I would guess that in my case I have had crohns for 18 years and am in menapause and mine has just kicked in to a whole different level for me. Mine is at it personal worst because it has moved into the last few feet of my rectum. I feel worse than ever before, I am on hormone treatment and on prednisone. So Im guessing no it doesnt get better during menapause,not for me anyway.Hopefully for yo it will .