HRT and constipation: can patches cause it?

Can HRT cause constipation?

Constipation is a possible side effect of some hormone replacement therapy (HRT) products. The leaflet for Progynova TS 50, an oestrogen-only patch, includes constipation among its listed side effects. Side effects vary between products, so check the leaflet for your prescription.

Changes in diet, low fluid intake, reduced activity, stress, and other medicines can also affect your bowels. If you use a patch alongside separate progesterone, ask your prescriber to review the whole treatment.

For information about bowel changes during menopause, read our guide to menopause and bowel symptoms.

What helps with constipation while taking HRT?

The following steps can help ease constipation:

• Gradually increase fibre from foods such as fruit, vegetables, and oats.
• Drink enough fluids throughout the day.
• Keep moving – a daily walk can help.
• Give yourself time to use the toilet, and don’t put off the urge to go.

If these steps aren’t helping, ask a pharmacist about a suitable laxative.

Does constipation after starting HRT go away?

Some HRT side effects ease during the first few weeks or months, but constipation doesn’t have a set timeline. If it continues despite self-care, or keeps returning, speak to your GP.

If your treatment is contributing, your prescriber may consider changing the dose or formulation. Speak to them before changing or stopping HRT.

Can HRT help with constipation?

HRT isn’t routinely prescribed to treat constipation. Ask your pharmacist or GP about treating constipation directly, even if you’re also taking HRT.

When should you see a GP about constipation?

See your GP if constipation persists despite treatment, keeps returning, or comes with blood in your poo, unexplained weight loss, tummy pain, or a sudden change in bowel habits.

Mention when symptoms started, any recent changes to your HRT, and other medicines or supplements you take.

This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.