Can Fibroids Cause Constipation? Gut Health Q&A for Uterine Fibroids

Pauline Hoang Naturopathic Doctor Ann Arbor

Written with Ann Arbor Holistic Health Practitioner, Pauline Hoang, ND

Dr. Pauline is a Naturopathic Physician with a B.S. in biological science and advanced training in both functional and Chinese health practices. She has worked across North America alongside top practitioners, creating personalized wellness plans for complex health concerns.


In this blog, you'll learn how fibroids affect the digestive system, the connection between gut health and fibroid development, and holistic approaches to managing symptoms.

Uterine fibroids are benign, non-cancerous growths that develop in or around the uterus, most commonly during a woman’s childbearing years. Their size and location can vary significantly, as can the symptoms they cause. While some women with fibroids remain symptom-free, many experience heavy menstrual bleeding, pelvic pain, frequent urination, bloating, fertility challenges, and even constipation. As Pauline Hoang, ND explains, “Uterine fibroids are benign non-cancerous growths that can happen in the uterus or the surrounding tissue, and they usually arise during the childbearing years.”

Fibroids are surprisingly common, “They affect about 70 to 80 percent of women by the age of 50, and people who are more at risk are African-American women, or people that have family history, obesity, early menstruation, and hormonal imbalances,” notes Hoang. While not every case leads to noticeable symptoms, many women seek care when fibroids significantly impact their quality of life. Understanding the connection between fibroids and gastrointestinal symptoms, such as constipation, is a key part of addressing concerns for those affected.

Can uterine fibroids cause constipation?

A common question among those dealing with fibroids is, “do uterine fibroids cause constipation?” The answer is yes, they can. The location of a fibroid plays a significant role in whether gastrointestinal symptoms occur. When fibroids grow in certain areas of the uterus or surrounding tissues, they may press against nearby structures like the colon or rectum. This pressure can disrupt normal bowel function, leading to difficulty passing gas and constipation. Think of it like stepping on a garden hose. The more pressure that’s applied allows less water to flow through or it can even stop it all together.

So, do fibroids cause constipation? Absolutely—but the extent of these symptoms often depends on the size and position of the fibroid. Pauline Hoang, a practitioner at Ann Arbor Holistic Health shares, “Depending on where the fibroid is in the uterus or surrounding tissues, it can press up against other body structures like the colon or rectum, and can cause issues like difficulty passing gas and constipation.” If you’re experiencing persistent changes in bowel habits along with other fibroid-related symptoms, it’s important to consult a healthcare provider to address both the underlying condition and its impact on your gut health.

Can fibroids cause digestive problems?

Many people wonder, “can fibroids cause bowel problems?” The answer lies in the size and location of the fibroid. Fibroids situated on the outer uterine wall, especially those near the gastrointestinal (GI) tract, can press against nearby organs. This pressure can lead to digestive issues such as constipation, gas, and bloating. Larger fibroids are generally more likely to cause these types of symptoms, as they put greater pressure on surrounding structures. “The fibroid size and the location of the fibroid can determine what kind of symptoms a woman experiences,” says Pauline Hoang, ND. “So if a woman has a fibroid on the outer uterine wall, or those close to the GI tract, it can cause digestive symptoms such as constipation, gas, and bloating.”

Interestingly, research highlights a strong connection between digestive health and the development of fibroids. Chronic gut infections may contribute to the development of fibroids. This could stem from impaired digestion and nutrient absorption or bad bacteria’s effects on the stomach lining. According to Pauline Hoang, ND, “There’s a huge link between digestive function and the development of uterine fibroids. H. pylori is a bug that specifically is found in the stomach, and when there’s a chronic infection, there’s a higher tendency towards development of fibroids.” While the exact mechanisms are still being studied, it’s clear that maintaining good digestive health plays a role in managing and potentially preventing uterine fibroids.

Can uterine fibroids cause gastritis?

While uterine fibroids themselves don’t directly cause gastritis, there is a potential connection between the two through digestive health. A key player in this relationship is H. pylori, a bacteria that naturally resides in the stomach. When H. pylori levels become excessive, it can disrupt stomach acid production, leading to issues with digestion and nutrient absorption. This can result in deficiencies in essential nutrients like vitamin B12 and conditions such as anemia.

Chronic H. pylori infections also increase inflammation in the body, which may contribute to a higher risk of developing uterine fibroids. Though more research is needed to fully understand this link, the overlap between digestive dysfunction and fibroid development underscores the importance of addressing underlying gut health issues for women managing fibroids.

Two women laughing together after a workout

Do fibroids cause bloating?

Yes, fibroids can cause bloating, particularly when they grow large enough to press against nearby tissues and organs. This pressure can affect the digestive system, including the small and large intestines, leading to symptoms such as abdominal discomfort and bloating. The size of the fibroid plays a key role. Larger fibroids are more likely to disrupt the normal function of surrounding organs and contribute to these uncomfortable symptoms. Hoang adds, “This is actually a very common complaint that I hear from clients, that they feel bloated or like they’re six months pregnant. Depending on the size and location, fibroids can definitely impact your abdomen presentation.”

Do fibroids cause gas?

A common question is, “can fibroids cause gas?” Absolutely. Fibroids, depending on their size and location, may press against the small or large intestines. This pressure can stop the normal movement of gas through the digestive system, causing it to become trapped and leading to uncomfortable symptoms like bloating and pent-up gas.

A woman in workout clothes lifting weights

Can you have a flat stomach with fibroids?

For many women with fibroids, achieving a flat stomach can feel challenging. A common complaint is feeling bloated or looking as if they’re several months pregnant. The size and location of fibroids often influence abdominal appearance, as larger fibroids can cause noticeable bulging or bloating in the abdomen.

While physical appearance is a valid concern, addressing the root cause of fibroids is key to resolving these symptoms. The underlying issues may include hormonal imbalances, digestive weaknesses, or gut health problems, all of which need to be addressed to achieve lasting results. By focusing on the root cause, you not only improve the physical appearance but also support your overall health and well-being.

Can drinking hot water shrink fibroids?

The idea of drinking hot water to shrink fibroids is nuanced. While hot water alone won’t directly shrink fibroids, it may support digestion and overall health, which are important factors in fibroid management. For individuals with a colder constitution or those consuming a diet heavy in cold foods and beverages, introducing warm or hot water can help digestion. Improved digestion allows the body to better allocate energy for vital processes like detoxification, which can help in managing the hormonal imbalances often associated with fibroids.

Fibroids are frequently linked to estrogen dominance, where excess estrogen overshadows progesterone. Addressing this imbalance involves detoxifying the body of excess estrogen through dietary and lifestyle changes. Consuming cruciferous vegetables like broccoli, kale, and cauliflower can support estrogen detoxification. Additionally, eating more antioxidant-rich foods like berries and aiming for optimal levels of micronutrients like vitamin D, magnesium, and zinc can be beneficial.

While drinking hot water is not a cure for fibroids, it can complement a holistic approach to managing them by supporting the body's natural digestion and detoxification processes.

Holistic Support for Fibroids

Managing fibroids holistically involves addressing foundational aspects of health and well-being. Start with a diet tailored to your unique body chemistry, ensuring proper hydration, and incorporating stress management techniques to keep stress levels under control. Quality sleep is equally important. Going to bed and waking up at consistent times and ensuring restful sleep can significantly impact your overall health. “Things that we can control, like diet and hydration, play a huge role,” Pauline Hoang, ND explains. “Making sure you’re eating foods that are not triggering your system, that provide proper nutrients, and that optimize digestion can really minimize your risk for fibroids.”

Beyond these basics, specialized testing can identify micronutrient deficiencies and pinpoint areas where your digestive function may need support. By addressing these underlying imbalances, you can create an environment in your body that discourages fibroid growth and reduces symptoms.

If you’re ready to explore a personalized, holistic approach, we’re here to help. Book a free 1-on-1 consultation with one of our practitioners to discuss the best approach for your health journey. Take charge of your well-being today!