I suffer from irritable bowel syndrome. Can the contraceptive pill affect the gut microbiome?

Yes, the contraceptive pill can potentially affect your intestinal flora. Hormones, such as estrogens, can influence the gut microbiota. However, there is no evidence to suggest that taking hormonal contraception increases the risk of a relapse of irritable bowel syndrome symptoms. It is ultimately up to you to decide whether to continue taking the pill based on the advantages and disadvantages you see. Some tips to reduce your symptoms include following a low FODMAP diet, reducing stress through relaxation techniques, and potentially considering probiotics as discussed in an upcoming podcast episode.