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Evidence for exacerbation of irritable bowel syndrome during menses
Open accessAbstract
Many women report that bowel symptoms are associated with menstruation, but neither the prevalence of these complaints nor their physiological basis is known. This study aimed to estimate prevalence, to determine whether patients with irritable bowel syndrome are more likely to make such complaints, and to determine whether bowel complaints during menstruation are attributable to psychological traits such as increased somatization. To estimate prevalence, 369 clients of Planned Parenthood of Maryland were asked whether gas, diarrhea, or constipation occurred during menstruation. These subjects were compared with women referred to a gastroenterology clinic and found to have irritable bowel syndrome or functional bowel disorder (abdominal pain plus altered bowel habits but not satisfying restrictive criteria for irritable bowel syndrome). Thirty-four percent of 233 Planned Parenthood clients who denied symptoms of irritable bowel syndrome or functional bowel disorder reported that menstruation was associated with one or more bowel symptoms. Gastroenterology clinic patients with irritable bowel syndrome were significantly more likely to experience exacerbations of each of these bowel symptoms, but especially increased bowel gas. Self-reports of bowel symptoms during menstruation were not associated with psychological traits or with menses-related changes in affect.
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“IBS symptoms worsen during menses.46”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [46]
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Metadata
- Authors
- Whitehead, W. E., Cheskin, L. J., Heller, B. R., Robinson, J. C., Crowell, M. D., Benjamin, C., & Schuster, M. M.
- Affiliations
- Johns Hopkins University (US)
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 1990-06
- Volume
- 98
- Issue
- 6
- Pages
- 1485-1489
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W1486352899
- Cited by
- 262
- References
- 21
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 1 · 2020: 5 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 5 · 2015: 6 · 2014: 8 · 2013: 5 · 2012: 3
- FWCI
- 4.21
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Gastroenterology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (2k05mh000133-17, 5r01nr001369-03)
- National Institute of Mental Health (KO5 MH00133)
- National Institute of Nursing Research (R01 NR01369)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Keywords
- irritable bowel syndrome, menstrual cycle, prevalence, functional bowel disorders, bloating, diarrhea, constipation, somatization, psychological characteristics, women's health
- MeSH terms
- Adult, Affect, Colonic Diseases, Functional, Constipation, Diarrhea, Female, Flatulence, Humans, Menstruation, Neurotic Disorders, Personality, Abdominal Pain
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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