top of page

How Estrogen Impacts Gut Health During Perimenopause—And What You Can Do About It


Woman smiling, holding a colorful pie chart on a video call. Text discusses estrogen's impact on gut health. Neutral background. Registered Dietitian in Syracuse NY

Estrogen impacts everything in the body—from blood pressure and cortisol levels to sleep and digestion, especially gut health in perimenopause. As we age and transition through perimenopause, estrogen levels start to fluctuate and gradually decline as the ovaries slow down their production. This hormonal shift doesn’t just signal menopause—it also influences digestion, gut health, and even increases the risk of cardiovascular disease.


The Gut-Hormone Connection in Perimenopause


Your gut is home to trillions of bacteria that support digestion, immunity, and even hormone metabolism. As estrogen levels shift, gut diversity and microbiome balance can change, often leading to uncomfortable digestive symptoms. Many women notice an increase in bloating, food intolerances, and irregularity during this time, making gut health a crucial focus for overall well-being. If you're searching for how to improve gut health during perimenopause, you're not alone.


Meet Gretchen: A Gut Health Success Story


Gretchen, one of our clients, began experiencing digestive discomfort as she entered perimenopause. High amounts of fermentable fibers and gluten left her feeling bloated, dealing with urgent and frequent bathroom trips, and experiencing extreme fatigue. Frustrated and uncomfortable, she sought help to get her digestion back on track.


Through our time together, we guided Gretchen through a Low FODMAP diet to identify foods that triggered her symptoms. With the right adjustments, she was able to improve her digestion, increase her energy levels, and even support her weight loss goals during perimenopause. Today, she experiences less bloating, improved gut health, and feels her best.


How to Support Your Gut During Perimenopause


If you’re noticing similar digestive shifts, there are steps you can take to restore balance and feel better:


1. Prioritize Gut-Friendly Foods

Including a variety of gut-supportive foods can help maintain a diverse microbiome and reduce symptoms. If you're wondering what foods help with gut health during perimenopause, consider:

- Probiotic-rich foods like yogurt, kefir, kimchi, and sauerkraut to support healthy bacteria.

- Prebiotic fibers from foods like asparagus, garlic, onions, and bananas to nourish beneficial gut bacteria.

- Low FODMAP options if experiencing sensitivity to fermentable fibers, to help reduce bloating and discomfort.

2. Manage Stress and Cortisol Levels

High cortisol levels (often increased due to estrogen fluctuations) can negatively impact digestion. Mindful practices like deep breathing, gentle exercise, and prioritizing sleep can help regulate stress and support gut health. If you're struggling with perimenopause bloating and fatigue, stress management is key.


3. Stay Hydrated and Move Daily

Hydration and movement keep digestion running smoothly. Drinking plenty of water and engaging in daily walks or low-impact exercise can help prevent constipation and support overall digestive function. For those looking for natural ways to improve digestion during perimenopause, hydration and movement are simple yet effective solutions.


4. Work with a Professional

Navigating perimenopause and gut health can feel overwhelming, but you don’t have to do it alone. A personalized approach, like the one Gretchen took, can help you pinpoint triggers and develop a nutrition plan that works for your body.


Take Control of Your Gut Health


Perimenopause brings changes, but it doesn’t have to mean discomfort. By understanding how estrogen influences digestion and making small, strategic changes, you can reduce bloating, increase energy, and feel your best. If you've been looking for the best diet for gut health in perimenopause, a personalized approach can make all the difference.


If you’re ready to take control of your gut health and feel better through perimenopause, we’re here to help. Reach out today to start your journey toward balance and well-being.


We offer 1:1 support to help you manage your perimenopause symptoms, lose weight, and feel your best. Work with us to create a personalized plan tailored to your unique needs—because you deserve to feel amazing at every stage of life!

Comments


Nourished With Emily.png
  • Instagram
  • LinkedIn
  • Facebook

© 2025 by Nourished With Emily. ALL RIGHTS RESERVED. Website designed by Ryle Designs

bottom of page