Research

Hormonal

Menstrual cycle symptoms are widespread and severe in resistance-trained athletes, with 92% reporting symptoms and 76% reporting cramps, yet MC irregularities are not more common than in the general exercising population.

Expect menstrual symptoms like cramps and fatigue to be common (92% prevalence) regardless of your competitive level. However, do not assume your resistance training is causing irregular periods; your cycle regularity is likely similar to other women. Focus on managing the high prevalence of symptoms (like cramps and fatigue) through tracking and potentially hormonal or lifestyle interventions.

ModerateQualifiesMEDIUM confidence
92% of participants stated they experience MC-based symptoms, with uterine cramps the most cited symptom (76%). Competitive-level athletes had a similar frequency of MC irregularities (8.8%).
Kimberly SantaBarbara et al. · International Journal of Sports Science & Coaching · 2024

Why this rating

Large sample size (n=809), but cross-sectional and self-reported.

Source

Menstrual cycle characteristics, hormonal contraceptive use and perceptions of related effects in resistance-trained athletes

Kimberly SantaBarbara et al. · International Journal of Sports Science & Coaching · 2024

DOI 10.1177/17479541241228986

cross_sectional · n=809Cited 7×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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