What Causes Bloating in PCOS?

Introduction

Polycystic ovarian syndrome (PCOS) can cause a range of symptoms, including bloating. This article explores the causes of PCOS bloating and offers tips for managing this uncomfortable symptom.

What is PCOS?

PCOS is an endocrine condition that affects people assigned female at birth during their reproductive years. It is characterized by multiple cysts on the ovaries, irregular menstrual periods, and high levels of male hormones in the body. PCOS is also associated with impaired glucose metabolism and a high risk of type 2 diabetes.

What is PCOS bloating?

Around 40-80% of patients with PCOS are overweight or obese and have a so-called PCOS belly caused by increased visceral fat. However, they may also experience bloating, which can be caused by water retention or gut imbalance.

What causes PCOS bloating?

PCOS bloating can be caused by sex hormones impacting fluid regulation or issues with gut microbe composition. Certain foods can also trigger bloating.

How to manage PCOS bloating

Diet is key to reducing bloating caused by PCOS. Foods to consider avoiding include those that contain raffinose, dairy products, whole grains, fruits, carbonated drinks, and artificial sweeteners. Gentle exercise, staying hydrated, avoiding swallowing air, increasing fiber intake, eating smaller meals, reducing caffeine and alcohol consumption, and avoiding large meals before bed can also help manage bloating. If bloating persists, it is advisable to consult a medical professional for further evaluation.

When to see a doctor

If you are experiencing regular bloating as well as other symptoms of PCOS and are of childbearing age, you should talk to your doctor about PCOS. If you have both PCOS and irritable bowel syndrome (IBS), you are also more likely to develop metabolic syndrome, greatly increasing your risk of diabetes and heart disease. If you have IBS, adjusting your fiber intake, avoiding trigger foods, increasing fluid intake, exercising regularly, managing stress, and using medications if needed can help manage symptoms.

The lowdown

PCOS bloating can be managed with diet and lifestyle changes. However, if bloating persists, it is important to consult a medical professional for further evaluation.