How Constipation Affects Fertility, Hormones, and Menopause Health

Constipation is more than just uncomfortable. It can affect your hormones, fertility, and even your perimenopause or menopause symptoms. If your digestion feels sluggish, your body may not be clearing waste — including hormones — as it should. Let’s look at why this matters and what you can do.

Why Going to the Toilet Matters

Your bowels are one of the main ways your body gets rid of used hormones. Oestrogen, for example, is broken down in the liver and then leaves the body through your stool.

If you’re constipated, that oestrogen can get reabsorbed into your bloodstream. This can lead to oestrogen dominance.

Signs of too much oestrogen can include:

  • Heavy or painful periods

  • PMS and mood swings

  • Breast tenderness

  • Bloating or weight gain on the hips and thighs

  • Worsening conditions like fibroids, endometriosis, or polyps

👉 To keep hormones balanced, it’s best to go to the toilet at least once a day.

Constipation, Fertility and Hormones

Constipation doesn’t just recycle unwanted hormones. It can also:

  • Cause inflammation in the gut and pelvis

  • Reduce blood flow in the womb and ovaries

  • Upset the gut microbiome (important for fertility and immunity)

  • Leave you feeling stressed, tired, and uncomfortable

All of these can get in the way of healthy cycles, ovulation, and conception.

Constipation in Perimenopause and Menopause

Many women notice changes in digestion during perimenopause and menopause. Falling hormone levels — especially oestrogen and progesterone — can slow bowel movements and cause bloating or constipation.

If you’re not clearing waste daily, you may reabsorb excess oestrogen, which can make symptoms worse. This can mean:

  • More hot flushes and night sweats

  • Heavier or irregular bleeding in perimenopause

  • Mood swings or anxiety

  • Weight gain or bloating

Supporting healthy bowel movements during this time helps your body detox and can ease many menopause symptoms.

How Acupuncture Can Help

In Chinese Medicine, constipation happens when energy (Qi) or fluids get stuck. Acupuncture helps to get things moving again.

It works by:

  • Stimulating digestion

  • Improving pelvic blood flow

  • Calming stress and anxiety

  • Supporting the liver to process and clear hormones

Many women find that once their digestion improves, their cycles balance, PMS eases, and menopausal symptoms reduce too.

What You Can Do at Home

Lifestyle Tips

  • Drink water — dehydration is a big cause of constipation.

  • Eat fibre — fruits, veg, beans, seeds, and whole grains keep stools soft.

  • Move your body — walking, yoga, or stretching helps your bowels move.

  • Create a routine — sit on the toilet at the same time each day, ideally after breakfast.

  • Relax — stress slows digestion, so try deep breathing, meditation, or a warm bath.

Massage and Acupressure

  • Belly massage: Massage your tummy in a gentle clockwise circle for 5–10 minutes.

  • Acupressure points:

    • ST25 – two fingers out from your belly button.

    • ST36 – four fingers below the knee, to the outside of your shin.

    • LI4 – in the soft spot between thumb and index finger.

These simple techniques can help stimulate digestion and ease bloating.


Final Thoughts

Constipation isn’t just a bathroom issue. It can affect your hormones, your cycles, your fertility, and your perimenopause or menopause symptoms. The good news? With acupuncture, small lifestyle tweaks, and simple home techniques, you can get things moving — and support your body in the process.

👉 Want help with your digestion, hormones, or menopause health? Book an acupuncture session and let’s get you feeling lighter and healthier.

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