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Survey study, 2024

Can period-related symptoms predict whether female cyclists manipulate their periods?

Reduced ability to tolerate workouts predicts menstrual manipulation among Australian cyclists, but specific symptoms do not. This is moderate-strength evidence.

Moderate study design 205 female cyclists in Australia, from recreational to elite level

What they did

205 female cyclists (from recreational to elite level) completed an online questionnaire about their period symptoms, how symptoms affected their training, adjustments they made, and whether they manipulated their periods.

What they found

More than 80% reported period symptoms impacted training and 41% made training adjustments. Two-thirds thought training should be phase-controlled but only half discussed hormonal cycles with coaches. Menstrual manipulation was predicted by reduced workout tolerance (odds ratio 0.632). Half reported trouble tolerating high-intensity interval training. Period pain, irritability, low energy, and sugar cravings were commonly reported but did not predict menstrual manipulation.

What it means for you

Poor workout tolerance, not specific symptoms, drives menstrual manipulation. The study only included Australian cyclists, so findings may not apply to other sports, countries, or non-athletic women.

205

Female cyclists surveyed

>80%

Reported period symptoms impact training

0.632

Odds ratio for reduced workout tolerance predicting manipulation

About the study

Original title
Can period-related symptoms predict menstrual manipulation among Australian female cyclists?
Authors
Lee SJL, Peiffer JJ, Haakonssen E et al.
Journal
Journal of sports sciences
Year
2024
Study design
Survey study
What was tested
Survey of period symptoms, their impact on training, and menstrual manipulation
Open access
Yes

Topics