhy does it happen more at this stage of life? Among its many other tasks, estrogen also helps regulate cortisol – the “fight or flight” hormone triggered by stress. So when estrogen starts declining around menopause, suddenly stress becomes a lot more … stressful.

Can hormone imbalance cause digestive problems?

Not only do our reactions to stress become a bit more extreme, our ramped-up cortisol has the add-on effect of slowing down digestion of food. That can lead to a host of digestive disorders like gas, bloating and constipation in menopause (Oh my.)

But like so much of menopause, you don’t have to simply endure the symptoms. Where once there was estrogen, now there are lifestyle changes.

Need personalized coaching to help? One of our menopause-certified health coaches can offer a hand. Book 30 minutes for your personal consultation with a health coach.

  1. Regain your balance with phytoestrogens

    Because part of the problem here is a decrease in estrogen, eating phytoestrogens that mimic what’s lost can help relieve the problem. Where to get them: Think soy (tofu, tempeh, miso), veggies (beans, potatoes), fruits (dates, apples), seeds (flax, sesame), grains (oats, barley), mint, ginseng, fennel, and anise, among other sources.

  2. Get more magnesium

    Magnesium does a lot of good stuff for menopause symptoms, not least of which is helping to relieve digestive issues like flatulence and constipation. (It can also help minimize menopausal mood swings, keep bones strong, support your immune system, and regulate heart beat, so… you know… go get you some.) Where to get it: Don’t go too crazy, since too much magnesium can cause diarrhea, but you can find it in leafy veggies like spinach and beet greens, whole grains, sweet potatoes, peanuts, oat bran, cornmeal, some fish (mackerel), tomatoes, figs, avocados, bananas, peanuts, pumpkin seeds, and (woot!) dark chocolate. Try our magnesium supplement for women in menopause.

  3. Boost your happy bacteria

    Estrogen and progesterone fuel bacteria in your gut, so a decline in these hormones can disrupt and reduce healthy gut flora. Lots of good gut stuff crowd out the bad stuff, so when you lose the good guys, the bad bacteria can move in and really mess stuff up. Feeding your beneficial flora helps you keep a better gut balance. Where to get it. To support good gut guys, bump up fermented foods (miso, kombucha, sauerkraut) and consider a probiotic supplement.

  4. Fiber up

    It seems like I type “eat more fiber” a lot, but those of us who live in the West tend not to get enough and it’s really good for us. Fiber tidies up your digestive bits, keeping things moving along and not letting semi-digested matter bog down in your system where it gets bored and starts causing trouble. Where to get it. The best high-fiber foods are split peas, lentils, black and lima beans, artichokes, peas, broccoli, Brussels sprouts, raspberries, and blackberries. Whole grains are also good (popcorn, oatmeal, brown breads and pastas). We also recommend taking some of the best fiber supplements for menopause

  5. Go natural

    Ginger tea and peppermint tea are good, long-standing, natural remedies.

  6. Hydrate, sleep, exercise, quit smoking

    Is there any menopause symptom that can’t be made better by drinking more water, sleeping more, moving more, and quitting smoking for your estrogens sake? Maybe, but many symptoms are improved and doing these won’t generally make matters worse!

  7. Chew, but not gum

    Yeah, this seems silly, but when you’re eating on the go, or in front of your computer, or while distracted by a device, you’re not paying attention. How you eat may be nearly as important as what you eat. Chewing slowly, taking your time, being thoughtful and in-the-moment can reduce stress, keep you from ingesting a lot of air, and help your digestive system by breaking food down right from the start. Re: chewing gum, you might want to cut back on that. Sorbitol (the artificial sweetener in many sugarless gums) and the extra air you swallow can make digestive problems worse.

When menopause and stomach issues may be more serious

Ovarian cancer symptoms can mimic some of the digestive issues perimenopausal and menopausal women contend with, including bloating, fullness, and abdominal pain. If you have these symptoms frequently (12 or more times a month), if they persist, and if you also have to urinate urgently and often, or experience unexplained weight loss, you need to talk with your doctor.

Need a doctor's opinion? A Gennev menopause-certified gynecologist can give you a trusted opinion, determine if medication is right for you, and they can provide prescription support. Book an appointment with a doctor here.

Additionally, many women become more sensitive to certain foods as they age. Many of us find dairy is harder to digest, meaning cheese, ice cream, etc. can cause more ... concerns than they used to. Some women find carbohydrates more difficult to digest, some believe cutting down on sugar helps (and we're big supporters of cutting down sugar and avoiding other foods in menopause). If you think your food may be causing the problem, try cutting down on the suspect food group for a while and tracking progress.

Another risk of digestive issues may seem trivial, but it's really not — self-isolation and potentially, subsequent depression. Women are particularly vulnerable toperimenopause depression or other emotional issues, and social support can be critical to helping us through them. If you cut back on activities because of a fear of social embarrassment, you're missing out on some very important emotional health. If it's an issue, try fasting a while before meeting people, or carrying Pepto Bismol, or eating lightly when out with friends. Chances are, if your friends are women of a similar age, you're not the only one with this fear.

Digestive troubles can be annoying, and if bad enough, humiliating and isolating. But a few lifestyle changes and informed diet choices can provide considerable relief. As ever, we’d love to hear what has worked for you (or hasn’t), so please share in the comments or on Facebook or Twitter.

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