Cited by 262Gastrointestinal motility and disordersMenstrual Health and DisordersEndometriosis Research and Treatment

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Evidence for exacerbation of irritable bowel syndrome during menses

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Whitehead, William E., Cheskin, Lawrence J., Heller, Barbara R., Robinson, J.Courtland, Crowell, Michael D., Benjamin, Carol, Schuster, Marvin M.·1990·Gastroenterology

DOI 10.1016/0016-5085(90)91079-l

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Abstract

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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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)
ORCID: Whitehead, William E.
Cheskin, Lawrence J.
Crowell, Michael D.
Venue: Gastroenterology
Publisher: Elsevier BV
Published: 1990-06
Volume: 98
Issue: 6
Pages: 1485-1489
ISSN: 0016-5085 (ISSN-L)
DOI: 10.1016/0016-5085(90)91079-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: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor, 9871 d)
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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Evidence for exacerbation of irritable bowel syndrome during menses

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