- Newson, L. The Definitive Guide to Perimenopause and Menopause.
- Cleveland Clinic. “Estrogen’s Role in Digestive Health.”
- WebMD. “How Hormonal Changes Affect Digestion During Menopause.”
- Mayo Clinic. “Bloating and Nausea in Menopause.”
- Harvard Health Publishing. “How Menopause Affects Digestive Function.”
- National Institute on Aging. “Menopause and Stress Management.”
- Healthline. “Cortisol and Its Impact on Digestion.”
- Johns Hopkins Medicine. “Hot Flashes and Related Nausea.”
- Medical News Today. “Mood Swings and Digestive Health in Menopause.”
- National Institutes of Health. “Dietary Adjustments to Alleviate Nausea.”
- WebMD. “The Benefits of Ginger for Nausea.”
- Healthline. “Probiotics and Gut Health.”
- American Psychological Association. “Stress Management and Digestion.”
- Mayo Clinic. “Exercise and Menopause Symptom Relief.”
- National Institute of Diabetes and Digestive and Kidney Diseases. “When to Seek Help for Nausea.”
- NHS. “Hormone Replacement Therapy for Menopause Symptoms.”
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Perimenopause starts years before your last period, with hormone fluctuations triggering up to 50 symptoms like hot flushes, mood swings, sleep issues, and brain fog.
- Menopause itself is a one-day milestone (12 months without a period) — but the effects can linger, often lasting 4–10+ years.
- Postmenopause brings lower hormone levels and new health risks like osteoporosis, cardiovascular concerns, and vaginal changes.
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When it comes to menopause symptoms, you might expect sudden hot flushes, sleepless nights, or even the emotional roller-coaster of perimenopause. But morning sickness? Probably not on your menopause bingo card. Yet nausea is one of the sneaky symptoms that can creep up on us perimenopause and menopause. The hormonal shifts in your body can impact your digestive system, leading to discomfort and stomach upset. Let's explore the connection between hormones and nausea during menopause, and how to manage it.
01
Can Menopause Cause Nausea?
Understanding the Connection Between Hormones and Digestive Health
Both estrogen and progesterone can play a significant role in regulating various bodily functions, including digestion. When these hormone levels start to fluctuate during menopause, it can lead to gastrointestinal problems like nausea, bloating, and even vomiting1. Estrogen has been studied for its influence on the gut microbiome, the collection of bacteria that helps regulate digestion2.
How Hormone Levels Affect Digestion
Estrogen levels drop during perimenopause and menopause, which can slow down digestion and contribute to gastrointestinal issues like nausea and bloating. The hormone progesterone, on the other hand, relaxes muscles in the digestive tract. When its levels fluctuate, it can lead to sluggish digestion and make nausea worse3. These hormonal changes can also affect the way your body processes food, making you more sensitive to certain triggers, including fatty or spicy foods4.
02
Common Causes of Perimenopause Nausea and Menopause Nausea
Hormonal Fluctuations and Their Impact on the Gut
The drop in estrogen and progesterone can directly affect your gut health. This hormonal imbalance often leads to slower digestion, which can cause nausea and other gastrointestinal symptoms. Additionally, these hormonal fluctuations can affect the production of bile, further contributing to queasiness5.
Stress, Cortisol, and Gastrointestinal Distress
Menopause can also increase stress levels, which elevates the stress hormone cortisol. Elevated cortisol can disrupt digestion, leading to nausea, indigestion, and other gastrointestinal issues6. High cortisol levels are linked to increased sensitivity to acid in the stomach, which can make nausea worse7.
Other Symptoms That May Trigger Nausea: Hot Flushes, Mood Swings, and Night Sweats
Other menopausal symptoms, such as hot flushes and night sweats, can trigger nausea indirectly. The sudden rush of heat, combined with sweating and dizziness, often makes women feel nauseous8. Mood swings, another common symptom of menopause, can also contribute to digestive issues and nausea, as stress and anxiety can disrupt the digestive process9. Stomach cramps associated with perimenopause-related PMS symptoms can also trigger nausea.
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03
How to Manage Menopause-Related Nausea
Healthy Diet and Hydration for Treating Nausea
One of the best ways to manage menopause-related nausea is by making adjustments to your diet. Eating smaller, more frequent meals can help regulate digestion and prevent the stomach from becoming too full, which can cause nausea. Additionally, staying hydrated by drinking plenty of water throughout the day helps keep your digestive system functioning properly10. Avoiding foods that can trigger nausea, such as caffeine, fatty foods, and alcohol, can also help.
Natural Remedies to Relieve Nausea
Several natural remedies can help alleviate nausea. Ginger, for example, has been shown to be highly effective in reducing nausea and vomiting11. Chamomile tea and peppermint are other natural options known to soothe the stomach and help with nausea. Taking probiotics can also improve gut health and balance the bacteria that assist with digestion12.
Lifestyle Adjustments: Stress Management and Exercise
Reducing stress is key to managing nausea during menopause. Stress management techniques, like yoga, meditation, and deep breathing exercises, can help lower cortisol levels and improve digestion13. Regular physical activity also helps reduce nausea by stimulating the digestive system and regulating hormonal imbalances. Even a short walk after meals can aid digestion and reduce symptoms of bloating and nausea14.
04
When to See a Doctor About Menopause Nausea
Recognising Severe Symptoms
While experiencing nausea is common during menopause, severe or persistent nausea should not be ignored. Nausea can be extremely unpleasant and should be monitored closely. If you experience nausea accompanied by vomiting, dizziness, or rapid weight loss, seek medical advice. These could be signs of an underlying condition, such as gallbladder issues or gastrointestinal disorders, that need to be investigated15.
Treatment Options for Ongoing Digestive Issues
If lifestyle changes and natural remedies don’t provide enough relief, your healthcare provider may suggest medications to help manage nausea. Antiemetic medications, which help reduce nausea and vomiting, can be effective in more severe cases. Hormone Replacement Therapy (HRT) may also be recommended to balance hormonal levels and alleviate many menopause symptoms, including nausea16. It’s important to discuss the benefits and risks of HRT with your doctor, as it may not be suitable for everyone.
05
Final Thoughts on Menopause and Nausea
Perimenopause nausea and menopause nausea are common, caused by hormonal changes. Fortunately, there are ways to manage it, from making dietary changes to using natural remedies and stress management techniques. If your nausea persists or worsens see a healthcare provider to explore further treatment options. Managing your symptoms through lifestyle changes and medical advice can help you live better during menopause.
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