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Journal Article Synopsis

ACG

ACG 2024: Hormone replacement therapy linked to increased IBS risk in postmenopausal women

November 4, 2024

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Hormone replacement therapy (HRT) was associated with an increased risk of developing irritable bowel syndrome (IBS) in postmenopausal women, according to findings of this population-based cohort study. The study included post-menopausal women ≥50 years, both with and without prescriptions for HRT (estrogen and progesterone). Researchers used 1:1 propensity matching to create two equal groups, each consisting of 46,627 women.

HRT use was associated with:

  • IBS diagnosis ≥30 days after prescription compared with those not on HRT (992 vs. 581; OR=1.75). That association persisted over 5 years (OR=1.88).
  • New encounter diagnosis for IBS-D (OR=1.44), IBS-C (OR=2.27), and mixed IBS (OR=1.63).
  • Increased GI symptoms, including increased abdominal distention (OR=1.44).
  • More frequent colonoscopies (OR=2.08) and esophagogastroduodenoscopies (OR=1.21).

Source:

Khalil, J. (2024, October 28). Hormone replacement therapy is associated with increased risk of developing irritable bowel syndrome in post-menopausal women. Poster session presented at the American College of Gastroenterology. https://acgposters2024.eventscribe.net/fsPopup.asp?PosterID=687297&mode=posterInfo

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