Can hormonal therapy help cyclical constipation?

Sometimes. Hormonal therapy can reduce or suppress menstrual cycling, which may calm inflammation and make period-linked constipation and bowel flares less intense for some people.

That said, hormones don’t remove endometriosis lesions or adhesions, so constipation may continue if there’s tethering of the bowel, scarring, or a functional component like pelvic floor dysfunction. In our practice, we focus on matching treatment to the underlying driver of your symptoms—whether that means medical suppression, pelvic floor therapy, or considering excision surgery when anatomy and symptoms suggest it’s needed. If cyclical constipation is disrupting your life, our team can help you sort out the likely cause and build a plan that fits your goals.