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Birth Control Pills and IBS - How to Overcome the Symptoms?

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Women taking birth control pills can precipitate symptoms of irritable bowel syndrome(IBS). Read the article to know more about it.

Medically reviewed by

Dr. Ghulam Fareed

Published At June 29, 2023
Reviewed AtJanuary 19, 2024

Introduction:

The large intestine is affected by irritable bowel syndrome (IBS), a persistent condition that produces symptoms such as abdominal pain, bloating, diarrhea, and/or constipation. It is a functional gastrointestinal disorder, meaning that it is a condition in which the digestive system appears normal but does not function properly.

IBS symptoms can differ from person to person, but they frequently include:

These symptoms can significantly disrupt everyday living and cause distress and discomfort. Although the relationship between birth control pills and IBS is not completely clear, some research suggests that women who use birth control pills may have a greater likelihood of developing IBS than those who do not.

Birth control pills are one possible factor that may contribute to IBS symptoms. Although the exact relationship between birth control pills and IBS is unclear, certain studies have suggested that oral contraceptives might increase the likelihood of developing IBS among women.

How Are Birth Control Pills Associated With IBS?

It is not entirely obvious how birth control works in relation to IBS, and whether taking birth control pills causes IBS symptoms directly or indirectly. However, some research has indicated that women who use birth control pills may be more likely to acquire IBS than women who do not.

There are a few potential mechanisms by which birth control pills may contribute to IBS symptoms:

  • A hypothesis is that birth control pills can impact the gut microbiome, a group of microorganisms that reside in the digestive system and contribute to digestion and immunity. Research has shown that changes in the gut microbiome can contribute to the development of IBS symptoms. In particular, alterations in the balance of beneficial and harmful bacteria in the gut have been linked to symptoms such as abdominal pain, bloating, and altered bowel habits.

  • The second theory states that it could be through the hormones in birth control pills. The hormones estrogen and progesterone control many bodily processes, such as digestion and bowel motions.

Altering the levels of sex hormones in the body is one potential mechanism by which birth control pills may affect the gut microbiome. The birth control pills that contain synthetic estrogen and/or progesterone affect the body's natural hormonal balance. Changes in the levels of these hormones caused by birth control pills could alter the balance of bacteria in the gut and contribute to developing IBS symptoms.

Certain bacteria in the gut may grow due to the effects of estrogen, whereas progesterone can have the opposite effect, as studies have shown. It has also been shown to have several effects on the digestive system, including increasing gut motility and accelerating the transit of food through the digestive tract. This can lead to symptoms such as abdominal pain, bloating, and diarrhea, common symptoms of IBS.

Contrarily, progesterone has been found to slow gut motility and prolong the passage of food through the digestive tract, having the opposite impact on the digestive system. Constipation, another prevalent IBS symptom, may result from this.

What Are the IBS Symptoms Precipitated by Birth Control Pills?

The specific symptoms that birth control pills may cause are not clearly defined, and the symptoms of IBS can vary significantly from one individual to another. However, some women who use birth control pills might notice changes in their digestive system or the onset of IBS symptoms.

Common symptoms of IBS can include:

  • Abdominal Pain or Discomfort: The prevalent symptom of IBS is abdominal pain or discomfort, which many women who use birth control pills report having. Lower abdominal pain that feels cramping or aching may also be followed by bloating or gas.

  • Bloating and Distension of the Abdomen: Bloating is a common symptom of IBS and may be more likely to occur in women who use birth control pills. Bloating can cause discomfort and a feeling of fullness and may make it difficult to fit into clothes comfortably.

  • Changes in Bowel Habits: Birth control pills can affect gut motility, leading to changes in bowel habits, including diarrhea, constipation, or alternating between the two.

Some women may experience constipation, which can cause hard, dry stools and difficulty passing stool. Other women may experience diarrhea, leading to loose, watery stools and a sense of urgency to use the bathroom.

  • Nausea: IBS patients frequently experience nausea, and some women in particular who are on birth control pills may be more prone to it. In addition to making a person feel queasy and causing them to lose their hunger, nausea occasionally results in vomiting.

  • Fatigue: IBS patients frequently experience fatigue, which can be particularly burdensome for those who use birth control medications. In addition to making it difficult to focus and finish duties, fatigue can make it challenging to carry out daily activities.

  • Gas and Flatulence: The digestive system produces and releases gas, referred to as gas and flatulence. Although gas is a natural byproduct of digestion, too much can cause signs like bloating, discomfort, and flatulence (passing gas). These signs and symptoms may be typical of IBS and, in some women, be related to birth control pill use.

  • Mucus in the Stool: It refers to the presence of a thick, slimy substance in the stool that is normally produced by the lining of the intestines.

  • A feeling of Incomplete Bowel Movements: It is the feeling that there is still feces in the rectum or that a bowel movement is not complete. This may be a sign of IBS; in some women, it may be linked to using birth control medications.

How to Manage the IBS Symptoms Seen in Women on Birth Control Pills?

Several methods for managing IBS symptoms may arise while taking birth control medications. Collaborating with the healthcare professional to create a specialized treatment plan that considers unique symptoms, medical background, and other aspects is crucial.

1. Adjust Birth Control Pills: The healthcare provider may be able to change the type of birth control pill being taken or adjust the dosage to assist with the symptoms. For instance, some women might discover that taking a birth control pill at a lower dose makes them feel better.

2. Dietary Changes: Whether or not birth control pills are used, changing one's diet can help handle IBS symptoms. Dietary modifications like consuming more fiber, avoiding foods that can worsen symptoms (such as high-fat or spicy foods), and eating smaller, more frequent meals, are some strategies that may be beneficial in managing symptoms of IBS.

3. Manage Stress: Since anxiety and stress can exacerbate IBS symptoms, it is critical to find strategies for managing stress in everyday life. This might involve regular physical activity and techniques like yoga, meditation, and deep breathing exercises.

4. Consider Medication: Sometimes, healthcare providers may recommend medications to help manage your IBS symptoms. For example, antispasmodic drugs may help reduce abdominal pain and cramping, while laxatives or stool softeners may help control constipation.

5. Seek Psychological Support: Working with a mental health professional to develop coping strategies and improve overall well-being may be beneficial if stress or anxiety contribute to IBS symptoms.

Conclusion

Although the connection between birth control pills and IBS symptoms is not entirely clear, some evidence suggests that in particular women, birth control pills may have a role in the onset or aggravation of IBS symptoms. Potential mechanisms for this include changes to the gut microbiome and alterations in hormonal balance caused by the synthetic estrogen and/or progesterone in birth control pills.

Women who experience IBS symptoms while taking birth control pills may benefit from talking to their healthcare provider about potential strategies for managing their symptoms, such as dietary changes, stress reduction techniques, and medication adjustments.

Additional investigation is required to comprehensively comprehend the link between birth control pills and IBS symptoms. This will also help devise more efficient management approaches for women who encounter such symptoms.

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Dr. Ghulam Fareed
Dr. Ghulam Fareed

Medical Gastroenterology

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constipationirritable bowel syndrome
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