Gut Health and Menopause: The Overlooked Connection
Why We’re Talking About This
If you’ve noticed your digestion has changed since hitting perimenopause or menopause, maybe more bloating, constipation or feeling “off” after foods you once tolerated, you’re not imagining it.
Just like our hormones, our gut health shifts during this stage of life. And because the gut is tied into everything from metabolism to mood, paying attention to it can be a real game-changer in how you feel day to day.
The Gut–Hormone Connection
Oestrogen doesn’t just affect periods and hot flushes, it also influences your gut microbiome (that bustling community of bacteria in your digestive system).
As oestrogen declines, the balance of bacteria can shift. Research led by Professor Susan Davis at Monash University has highlighted how hormonal changes ripple across multiple systems, including digestion and metabolism. This is one reason why some women suddenly experience new gut symptoms in midlife.
The gut is also connected to the brain and immune system, meaning that when it’s out of balance, it can affect energy, mood and inflammation levels.
Why Gut Health Matters More in Midlife
Nurturing your gut microbiome isn’t just about easing digestion, it has wide-reaching effects on overall health. A balanced gut supports:
Metabolism and weight balance - helping your body regulate blood sugar and maintain energy levels.
Efficient nutrient absorption - so the foods you eat actually nourish your body.
A robust immune response - reducing the risk of inflammation and illness.
Mood stability - the gut produces neurotransmitters like serotonin, influencing emotional wellbeing.
Sleep quality - emerging research shows that a healthy gut can support better sleep patterns, an area many women find challenging during menopause (Zoe Predict Study)
Practical Gut-Supporting Strategies
Eat for diversity
Aim for 30 different plant-based foods each week, fruits, veg, legumes, nuts, seeds and grains. This variety feeds different types of gut bacteria.Add fermented foods
Options like kefir, sauerkraut, kimchi, miso and live yoghurt provide probiotics that replenish your gut microbiome.Prioritise protein
Adequate protein supports not just muscles but also your gut’s metabolic function. Dr Mikki Williden stresses its importance in midlife.Move your body daily
Walking, strength training, pilates and yoga all help support digestion and gut motility.Manage stress
Stress can throw your gut bacteria off balance. Breathwork, meditation or simply pausing can help protect both your gut and your mood.Stay hydrated
Water is essential for smooth digestion and preventing constipation.
The Bottom Line
Gut health is more than just digestion. It’s a foundation for energy, hormone balance and resilience in menopause. The good news? Small, consistent changes can make a big difference.
How My Coaching Supports You
Every woman’s gut and menopause journey is unique. What works for one might not for another. My role as a menopause health coach is to help you:
Identify your personal gut triggers and tolerances.
Rebuild trust with food, so it feels nourishing not stressful.
Integrate movement and stress management strategies that fit your lifestyle.
This isn’t about chasing perfection but it’s about creating a gut-friendly, menopause-friendly way of living that supports you long term.
Ready to start feeling more balanced from the inside out?
Book a free chat with me today and let’s explore how we can support your gut health together.
Further Reading & References
Prof. Susan Davis, Research on hormonal changes and systemic health in menopause, Monash University
Nutritional interventions in treating menopause-related sleep disturbances: a systematic review
Wang H, Shi F, Zheng L, et al. Gut microbiota has the potential to improve health of menopausal women by regulating estrogen. Frontiers in Endocrinology (2025)
ZOE & King’s College London, Study highlighting how diet and gut microbiome partially mediate inflammation and sleep quality in post-menopausal women
