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Introduction: The present scientific consensus is that the menstrual cycle (MC) and hormonal contraceptive (HC) cycle only influence performance trivially. Nevertheless, athletes perceive changes in performance that they associate with different phases of their hormonal cycle.

Methods: A total of 959 female athletes completed a questionnaire, of which 750 were included in the present analysis.

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Study Question: Do polycystic ovary syndrome (PCOS), menstrual cycle phases, and ovulatory status affect reproductive tract (RT) microbiome profiles?

Summary Answer: We identified microbial features associated with menstrual cycle phases in the upper and lower RT microbiome, but only two specific differences in the upper RT according to PCOS status.

What Is Known Already: The vaginal and uterine microbiome profiles vary throughout the menstrual cycle. Studies have reported alterations in the vaginal microbiome among women diagnosed with PCOS.

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Background: Menstrual health is a recognised important public health issue and is essential for the realisation of gender equality and the achievement of Sustainable Development Goals. This study aimed to explore the menstrual health experiences of young people in Sweden and how the menstrual cycle affects their health and lives. The study also aimed to identify the facilitators and barriers to achieving menstrual health.

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Article Synopsis
  • This study explored how menstrual cycle phases affect symptom severity and recovery in female athletes, comparing those on different hormonal contraceptives to non-users.
  • It found that symptom severity was higher during bleeding days, with hormonal contraceptive users generally reporting milder symptoms, particularly implant users.
  • Additionally, pre-bleeding phases correlated with lower sleep quality and readiness to train, emphasizing the need for personalized recovery strategies based on individual symptoms throughout the menstrual cycle.
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Menstrual cycle related depressive symptoms and their diurnal fluctuations - an ambulatory assessment study.

BMC Womens Health

November 2024

Division of Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Schwendenerstraße 27, Berlin, 14195, Germany.

Background: Reproductive mood disorders indicate that within-person variation in depressive symptoms across the menstrual cycle can be related to ovarian hormone changes. Until now, such cycle-related symptom changes have been measured once daily, even though depression research indicates systematic diurnal changes in symptoms. Further, previous research often focused on aggregated depression scores.

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