From the Guidelines
Yes, sexual activity can exacerbate Irritable Bowel Syndrome (IBS) symptoms in some individuals, as suggested by the most recent evidence from 2022 1. This occurs through several mechanisms, including physical pressure on the abdomen during intercourse, heightened anxiety or stress associated with intimacy, and the general stimulation of the pelvic region which can trigger intestinal contractions. For those who experience this issue, several strategies may help minimize symptoms, such as:
- Trying to empty the bowels before sexual activity
- Choosing positions that put less pressure on the abdomen
- Communicating openly with the partner about needs
- Considering timing intimacy during parts of the day when symptoms are typically less severe
- Using relaxation techniques before sex to reduce anxiety-triggered symptoms The connection between sex and IBS flares relates to the gut-brain axis, where nervous system activation during arousal can influence gut motility and sensitivity in those with IBS, as supported by guidelines on IBS management 1. If sexual activity consistently triggers severe symptoms, it is recommended to consult with a healthcare provider who may recommend specific medications to take before intimacy or suggest adjustments to the overall IBS management plan, taking into account the latest guidelines on IBS treatment 1.