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Serious Causes. Severe or persistent bloating can be the result of serious medical conditions in women. For example, ovarian cysts or a uterine fibroid can be the root cause. A uterine fibroid is a tumor in the muscle of the uterus. Although uncomfortable, it is usually benign and requires no treatment. Irritable Bowel Syndrome is another cause of severe bloating, among other things. Although IBS affects both sexes, it is more common in women. Women's Health Zone reports that as many as 75 percent of IBS patients are female.
Also, progesterone is a natural diuretic, so when progesterone levels are below where they should be, women may also experience bloating. While having too much estrogen can lead to bloating, having too little estrogen can also contribute to abdominal discomfort. That's because estrogen also has an effect on the production of bile - when estrogen levels are low, bile production decreases. Bile is fluid produced by the liver that aids in digestion.