I have only sorted out my poop since starting on HRT to be honest. I was really constipated before due to low estrogen and being too high on progesterone (taking the desogestrel POP). It was only when I got to 50mcg of estrogen and then for sure to 62.5mcg(!) when my bowels started functioning normally and now I can report a perfect poop almost every day
![Grin ;D](https://www.menopausematters.co.uk/forum/Smileys/extended/grin.gif)
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But I do take 'Optifibre' which is hydrolysed guar gum twice a day (totally recommend that - natural and works really naturally better than anything I've ever tried) and I also eat a really high fibre breakfast - chia seeds, ground flaxseed, mixed with kefir and chlorella powder and some fresh berries. I don't know if everything would be going okay without that, I've become superstitiously attached to my breakfast now
![Grin ;D](https://www.menopausematters.co.uk/forum/Smileys/extended/grin.gif)
Due to previous constipation, I also have a fissure and piles which come and go. I actually find the over the counter hydrocortisone 1% cream to be better than the Anusol stuff (which is much lower hydrocortisone, like 0.25% or something). I only use the 1% because my GP actually prescribed me some 1% cream for them once and when I ran out of that, it seemed stupid to get the OTC Anusol again - it worked so much better. So even though the hydrocortisone 1% says "Do not apply to genitals"(!), I still do. Cos it's what my GP gave me once for them and it works way better.....
![Grin ;D](https://www.menopausematters.co.uk/forum/Smileys/extended/grin.gif)
I also suffer from this condition called 'proctalgia fugax' which literally translates as 'pain in the anus'
![Grin ;D](https://www.menopausematters.co.uk/forum/Smileys/extended/grin.gif)
No one knows what causes it, although they reckon it is the anal muscles going into spasms - I've had it all my life (since I was a child) and basically I just get this dull pain there which is awful and usually comes on in the evenings or even the middle of the night. It lasts about 30-45mins and there's nothing I can do about it except keep moving - walking around, doing star jumps, jogging on the spot - it just helps make the pain bearable because I think it stretches the spasming area and improves blood flow there. When I was a kid I'd just walk up and down the hallway of our house in the middle of the night, trying not to wake my family by dodging the creaky floorboards!! That's why I was given the rectal MRI. (It is something I'd had all my life which I just decided to freak out about at the time of my health anxiety!!) So - I just wanted to say that there can be completely benign and chronic conditions which cause discomfort and pain too.
Pain is scary and I think there is some really primitive part of our mind which goes "pain = threat to life = take action" and it can take a lot of work to condition "pain = not necessarily anything to think more about > it will pass". The irony is that if you can reach that point, then often the pain stops being so acute and becomes more manageable and sometimes even goes away totally.
I'd really really recommend that
Curable app you can download from the App Store