As a guy, what are you most afraid of? “Waiting for my girlfriend to use the restroom every time I go shopping with her.” It seems like there is always a line in the ladies’ room! If your girlfriend happens to have a “constipation period” at this time, you will not be even more crazy. Why does constipation like to favor women? Today to tell you about “women over men” constipation. The majority of constipation patients are women, domestic research shows that the ratio of men and women in constipation patients is 1:2.75. The cause of female constipation in addition to systemic factors, but also its female physiological factors and special local anatomical structure has a close relationship. For example, female pelvis is wide, female urogenital triangle muscle fascia is weak, prone to anterior rectal protrusion. Injuries caused by pregnancy and childbirth can lead to internal rectal prolapse and perineal descent. And a persistent decrease in steroid hormones in women may be associated with persistent constipation. Women often have constipation type 1, pregnancy constipation foreign reports 40% of women can occur during pregnancy constipation. Pregnancy due to the formation of the corpus luteum, progesterone secretion increased, the latter can inhibit intestinal peristalsis, reduce intestinal sensitivity to stimuli and constipation. After 6 months of pregnancy, the uterus increases in size, compressing the intestinal tube and pelvic blood vessels, making the pelvic veins stagnant, rectal peristalsis decreases, causing constipation. 2, the birth of constipation after childbirth due to the rectus abdominis and pelvic floor muscle by the swelling of the uterus, or even part of the muscle fiber rupture, so that the abdominal wall muscles, intestinal wall muscles, anus muscles involved in defecation of the muscle groups of the tension is reduced, coupled with maternal weakness, can not rely on abdominal pressure to assist in defecation, feces in the intestinal tract over retention, excessive absorption of water and resulting in constipation. After delivery, the pain caused by birth canal laceration and perineal incision, pain or fear of pain can also cause defecation inhibition. At the same time, a few days after delivery, bed rest, activities are reduced, intestinal peristalsis is weakened, is also one of the reasons that affect defecation. Rectal emptying obstruction type constipation manifests as a feeling of incompleteness after defecation, a feeling of falling, a feeling of pressure in the perineum or the need for manipulation to help defecation. Due to the unique physiological and anatomical characteristics of women, the prevalence of this type of constipation is much higher than that of men. Including the following situations: 1, rectal protrusion type constipation The main cause of constipation in women is rectal protrusion, of which 96.5% of women who have given birth. Mainly due to childbirth, birth injury and other reasons to damage the rectovaginal septum, manifested as the mucosa of the anterior wall of the rectum in the shape of a bag to the vagina protruding. When defecating, the feces will fall into the bag, so that the feces will pile up in the direction of the vagina and can not be emptied. 2, the uterus tilted back type constipation normal uterus in the bladder and rectum between the anterior tilt position. Due to uterine underdevelopment or injury during labor, multiple births, improper post-partum maintenance and pelvic inflammatory disease, the uterus can be tilted to the rear, compressing the anterior wall of the rectum, making the intestinal lumen narrow and curved, and resulting in obstacles to the passage of feces. Clinical manifestations are poor defecation, thin and flat stools, and a feeling of incompleteness after defecation. 3.Rectal intussusception Rectal palpation can touch the rectal cavity enlargement and rectal mucosa relaxation. 4.Anal sphincter dystocia When women squat to urinate, the external anal sphincter and puborectalis muscle are in a state of relaxation, in order to control the discharge of feces, the internal sphincter is in a state of tension. Urinary tract infection symptoms such as urinary frequency and urgency promote the persistence of the above factors. 5, puborectal muscle hypertrophy rectal diagnosis can have anal canal prolongation, increased tension, puborectal muscle thickening and hardening, with pressure pain, let the patient do contraction of the anus action, puborectal muscle contraction is not obvious. When the patient is asked to contract the anus, the contraction of the puborectal muscle is not obvious. Defecography shows that the anal canal does not open during defecation, and there may be “shelf sign” when defecation is at rest or when defecation is performed with force. 6, rectal uterine depression sliding internal hernia Normally, the female pelvic peritoneum from the bladder to the uterus, and then finally folded back to the anterior wall of the rectum, between the uterus and rectum to form the rectal uterine depression, such as rectal peripheral tissues flaccid, which can deepen the depression, the formation of hernia sac. When defecating, the sigmoid colon herniated into it, compressing the rectum and producing a series of discharging obstacles and falling symptoms. 7.Pelvic floor spasm syndrome Rectal diagnosis can be found in the anal sphincter tighter, anorectal ring hardness, tenderness. 8.Endometriosis It is the complication of many kinds of gynecological surgery, and it is common in women after marriage. Its ectopic place is mostly in the rectal recess, forming solid nodules or masses. Caring for women’s health, experiencing her “unspeakable secrets”, less sorrow and helplessness, more experience and tolerance. If the women around you often visit the embarrassing “constipation period”, must be early medical early diagnosis and treatment, do not take laxatives to aggravate the condition.