top of page

Exercise and Menstrual Health: How Different Phases of the Menstrual Cycle Affect Physical Performance and Exercise Recovery

by Bietel Kidane


A dynamic and complex phenomena, the menstrual cycle is a normal biological process that most women of reproductive age go through. The cycle, which consists of hormonal changes over an average of 28 days, has a significant impact on a number of physiological systems, such as metabolism, energy levels, and athletic performance. Even with its widespread use, fitness programming and sports science still undervalue the connection between the menstrual cycle and exercise performance. This paper investigates the effects of the menstrual, follicular, ovulatory, and luteal phases on exercise recovery, physical performance, and overall fitness results. It also outlines methods for modifying workout plans to accommodate these adjustments, enabling women to get the most out of their training and overall health.


Understanding the Menstrual Cycle

The menstrual cycle consists of four phases: the menstrual phase, follicular phase, ovulatory phase, and luteal phase, each characterized by unique hormonal patterns.

1.      Menstrual Phase (Days 1-5): This phase marks the onset of menstruation, during which the uterine lining sheds. Hormone levels, particularly estrogen and progesterone, are at their lowest, often leading to fatigue and discomfort.

2.      Follicular Phase (Days 6-14): Following menstruation, the follicular phase sees a gradual rise in estrogen levels, peaking just before ovulation. This phase is associated with heightened energy and improved mood, thanks to the anabolic effects of estrogen.

3.      Ovulatory Phase (Day 14): Ovulation occurs midway through the cycle, triggered by a surge in luteinizing hormone (LH). Estrogen levels remain elevated, while testosterone briefly spikes, contributing to increased strength and endurance.

4.      Luteal Phase (Days 15-28): After ovulation, progesterone becomes the dominant hormone. While it supports reproductive functions, its effects include increased fatigue, reduced stamina, and higher core body temperature, which can impair performance and recovery.


These hormonal fluctuations significantly influence a woman’s physical and psychological state, affecting strength, endurance, flexibility, and recovery capabilities.


Menstrual Phase: Challenges and Opportunities

Because of symptoms including mood swings, exhaustion, and cramps, the menstrual period is frequently viewed as a time for relaxation and decreased activity. However, by encouraging the production of endorphins, moderate activity at this stage might reduce pain and improve mental health. For symptom management, low-impact exercises like yoga, gentle stretching, or walking are great options. It's interesting to note that some women claim to feel powerful throughout their periods, especially while engaging in strength-training exercises. Reduced progesterone levels, which can lessen tiredness and enhance muscular performance, could be the cause of this phenomena. Since recuperation may be somewhat hampered by reduced energy reserves, this stage might be a chance for athletes to concentrate on maintaining consistency in their training without exerting themselves excessively.


Follicular Phase: The Powerhouse of Performance

Many people consider the follicular period to be the "golden window" for physical performance. Increased estrogen improves muscle repair, increases the body's capacity to use carbs as fuel, and fosters an anabolic condition that is ideal for strength and endurance training. This stage is a great time to emphasize high-intensity exercises, strength training, and endurance challenges since women typically feel more resilient, driven, and energized at this period. Additionally, estrogen increases joint stability and neuromuscular coordination, which lowers the chance of injury. During this stage, exercises like interval training, weightlifting, and running are very beneficial. Individual differences must be kept in mind, though, since some women may continue to feel the effects of menstrual tiredness.


Ovulatory Phase: Peak Performance

An increase in LH and higher levels of estrogen and testosterone during the ovulatory period create the ideal conditions for peak performance. During this period, women may gain strength, power, and endurance, which makes it a great time for competitive activities and personal bests. While estrogen promotes joint health and energy metabolism, testosterone's short-lived surge increases muscle synthesis.However, high estrogen levels during the ovulatory period also cause greater ligament laxity, which might increase the risk of injuries, especially to the ankles and knees. To reduce this risk, active stretches, proper warm-ups, and form awareness are essential. Women should also keep an eye on their hydration levels because fluid balance can be impacted by hormonal fluctuations.


Luteal Phase: Balancing Performance and Recovery

Exercise performance has particular difficulties during the luteal phase, which is controlled by progesterone. High-intensity workouts may feel more taxing due to elevated core body temperature, decreased glucose consumption, and higher perceived exertion. Exercise adherence is made more difficult for many women by premenstrual symptoms like bloating, irritability, and exhaustion.Exercise should not be completely stopped during the luteal period, despite these difficulties. Rather, it is a chance to change the emphasis to functional training, active recovery, and moderate-intensity exercises. Maintaining fitness levels while respecting the body's need for rest and recuperation can be achieved by incorporating bodyweight, Pilates, or low-impact aerobic workouts. During this stage, nutritional tactics like eating more protein and foods high in magnesium can help with energy levels and muscle recovery.

Hormonal Influence on Recovery

Hormones have a major impact on recuperation from exercise during the menstrual cycle. During the follicular and ovulatory phases, estrogen's anti-inflammatory qualities promote muscle regeneration and lessen delayed onset muscle soreness (DOMS). These stages are therefore perfect for progressive overload and high-volume training. On the other hand, because of elevated inflammation and decreased pain threshold, the luteal phase may cause a slower rate of recovery. During this time, women might require lengthier rest intervals in between strenuous workouts. Recovery tactics can be customized to meet the demands of each individual by keeping an eye on subjective fatigue levels and heart rate variability (HRV).


Tailoring Exercise Programs to the Menstrual Cycle

Adapting exercise routines to the menstrual cycle involves aligning training intensity and type with hormonal fluctuations. While every woman’s experience is unique, general guidelines can provide a starting point for optimizing performance and recovery:

1.      Menstrual Phase: Focus on light to moderate activities such as walking, yoga, or gentle cycling. Emphasize rest and recovery if needed.

2.      Follicular Phase: Ramp up training intensity with strength workouts, interval training, and endurance challenges. This is the phase for goal-setting and pushing limits.

3.      Ovulatory Phase: Maximize performance with high-intensity and competitive activities. Incorporate proper warm-ups to prevent injuries.

4.      Luteal Phase: Prioritize moderate-intensity workouts, active recovery, and flexibility exercises. Listen to your body and adjust intensity based on energy levels.


Psychological Benefits of Cycle-Aware Training

Women can be empowered to accept their natural rhythms instead of seeing them as obstacles by being aware of the menstrual cycle and how it affects exercise. Women can develop a sense of control and confidence in their fitness journeys by scheduling their workouts to coincide with their hormone fluctuations. By lowering the guilt and frustration frequently connected to erratic energy levels and performance, this method also enhances mental health.

The significance of customized workout regimens based on the menstrual cycle is highlighted by recent studies. Individual variability is nevertheless important even though studies consistently demonstrate that hormonal variations impact performance and recuperation. The association between menstruation and exercise is further complicated by variables like the use of contraceptives, unpredictable cycles, and pre-existing diseases like endometriosis or PCOS. Large-scale studies should be the main focus of future research in order to better comprehend these variances and create customized recommendations. Furthermore, educating coaches and fitness experts on menstrual health can contribute to the development of more inclusive and successful training regimens for female athletes.


Conclusion

Women in fitness and sports face both opportunities and obstacles as a result of the menstrual cycle's significant effects on physical performance and exercise recovery. Women can maximize their exercise, boost their recuperation, and improve their general well-being by being aware of and respectful of these hormonal swings. In addition to helping women reach their fitness objectives, adopting a cycle-aware approach to exercise cultivates a stronger bond with their bodies. The incorporation of menstruation health into exercise science holds promise for a future of more individualized and successful fitness regimens for women worldwide, provided that research and activism continue.

 

 

  

 

References

 

Carmichael MA, Thomson RL, Moran LJ, Wycherley TP. The Impact of Menstrual Cycle Phase on Athletes' Performance: A Narrative Review. Int J Environ Res Public Health. 2021 Feb 9;18(4):1667. doi: 10.3390/ijerph18041667. PMID: 33572406; PMCID: PMC7916245.

 

Handy AB, Greenfield SF, Yonkers KA, Payne LA. Psychiatric Symptoms Across the Menstrual Cycle in Adult Women: A Comprehensive Review. Harv Rev Psychiatry. 2022 Mar-Apr 01;30(2):100-117. doi: 10.1097/HRP.0000000000000329. PMID: 35267252; PMCID: PMC8906247.

 

Geiker NR, Ritz C, Pedersen SD, Larsen TM, Hill JO, Astrup A. A weight-loss program adapted to the menstrual cycle increases weight loss in healthy, overweight, premenopausal women: a 6-mo randomized controlled trial. Am J Clin Nutr. 2016 Jul;104(1):15-20. doi: 10.3945/ajcn.115.126565. Epub 2016 Jun 8. PMID: 27281304.

 

Kissow J, Jacobsen KJ, Gunnarsson TP, Jessen S, Hostrup M. Effects of Follicular and Luteal Phase-Based Menstrual Cycle Resistance Training on Muscle Strength and Mass. Sports Med. 2022 Dec;52(12):2813-2819. doi: 10.1007/s40279-022-01679-y. Epub 2022 Apr 26. PMID: 35471634.

 

McNulty KL, Elliott-Sale KJ, Dolan E, Swinton PA, Ansdell P, Goodall S, Thomas K, Hicks KM. The Effects of Menstrual Cycle Phase on Exercise Performance in Eumenorrheic Women: A Systematic Review and Meta-Analysis. Sports Med. 2020 Oct;50(10):1813-1827. doi: 10.1007/s40279-020-01319-3. PMID: 32661839; PMCID: PMC7497427.

 

Pereira HM, Larson RD, Bemben DA. Menstrual Cycle Effects on Exercise-Induced Fatigability. Front Physiol. 2020 Jun 26;11:517. doi: 10.3389/fphys.2020.00517. PMID: 32670076; PMCID: PMC7332750.

 

 

1 view0 comments

Comments


bottom of page