Menstrual health and influence of the menstrual cycle on performance and recovery in football
- Publication Type:
- Thesis
- Issue Date:
- 2025
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This thesis examined menstrual health and the influence of menstrual phase and symptoms on performance, recovery, and sleep in footballers. Study 1 explored menstrual health, symptomatology and perceived menstrual effects among Australian national and domestic league players, revealing low rates of amenorrhea but notable rates of oligomenorrhea (19%) and heavy menstrual bleeding (11%). Most players (97%) reported symptoms and 40% perceived menstrual disruption to performance. Symptom severity, heavy bleeding, and pelvic pain significantly increased perceived disruption. Studies 2 to 4 collected performance, recovery and sleep data from Australian domestic league players concurrent to menstrual phase and symptoms data. Study 2 found greater running distances during the late-follicular phase, though high individual variability existed, and accelerations were also reduced at higher symptom severities. Study 3 found no significant effects of menstrual phase on post-match fatigue, soreness, stress or sleep, though perceptual recovery timelines differed based on total-high speed running distance and to a lesser extent menstrual phase. Study 4 found that menstrual phase did not impact sleep, but higher symptom severity was linked to longer sleep durations and later waketimes. Overall, the findings support monitoring menstrual health, and to a lesser degree menstrual phase, and symptoms in elite football.
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