What's the reason for the bulging abdomen in menopausal women

Abdominal bloating in menopausal women may be caused by hormonal fluctuations, gastrointestinal dysfunction, pelvic organ prolapse, abdominal muscle relaxation, ovarian cysts, and other reasons. It can be alleviated through adjusting diet, moderate exercise, hormone replacement therapy, physical rehabilitation, surgical intervention, and other methods.

1. Hormonal fluctuations

The decrease in estrogen levels during menopause can lead to the redistribution of visceral fat, with some fat accumulating towards the abdomen. This physiological change may be accompanied by retention of water and sodium, which makes the abdomen feel swollen. Suggest increasing the intake of plant-based estrogens such as soy products to help regulate endocrine balance.

2. Gastrointestinal dysfunction

Autonomic nervous system dysfunction may lead to slowed gastrointestinal peristalsis, food retention, and bloating. Common manifestations include postprandial fullness, constipation, and excessive bowel sounds. Consuming an appropriate amount of yogurt daily to supplement probiotics and avoiding gas producing foods such as beans can help improve symptoms.

3. Pelvic organ prolapse

Pelvic floor muscle relaxation may lead to mild prolapse of the uterus or rectum, exacerbating abdominal distension when standing. Kegel exercises can enhance pelvic floor muscle tone, and in severe cases, physical support devices such as uterine supports may be considered.

4. Abdominal muscle relaxation

Collagen loss can increase the separation of rectus abdominis muscle and cause the contents of the abdominal cavity to protrude forward, forming a "mother's belly". Core muscle group training such as flat support can rebuild muscle tension, and if necessary, temporary abdominal bands can be worn to improve appearance.

5. Ovarian cyst

Pathological cyst growth may compress the abdominal cavity and cause bloating, and ultrasound examination can provide a clear diagnosis. Cysts with a diameter exceeding 5 centimeters should be considered for laparoscopic surgical resection, while small cysts can be treated conservatively with blood activating and stasis removing drugs such as Guizhi Fuling Capsules.

It is recommended to maintain aerobic exercise such as brisk walking or swimming for 30 minutes every day, control the intake of refined carbohydrates in diet, and increase the intake of cruciferous vegetables such as broccoli to supplement dietary fiber. If abdominal distension continues to worsen or is accompanied by irregular bleeding, timely gynecological ultrasound and tumor marker screening should be performed. Menopausal women can regularly practice yoga breathing techniques to relieve anxiety and avoid tight clothing that compresses the abdomen and affects blood circulation.