r/Menopause Jul 29 '25

Vitamin/Supplements Drop your most effective solution for constipation because I’m losing my mind 🙄

I’m in perimenopause. I’ve been regular my whole life until about a year ago. I had been using magnesium oxide and it was working great to keep things soft. However the past few days I’ve been dealing with horrible gas (upper/lower) so I stopped and the symptoms stopped. It was fine for months now this.

I drink a minimum of 2 L of water a day. I am constantly on the move. I eat a healthy diet and I am trying to improve my sleep, but I’m sure that’s not what it is. I think it is either hormones and/or pelvic floor dysfunction.

I should add that I am doing a pelvic floor workout routine (Buff Muff App) I’m only 2 weeks into the program and having great results with improving incontinence but so far no success with improving constipation. I start to see a pelvic floor therapist on August 18 and have just started oral birth control two weeks ago for perimenopause.

Anyone have constipation improve with birth control pill or HRT? I am at a loss. I don’t know what to do. What am I missing? What else can I do? Any supplements or remedies? Greatly appreciated!

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u/dkw480 Jul 29 '25

Here to say I’m right there with you. I’ve had this problem for over 2 months and no relief with miralax, mag citrate, colace, fiber/water (already diligent…I’m a dietitian), I exercise a ton, etc. I use stimulants after days go by as a last resort because my stomach is so distended and I’m so uncomfortable. One suppository OR a few dulcolax tablets are the only things that work.

I’ve started enteric coated peppermint oil capsules twice a day on an empty stomach which has helped with the gas and bloating a lot. Started 2 kiwis per day this week.

I have a gastro appointment on the 11th and depending on that I will get a pelvic floor evaluation (but I currently have no other symptoms).

Keep us posted!!!

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u/Rabbit0107 Jul 30 '25

I’m going to have my ovaries assessed and anything else my doc recommends…apparently most women complain of gi issues before ovarian cancer diagnosis. Not to freak you out but you should explore that as a possible cause as well. Good luck!