What is the problem? 

Although bloating is not generally associated with the menopause, it is one of the most common symptoms. This phenomenon is related to increased intestinal gas formation and water retention due to hormonal fluctuations and can also be associated with weight gain. This symptom is usually associated with the menstrual cycle. Women who have already suffered from bloating during premenstrual syndrome will probably recognize this symptom.

What are the reasons for this?

Oestrogen affects our digestive system: it affects the water retention that naturally occurs as part of the menstrual cycle, especially in the days leading up to menstruation due to increased oestrogen levels. When oestrogen levels become irregular during the perimenopause, the frequency of water retention also increases, leading to bloating.

In addition, oestrogen influences the production of bile, a substance produced by the liver and stored in the gallbladder, which facilitates the digestion of fat. If fats are not digested properly, this can lead to flatulence.

What solutions are available?

A few adjustments to your diet can help. Remember to eat enough fiber to avoid constipation. Drinking enough, about 2 liters per day, is essential. Foods rich in phytoestrogens, such as soy or flaxseed, contain compounds that promote hormonal balance and relieve bloating. 

A course of probiotics is also worth considering. Probiotics ensure a good balance of intestinal flora, also known as microbiota. These 'good bacteria' help to prevent or remedy complaints relating to digestion, the immune system and colon health.

Exercise is also important to prevent bloating, as it combats two very important risk factors: stress and constipation.