Male Hormone Related

Image Credit: Photo by cottonbro studio via Pexels

Table of Contents
Lower Prevalence Of IBS In Men
Hormones And IBS In Men
Further Reading And References

Lower Prevalence Of IBS In Men

There are many more studies into the effects of female hormones on IBS in women, compared to the effects of male hormones on IBS in men. (1) Androgens in males have been reported to have a protective effect against the development of chronic pain disorders such as IBS in men. In experimental pain models, testosterone has been shown to have an analgesic effect. (2) This could explain why there is a higher prevalence of IBS in females than in males and why women report pain associated with IBS more than men. (5)

Although there seems to be more women with IBS than men, it is unclear whether this is due to more women visiting their doctors with their symptoms than men. (7)

Hormones And IBS In Men

In a study reported in 2008, 38 young males with IBS were compared to 20 healthy men. All had blood tests for serum testosterone, free testosterone, sex hormone-binding globulin (SHBG), follicle-stimulating hormone and luteinizing hormone. The IBS patients had higher levels of testosterone and SHBG than the healthy subjects. However, there was no difference in these markers between the IBS patients who suffered from IBS-D and IBS-C. (3)

Conversely, in an animal model, reduced androgen levels were linked to irritable bowel syndrome and caused bowel dysfunction in mice including compromised gastrointestinal transit. (4)

Interestingly, men are more likely to report symptoms of IBS-D than women. (6)

A study showed that men with IBS have lower levels of luteinizing hormone compared to men without IBS (7) (8) and those with higher testosterone levels reported less pain with their IBS. (7) (8)

Further Reading And References

(1) Mulak A, Taché Y, Larauche M. Sex hormones in the modulation of irritable bowel syndrome. World J Gastroenterol 2014; 20(10): 2433-2448 [PMID: 24627581 DOI: 10.3748/wjg.v20.i10.2433]

(2) Young Sun Kim, and Nayoung Kim: Sex-Gender Differences in Irritable Bowel Syndrome, Journal of Neurogastroenterology and Motility 2018; 24(4): 544-558  https://doi.org/10.5056/jnm18082

(3) Kim BJ, Rhee PL, Park JH, Chang DK, Kim YH, Son HJ, Kim JJ, Rhee JC, Lee H. Male sex hormones may influence the symptoms of irritable bowel syndrome in young men. Digestion. 2008;78(2-3):88-92. doi: 10.1159/000166600. Epub 2008 Oct 31. PMID: 18974649.

(4) Rastelli D, Robinson A, Lagomarsino VN, Matthews LT, Hassan R, Perez K, Dan W, Yim PD, Mixer M, Prochera A, Shepherd A, Sun L, Hall K, Ballou S, Lembo A, Nee J, Rao M. Diminished androgen levels are linked to irritable bowel syndrome and cause bowel dysfunction in mice. J Clin Invest. 2022 Jan 18;132(2):e150789. doi: 10.1172/JCI150789. PMID: 34847080; PMCID: PMC8759776.

(5)  Barbara Bolen, PhD, Medically reviewed by Robert Burakoff, MD: IBS Symptoms in Men, verywellhealth.com, Updated on May 25, 2023

(6) Quinn Phillips, Medically Reviewed by Yuying Luo, MD: IBS Triggers: Diet, Hormones, and Stress, everydayhealth.com, Updated on April 4, 2024

(7)  Haley McGaha: IBS Symptoms in Men: Understanding Signs and Solutions, foodguides.com, Published on Thursday, October 12, 2023

(8) Houghton LA, Jackson NA, Whorwell PJ, Morris J. Do male sex hormones protect from irritable bowel syndrome? Am J Gastroenterol. 2000 Sep;95(9):2296-300. doi: 10.1111/j.1572-0241.2000.02314.x. PMID: 11007231.