09/01/2026
How Gut Health Changes During Menopause
and How to Support It
Menopause significantly impacts gut health due to hormonal changes, leading to digestive issues and altered gut microbiota, but dietary and lifestyle adjustments can help support gut function.
How Menopause Affects Your Gut Health—And Practical Ways to Support It
Understanding the Connection and Taking Steps Toward Digestive Wellness
Menopause is a pivotal stage in life that brings about profound changes—not just hormonally, but in nearly every part of the body, including the gut. As estrogen and progesterone levels decline, many women find themselves grappling with new digestive symptoms or a shift in how their bodies process food. These hormonal fluctuations can reshape the gut microbiota and contribute to issues such as bloating, constipation, irregularity, or discomfort.
But there’s good news: the gut’s resiliency means it can often adapt, especially when supported by mindful dietary and lifestyle choices. Managing stress becomes more crucial than ever during menopause, as chronic stress can further disrupt digestive harmony. Incorporating relaxation techniques—like deep breathing, yoga, or meditation—can help calm both mind and gut.
Physical activity is another cornerstone; regular exercise stimulates the digestive tract and promotes overall well-being. Even a daily walk or gentle stretching routine can make a noticeable difference.
Hydration tends to be overlooked, but ensuring adequate fluid intake keeps everything moving smoothly and supports the mucosal lining of the intestines. Alongside water, herbal teas and broths can be gentle on the digestive system.
Nutrition plays a starring role in this transition. Adding more fiber-rich foods—think fruits, vegetables, whole grains, legumes—can nurture beneficial bacteria and improve bowel regularity. Fermented items such as yogurt, kefir, sauerkraut, and kimchi introduce probiotics, which help restore and maintain a healthy microbiome. At the same time, cutting back on processed sugars and highly refined foods can reduce inflammation and digestive discomfort.
It’s important to remember that menopause is an individual journey. Each person’s response to hormonal changes varies, so what works for one may not work for another. Consulting with a healthcare provider or registered dietitian offers an opportunity for personalized advice and solutions, especially if symptoms are persistent or severe.
By embracing these proactive strategies—mindful stress management, consistent movement, smart hydration, and a gut-friendly diet—you can support your digestive health during menopause and lay the groundwork for long-term wellness. The transition isn’t always easy, but with the right support, your gut can remain a source of strength and vitality through this new chapter of life.
As you navigate menopause, staying attentive to your body’s cues and adjusting as needed can empower you to better manage digestive changes. Simple habits, such as keeping a food journal to track which meals support or challenge your comfort, can reveal valuable patterns and guide tailored choices. Additionally, remembering that social support—from friends, family, or community groups—can ease the emotional impact of these transitions, helping you feel less isolated as you adapt.
Over time, these mindful practices not only foster a healthier gut but also contribute to a sense of control and confidence during this transformative stage. By prioritizing self-care and remaining patient with yourself, you can positively influence both your digestive health and overall well-being throughout menopause and beyond.
Alongside these efforts, staying informed about emerging research on menopause and gut health can further empower you to make thoughtful, evidence-based choices as your body evolves. Exploring new recipes, experimenting with additional sources of fibre, or incorporating novel probiotic foods can help keep your diet both nourishing and enjoyable. As you adjust, remember to celebrate small victories—whether it’s improved comfort, more regular digestion, or simply feeling more in tune with your body’s needs. With time and attentive self-care, you can foster a positive relationship with your gut, supporting not only digestive harmony but also greater energy, resilience, and quality of life throughout menopause and into the years ahead.
Commonly Recommended Supplements for Menopause
Several supplements are commonly suggested to help manage menopause symptoms and support overall health during this transition:
• Black Cohosh: Traditionally used to address hot flashes and night sweats, black cohosh has been the subject of several studies. While some women find relief, research results are mixed, and individual experiences may vary.
• Red Clover (Isoflavones): Red clover contains plant-based, estrogen-like compounds known as isoflavones. These may help reduce the frequency and severity of hot flashes.
• Omega-3 Fatty Acids: Omega-3s are important for supporting heart and brain health. They may also play a role in maintaining mood and cognitive function during menopause.
• Vitamin D and Calcium: With the decline in estrogen, the risk of osteoporosis increases. Vitamin D and calcium are essential nutrients for bone health and supporting skeletal strength.
• B Vitamins (B12, Folate): B vitamins—especially B12, B Complex, and folate—support energy production, contribute to a healthy mood, and aid cognitive function.
• DIM (Diindolylmethane): Found naturally in cruciferous vegetables, DIM is sometimes used to support healthy estrogen metabolism.
• Ashwagandha and Adaptogens: These supplements may help the body adapt to stress, improve sleep quality, and promote sustained energy levels.
• Multivitamins for Women 40+: Specially formulated multivitamins cover a range of needs, including bone, heart, and hormone support for women entering menopause.
• Collagen full body with prebiotics and probiotics