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Survey study, 1994

Does substance use change with the menstrual cycle?

No, cigarette smoking, alcohol, and caffeine intake remain stable across all phases of the menstrual cycle and do not change with menstrual symptoms.

Early or limited evidence Female smokers (women with premenstrual symptoms were excluded).

What they did

Female smokers recorded daily diaries of their menstrual symptoms, cigarette smoking, and alcohol and caffeine intake throughout their menstrual cycle.

What they found

Menstrual symptoms were highest during menstruation and mainly involved physical discomfort. Smoking amounts did not change across different menstrual phases, and there was no relationship between symptom severity and smoking. Alcohol and caffeine intake also showed no phase-related changes.

What it means for you

For women smokers, substance use stays consistent throughout the month regardless of cycle phase. This suggests menstrual changes do not drive smoking, alcohol, or caffeine use. The study excluded women with premenstrual symptoms, so findings may not apply to women with PMS.

About the study

Original title
Effects of menstrual phase on nicotine, alcohol, and caffeine intake in smokers
Authors
Pomerleau CS, Cole PA, Lumley MA et al.
Journal
Journal of substance abuse
Year
1994
Study design
Survey study

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