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The Effect of the Menstrual Cycle on Exercise and Sports Performance

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Sex Hormones, Exercise and Women

Abstract

Women’s participation in sport and exercise is increasing; therefore, it is imperative that any potential modulations, either positive or negative, in performance, training, and adaptation can be understood and optimized. Indeed, sex hormones can affect physiological processes within the cardiopulmonary and nervous systems, as well as skeletal muscle properties; the integration of these systems determines performance in a variety of tasks. As such, the cyclical changes in endogenous hormones across the menstrual cycle have the potential to affect the underpinnings of exercise performance; thus, women athletes and those working with them require an understanding of this to potentially optimize long-term outcomes. This chapter aims to discuss the physiological effects of the menstrual cycle outside of the reproductive system, as well as highlight the current literature pertaining to the effect of fluctuations in endogenous sex hormones across the menstrual cycle on exercise performance. Thereafter, practical recommendations that can be made based on the available evidence are discussed.

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Abbreviations

FSH:

Follicle-stimulating hormone

LH:

Luteinizing hormone

MVC:

Maximal voluntary contraction

RER:

Respiratory exchange ratio

V̇E:

Ventilatory rate

V̇O2:

Volume of oxygen consumption

V̇CO2:

Volume of carbon dioxide produced

V̇O2peak:

Peak oxygen consumption

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Correspondence to Kirsty M. Hicks .

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Hicks, K.M., McNulty, K., Ansdell, P. (2023). The Effect of the Menstrual Cycle on Exercise and Sports Performance. In: Hackney, A.C. (eds) Sex Hormones, Exercise and Women. Springer, Cham. https://doi.org/10.1007/978-3-031-21881-1_11

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