Menstrual Disorders in Female Athletes: A Literature Review
Gwendolyn Urbain
, Michigan State University
Volume 2, Issue 1 | Fall 2025
Abstract
Menstrual Cycle (MC) disorders among female athletes are highly prevalent. Athletes tend to have heavier bleeding and longer duration between menses (Czajkowska, 2020). Studies examining different sports have defined a few menstrual disorders as the following: Pre Menstrual Syndrome (PMS), Pre Menstrual Dysphoric Disorder (PMDD), Primary amenorrhea (inability to reach menarche), secondary amenorrhea (3+ months without period), and oligomenorrhea (irregular period with increased blood flow). Research on the MC during exercise has identified proposed mechanisms that alter athletic performance and may be implicated in menstrual disorders. This review delves into four proposed mechanisms (body composition, stress, muscle activation, and thermoregulation) and their ability to affect menstrual disorder likelihood or female athletes with existing menstrual disorders. It was found that body composition and physiological stress were most likely to predict menstrual disorder frequency. However, there is a need for further research on the molecular mechanisms governing these conditions to define a relationship between how aberrant cellular conditions cause a menstrual disorder.
