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Constipation in Women: Pregnancy, Menstrual Cycles, & Sex

The Cabinet — 07.15.24

Did you know that constipation affects more than just your day-to-day comfort — it can also signal important changes in your body’s health, especially for women? From the rhythms of menstrual cycles to the transformative stages of pregnancy, women's bodies navigate a labyrinth of hormonal and physical shifts that can often lead to constipation. 

At Hilma, we believe in understanding these nuances and addressing them with gentle, natural solutions. So, whether you're dealing with digestive shifts during your period, adjusting to postpartum changes, or simply looking to improve your digestive wellness, let's dive into why constipation is particularly common among women and how you can manage it effectively.

What Is Constipation?

So, what exactly is constipation? Imagine your digestive system slowing down to a crawl — this is essentially what happens. 

Food waste moves sluggishly through your gut, allowing your colon to absorb too much water from the stool. The result? Stools that are hard and tough to pass. This common digestive issue isn't just uncomfortable — it can be a real disruption to your daily life. 

What Are Common Symptoms of Constipation?

Navigating the symptoms of constipation can help you pinpoint and address this uneasy condition more effectively. While constipation primarily involves a slowdown in bowel movements, the signs can vary widely and impact different aspects of your daily life. 

Here's a closer look at what to watch for:

Fewer Bowel Movements

It’s a clear signal when the frequency of your bathroom visits decreases significantly. Typically, going less than three times a week suggests constipation. This change can disrupt your routine and cause discomfort.

Pain or Difficulty Passing

Constipation often makes the process of passing stools not just challenging but painful. The strain needed to move hard, dry stools can cause considerable discomfort and sometimes even lead to complications like hemorrhoids or anal fissures.

Dry or Hard Consistency

The stools themselves often give away the state of your digestive tract. If they are consistently dry, hard, or lumpy, it's a sign that they've been in your intestines too long, allowing too much water to be absorbed.

Feeling of Incompleteness

Another frustrating aspect of constipation is the sensation that you haven’t fully emptied your bowels. This feeling can linger even after a visit to the bathroom, adding to the discomfort and irritation associated with constipation.

Bloating and Abdominal Pain

Constipation often comes with bloating, which can make you feel uncomfortable and swollen. The buildup of stool in the intestines can lead to abdominal pain, which exacerbates the feeling of bloating.

What Are the Common Causes of Constipation?

Now that you understand what constipation is and the symptoms it brings to the table, you might be curious about what exactly triggers it. Several factors can contribute to constipation, and getting a handle on these can help you manage or even prevent the condition. 

Let's explore some of the primary reasons why your digestive process might not be as smooth as it should be:

Not Enough Water

Hydration plays a pivotal role in keeping things moving in your digestive tract. When you don't drink enough water, your colon absorbs more from your waste, leading to harder and drier stools that are difficult to pass. Ensuring you drink plenty of water every day can help maintain the right balance in your intestines.

Lack of Physical Activity

Regular physical activity helps stimulate intestinal movements, known as peristalsis, which helps push food waste through your digestive system. Sedentary lifestyles can lead to sluggish bowels, increasing the likelihood of constipation. Incorporating moderate exercise or yoga into your routine can significantly improve your bowel habits. Even just a walk after dinner can help support bathroom regularity.

Certain Medications

Some medications can interfere with normal bowel function, leading to constipation. Common culprits include narcotics, some antidepressants, iron supplements, calcium channel blockers, and antacids that contain aluminum. If you suspect your medication is affecting your digestion, consult with a healthcare professional for alternatives or adjustments.

Health Conditions

Various health conditions can predispose you to constipation. These include neurological disorders like Parkinson’s disease, endocrine and metabolic conditions such as hypothyroidism, and systemic diseases like diabetes. Even temporary conditions like pregnancy can alter your bowel movements significantly.

Missing Fiber-Rich Foods

Diet plays a crucial role in digestive health. A lack of fiber-rich foods in your diet can make it harder for your bowel to process waste. Fiber helps add bulk and softness to the stool, making it easier to pass. Including a variety of whole grains, vegetables, fruits, and legumes in your meals can help prevent constipation.

Why Can Constipation Occur During Pregnancy?

Pregnancy brings a whirlwind of changes to your body, and constipation is one such common issue many expectant mothers face. But why does it happen?

Pregnancy Hormones

The increase in certain hormones during pregnancy can slow down your digestive system. Progesterone relaxes the muscles in the body, including those in the digestive tract, which means food passes through more slowly, often leading to constipation.

Bodily Changes

As the uterus expands, it can press on the intestines, making it harder for food waste to move through your system efficiently. This physical pressure can significantly slow down bowel movements.

Less Exercise

With the growing discomfort that comes with an expanding belly, many pregnant women find it challenging to maintain their pre-pregnancy exercise levels. Reduced physical activity can decrease bowel motility, contributing to constipation.

What Is Postpartum Constipation?

Following childbirth, many new mothers experience postpartum constipation, a bothersome condition that can add to the challenges of motherhood.

Constipation After Natural Birth

Even after a straightforward natural delivery, the body has undergone significant stress and hormonal shifts, which can disrupt normal bowel function. Plus, the fear of pain during bowel movements post-delivery can lead some women to involuntarily withhold going to the bathroom, exacerbating constipation.

Constipation After C-Section

A cesarean section involves major abdominal surgery, which can lead to bowel sluggishness for several days. Pain medications commonly prescribed after a C-section can also slow down the bowels, contributing to constipation.

Constipation After Miscarriage

The emotional and physical toll of a miscarriage can disrupt the regular functioning of the body’s systems, including digestion. Hormonal imbalances and stress from the event can lead to constipation.

Constipation After Abortion

Similar to miscarriage, the procedures and hormonal changes following an abortion can affect the digestive tract, leading to constipation. The body may take time to readjust hormone levels, which can impact bowel movements.

Why Can Constipation Occur After Childbirth?

The postpartum period brings its own set of challenges, and constipation is a frequent but often overlooked issue. 

Several factors contribute to this discomfort:

Anal Fissures

The strain and pressure during childbirth can lead to small tears in the skin around the anus called anal fissures. These can cause pain during bowel movements, leading many new mothers to delay going to the bathroom, which can cause or worsen constipation.

Hemorrhoids

Often developing during the last trimester or during childbirth itself due to intense strain and pressure, hemorrhoids are swollen veins in the rectal area that can make bowel movements painful and difficult.

Changes in Hormones

After delivery, the body undergoes rapid hormonal adjustments as it returns to its pre-pregnancy state. These hormonal changes can slow the gastrointestinal tract and delay the recovery of regular bowel movements.

Why Can Constipation Occur Throughout Your Menstrual Cycle?

Every woman’s menstrual cycle is like her personal fingerprint — unique and varying widely. For some, the prelude to their period might bring bloating and mood swings, but for others, it can mean dealing with constipation. 

Let’s break down why this happens:

Hormonal Fluctuations

Your hormones go on a bit of a rollercoaster ride during your menstrual cycle, particularly progesterone, which peaks and then drops dramatically. This hormone tends to relax muscle tissues, including those in your digestive tract, which can slow things down more than you might like, leading to constipation. And then when progesterone levels drop right before a menstrual bleed, "period diarrhea" is often noted.

Dietary Factors

Then there’s the chocolate, or the chips, or whatever your comfort food is during that time of the month. These cravings can lead you to eat foods that aren’t exactly champions of fiber. And less fiber can mean more time spent reading in the bathroom without much success.

Medications

And if cramps and headaches have you reaching for pain relievers, be aware that these can also play a role in slowing your gut down. This side effect might not always be obvious until you find yourself dealing with constipation.

Why Can Constipation Occur After Sex?

Have you ever felt a little "off" after getting intimate? This might surprise you, but your digestive system can also feel the impact of a good bedroom session.

Physical Factors

Physical exertion isn’t limited to the gym — it also applies to what happens between the sheets. Depending on the positions and intensity, your abdomen might feel more pressure than usual, and your intestines might get a bit of a nudge, sometimes slowing things down.

Emotional Factors

The mind-body connection is real, especially when it comes to intimacy. Stress, anxiety, or any intense emotions felt during or after sex can tighten up your whole body, including the muscles that help you go to the bathroom. If you're emotionally wound up, your bowels might be, too.

How To Treat Constipation in Women

Whether you're grappling with occasional constipation due to hormonal changes, lifestyle factors, or a specific medical condition, finding effective relief is crucial. Luckily, there are several strategies that can help ease the discomfort and restore your digestive rhythm. 

Let’s explore some tailored approaches to managing constipation, specifically designed with women’s health in mind.

Use Natural Remedies

For those seeking a gentler approach, natural remedies can be a soothing option. Our Gentle Bowel Movement Support is crafted with this in mind, blending herbal ingredients known to support digestive health without the harshness often associated with more aggressive treatments. 

This supplement is designed to help support softer stools and regular bowel movements, making it a thoughtful choice for daily digestive wellness.

Try Laxatives or Stool Softeners

Sometimes, you might need a little extra help. Over-the-counter laxatives and stool softeners can be effective for short-term relief. 

They work by drawing water into the intestines or softening the stool to make bowel movements easier. However, it’s important to use them as directed to avoid potential side effects like dependency or exacerbated symptoms.

Stay Hydrated

Drinking enough water is one of the simplest yet most effective ways to combat constipation. Water helps soften stool and stimulates the digestive system, making it easier to pass stool. Aim to drink at least eight glasses of water a day, especially if you’re experiencing dry, hard stools.

Regularly Exercise

Engaging in regular physical activity can significantly improve your gastrointestinal health. Exercise helps increase blood flow and stimulates the muscles in the digestive tract, which is essential for moving waste through your large intestine more efficiently. Even light activities like walking or yoga can make a noticeable difference.

Eat Fiber-Rich Foods

Incorporating high-fiber foods into your diet is key to preventing and treating constipation. Fiber adds bulk and softness to the stool, which helps it pass more smoothly through the intestines. 

Our Fiber Gummies are an easy and delicious way to boost your daily fiber intake. Packed with the necessary nutrients to support bowel health, they’re a convenient option for anyone looking to enhance their fiber consumption through diet.

When To Go to a Healthcare Professional

While most cases of constipation can be managed with a little TLC, there are times when it's crucial to seek professional medical advice. If you experience persistent constipation that doesn't respond to dietary changes, hydration, or fiber supplements, it may be time to consult a healthcare provider. Postpartum constipation that is new and was not experienced during the pregnancy should always be reported to a healthcare provider to evaluate contributing causes. 

Additionally, if chronic constipation is accompanied by severe abdominal pain, significant weight loss, rectal bleeding, or symptoms of a blockage in the bowel, these could be signs of more serious health conditions. A gastroenterologist can provide a comprehensive evaluation and suggest treatment options tailored to your specific needs.

At Hilma, we're committed to empowering you with scientifically-backed products that support your digestive health effectively and gently. Our natural remedies are designed to enhance your digestive wellness without harsh chemicals or unwanted side effects. 

As you navigate the challenges of constipation, remember that small, consistent changes to your diet and exercise routine can make a big difference. And for those times when you need a little extra help, Hilma is here to support you every step of the way. 

Explore our products and take a step towards a healthier, more balanced life today!

Sources:

Constipation | CDC | NIDDK

Constipation - Symptoms and causes | Mayo Clinic

Constipation: Symptoms & Causes | Cleveland Clinic

Pregnancy Constipation: Pain, Causes, Treatments & Relief | Cleveland Clinic

Interventions for preventing postpartum constipation | NIH | PMC

What Is the Mind-Body Connection? | Taking Charge of Your Wellbeing | University of Minnesota

Perianal Diseases in Pregnancy and After Childbirth: Frequency, Risk Factors, Impact on Women's Quality of Life and Treatment Methods | PubMed

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