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Gynecologist: As more women report digestive problems in addition to fertility challenges, there is growing interest in the connection between gut health and reproductive health. What was formerly dismissed as normal pain is now being examined more thoroughly.

The stomach has a much greater influence on fertility and pregnancy than most people realize, according to Dr. Padma Srivastava, Senior Consultant Obstetrician and Gynecologist at Motherhood Hospitals in Pune. She claims that as 2026 approaches, it will be more crucial than ever to comprehend this relationship.

Fertility issues and gut health
Reproductive health may be subtly hampered by poor gut health. According to Dr. Srivastava, “many women who suffer from bloating, acidity, or chronic gut inflammation also notice changes in their menstrual cycle and fertility.”

She points out that irregular cycles, problems with ovulation, and PMS-like symptoms like headaches, bloating, and exhaustion might result from an irritated or unbalanced stomach. According to her, “disorders like IBS or chronic constipation put stress on the body and disrupt hormonal signals needed for conception.” Inflammation associated with poor gut health may sometimes also impact the ovaries and uterus, limiting the formation of healthy follicles or making implantation more challenging.

The gut microbiota’s function during pregnancy
Hormone regulation is directly influenced by the gut microbiota. According to Dr. Srivastava, “good bacteria help manage estrogen levels and reduce inflammation.” “Menstrual cycles tend to be more regular and ovulation improves when gut bacteria are balanced.”

She goes on to say that insulin sensitivity is also impacted by gut health, which is particularly important for women with PCOS. “Gut imbalance can exacerbate insulin resistance, which is a major factor in PCOS-related fertility problems,” she says. Estrogen dominance might also result from an unhealthy stomach. “Women may have unpleasant periods, mood swings, and decreased fertility when the body finds it difficult to break down excess estrogen,” she says.

Pregnancy-related gut health
Hormonal changes during pregnancy themselves make the intestines more sensitive. According to Dr. Srivastava, “nausea, acidity, constipation, and bloating are very common during pregnancy.”

She cautions that intestinal inflammation may hinder the absorption of vital minerals such as calcium, iron, and folate. She continues, “These nutrients are essential for both mother and baby.” Infections, hypertension, gestational diabetes, and abnormal weight gain have all been associated with poor gut health during pregnancy.

One more note on the gut-womb relationship
A good pregnant journey is supported by a healthy gut. Furthermore, “taking care of your gut is not optional anymore, it’s foundational,” as Dr. Srivastava notes.