Menopause and the Microbiome
As we age, there are a whole slew of changes to deal with. One of the biggest life changes for women is menopause. We know there are all sorts of undesirable symptoms that go along with menopause, but recent research suggests that the microbiome may control the severity of menopause symptoms. This is making the microbiome an area of focus for symptom management.
In this article, we will cover everything from what menopause is to the distinct changes found in your hormone and microbiota levels during this life-changing time period.
What is Menopause?
Menopause, much like puberty, is a shift in your hormone levels indicating a new time period of your life. However, where puberty is your body becoming able to reproduce, menopause is the signal that the female body is no longer able to conceive naturally. Menopause is not a disease that you can avoid. It happens to all women, often between the ages of 45 and 57.
Menopause begins when a woman has not had a period for 12 consecutive months. Periods will begin fluctuating before menopause goes into full effect during a time known as perimenopause. Women will notice other symptoms during this time however, period irregularity is the most straightforward indicator that menopause is around the corner.
Lifestyle factors can alter the duration and severity of symptoms during perimenopause and menopause. Some of the biggest influences are:
Smoking
Drinking
Diet
Age
Activity levels
Ethnicity and race
Symptoms of Menopause
You may be aware of some of the more common symptoms of menopause. However, every woman experiences menopause differently. And as such, symptoms may vary drastically from woman to woman.
Some of the most common symptoms of menopause include:
Hot flashes
Mood swings
Insomnia
Irritability
Vaginal dryness and/or sexual discomfort
Light, heavy, and/or irregular periods
Difficulty concentrating
Increased anxiety or depression
Weight gain, especially around the hips and belly
These symptoms are the most common for women at some time or another during this transitionary period. However, some more uncommon and even strange symptoms of menopause can include:
Forgetfulness
Body odor
Metallic taste in your mouth or a burning sensation on your tongue
Bloating
Digestive problems (similar to IBS)
Electric
shock sensations
Arthritis or osteoporosis
Increase in allergies
Thinning hair and brittle nails
Incontinence
The feeling of insects crawling on your skin
Cold flashes
Gum disease
Altered spatial perception
That’s a lot of changes to deal with. Which makes it easier to understand the mood swings and irritability. However, that’s not actually what causes it. The causes of all of these problems are the fluctuations in hormone levels.
What Hormones are Involved in Menopause?
Your endocrine system (the one that regulates your hormones) is one of the most complex systems in the body. And when it becomes out of balance, you’ll experience a plethora of uncomfortable problems. Your hormone levels can control everything from brain chemistry and mood to your ability to manage your weight.
The main hormonal changes are:
Estrogen
Progesterone
Cortisol
Some of the other hormones that have a hand in changes during menopause include:
Testosterone
Follicle stimulation hormone (FSH)
Luteinizing hormone (LH)
As these hormone levels change, the ovarian follicles start to decline. The FSH is responsible for healthy egg production and release. The egg is what the entire menstrual cycle consists around. So when there are no longer consistent egg releases, the rest of the cycle becomes irregular.
The thing is, these hormones don’t just control your egg release and health. They have an influence on everything else in your body to maintain homeostasis.
The Connection Between Menopause and the Microbiome
Your gut houses trillions of bacteria to help your body maintain the homeostasis it needs. These bacteria help to break down your food and send the important derivatives where they’re needed throughout your body.
Your gut bacteria play a large role in hormone regulation as well. Some of the metabolites derived from your food affect hormone levels and functionality. This interaction is now being referred to as the estrobolome since they work together so frequently.
Rodent studies have shown that during menopause there are a lot of changes to the gut microbiome. These menopausal issues can create an imbalance in the gut microbiome— an imbalance of the bacteria living there. Dysbiosis has been linked to many diseases like autoimmune concerns, diabetes, and cancer.
So if dysbiosis can initiate diseases, it’s no surprise that it can cause the undesirable side effects that menopause brings about. The dysbiosis is caused by a decline in estrogen levels which increases cortisol (your stress hormone). Cortisol then changes the micro diversity within your gut leading to constipation, diarrhea, and bloating.
However, this isn’t a one-way street. The state of your gut health can affect the severity of menopause symptoms as well. Poor gut diversity when going into menopause can cause issues like:
Osteoporosis and other bone density problems
Breast cancer risk
Neurodegeneration and poor cognitive function
Type 2 diabetes and obesity
How to Improve Menopause Symptoms and Gut Health
An unhealthy gut is miserable just like most menopausal symptoms. So what can you do to prevent the malaise and keep yourself feeling the best you possibly can?
The main way is to focus on improving your gut health.
Gut health can control the nerve-hormone connections which take care of a lot of the menopause-related symptoms. The metabolites derived from our bacteria and food control where and how much hormone is circulated. This can help combat your menopausal symptoms.
So the best tips for getting good gut and aging health will be:
Keep your diet in check. Eating a healthy diet that has the right properties in it will feed your good bacteria and starve the bad. It will also help you combat inflammation and symptoms related to menopause. Eat prebiotics, probiotics, and polyphenols to boost your immune system. Digestive enzymes and Atrantil can be great to improve your gut balance.
Exercise daily. Doing light exercises can help your body release and continue making hormones and other chemicals that allow you to maintain a positive outlook. Exercise also helps keep your metabolism up which helps fight obesity, diabetes, and cardiovascular risk (all problems that can be brought about by menopause). Exercise can also keep your bones strong which can combat the osteoporosis that sometimes sets in during menopause.
Get enough sleep. This one may seem difficult considering the night sweats and increased anxiety. However, sleep has been proven to help be able to control anxiety and depression better. A good sleep schedule allows your body to rest and digest easier too — improving the efficiency of your gut and reducing stress hormones.
Get your gut tested. Getting your gut tested during menopause is important because hormonal changes can disrupt gut health, leading to symptoms like bloating, constipation, weight gain, fatigue, and even mood swings. A healthy gut supports hormone balance, immune function, and overall well-being—key areas often affected during menopause. Choosing Glow Health & Wellness for gut testing means you're working with a provider who specializes in integrative care, focusing on root causes rather than just symptoms. I use advanced gut testing in my practice to personalize your treatment, helping you rebalance your gut and feel your best through menopause and beyond.
Book for a customized gut test and wellness plan at www.glow-health.com or www.laketahoewellnesscenter.com.
These are the best ways to get your gut in check. Keep yourself living a healthy lifestyle and you can combat some of your symptoms. This isn’t a way to completely get rid of them all - as this is a life change you can’t completely control. However, taking some steps towards reducing the symptoms where you can is a great help!
