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Reply to "Menses and pouch"

I know you said you're not a great candidate for birth control, but I truthfully believe your hormones are to blame for a monthly pouch out of control. I doubt so much that you truly get "pouchitis" when you have your period; I do think the hormones give you the issues that mimic it.

At this point, I would say your best option is talking with someone in the gyne world about controlling your periods, in some way, shape, or form, whatever the safest way would be for you. Since it correlates with your monthly period, it seems obvious that your gyne system is to blame and is the catalyst vs your pouch being the real issue. I would seriously find a sympathetic gynecologist or NP who can guide you better. A GI doc may not be the best expert in this area.
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