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Survey study, 1998

Is knee ligament injury more likely at certain phases of the menstrual cycle?

Yes. Female athletes were more likely to injure their knee ligament during the ovulatory phase and less likely during the follicular phase.

Early or limited evidence 40 female athletes with acute ACL injuries (28 met full study criteria, average age 23 years)

What they did

Researchers studied 40 female athletes with acute knee ligament (ACL) injuries that occurred within 3 months. Of these, 28 met the study criteria (regular periods and non-contact injury). They tracked which phase of the menstrual cycle each injury occurred in.

What they found

More ACL injuries occurred during the ovulatory phase (days 10-14 of the cycle) than would be expected by chance. Significantly fewer injuries occurred during the follicular phase (days 1-9) than expected.

What it means for you

Hormones appear to affect knee ligament stability and injury risk, with ovulation being a higher-risk time. Female athletes might use this information when planning training and competition timing. The main limit is that only 28 women met the full study criteria, and all were athletes, so it's unclear if these findings apply to all women or to non-athletes.

40

Female athletes with ACL injuries

28

Met study criteria

23

Average age in years

About the study

Original title
Association between the menstrual cycle and anterior cruciate ligament injuries in female athletes
Authors
Wojtys EM, Huston LJ, Lindenfeld TN et al.
Journal
The American journal of sports medicine
Year
1998
Study design
Survey study
Participants
40
What was tested
Observational tracking of menstrual cycle phase at time of injury

Topics