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Feeling the urge to poop during menstruation

Mar 27, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
"Coming of age" usually refers to the menstrual period, while "taking a bowel movement" means defecation. Frequently feeling the need to defecate during menstruation may be due to non-disease-related factors, but could also be associated with conditions such as endometriosis, pelvic inflammatory disease, pelvic tumors, or abnormal uterine position. If a pathological cause is suspected, it is recommended to visit a gynecology department at a hospital for diagnosis. Once the underlying cause is identified, following medical advice for treatment can help alleviate symptoms.

Menstruation usually refers to the menstrual period, and "passing stool" means defecation. Feeling the frequent urge to defecate during menstruation may result from non-disease factors, but could also be related to medical conditions such as endometriosis or pelvic inflammatory disease. It is recommended to maintain good menstrual hygiene. If other discomfort symptoms occur, seek medical evaluation for diagnosis and follow a doctor's advice for treatment.

I. Non-disease Factors

During the menstrual period, the endometrial lining sheds and increased secretion of prostaglandins stimulates uterine contractions. These prostaglandins can simultaneously stimulate the intestines, accelerating intestinal motility and thus causing a frequent urge to defecate. Additionally, consuming spicy, stimulating, raw, or cold foods can also increase intestinal motility, leading to a persistent sensation of needing to pass stool.

II. Disease-related Factors

1. Endometriosis

Endometriosis commonly occurs in women of reproductive age, although its exact pathogenesis is not fully understood. The ectopic lesions may spread and affect the rectum, irritating the bowel and causing a constant urge to defecate during menstruation.

2. Pelvic Inflammatory Disease (PID)

PID is a common gynecological condition in clinical practice, caused by bacteria ascending from the vagina through the cervix to infect the uterus, fallopian tubes, and ovaries. During menstruation, pelvic congestion worsens, which can stimulate the rectum and lead to the sensation of needing to pass stool.

The urge to defecate during menstruation may also be associated with pelvic tumors or abnormal uterine position. If a pathological cause is suspected, it is advisable to visit a gynecologist at a hospital for proper diagnosis. Once the underlying cause is identified, follow medical guidance for appropriate treatment to help alleviate symptoms.


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