Skip to content

Survey study, 2022

How does competitive swimming affect menstrual cycles and PMS symptoms?

31% of competitive swimmers experienced menstrual cycle stoppage for over 3 months. More intense swimming predicted worse cycle problems, but maintaining a healthy body weight protected against disruptions. Swimming did alleviate some PMS symptoms.

Early or limited evidence 64 female competitive swimmers

What they did

Cross-sectional study of 64 female competitive swimmers. Swimmers completed a questionnaire about their training history, menstrual cycle changes, and premenstrual symptoms, with some questions based on a standard screening tool for training-related problems.

What they found

31.26% of swimmers reported their menstrual cycle stopped for more than 3 months, with 21.88% reporting absence for more than 6 months and 9.38% for 3 to 6 months. More years of training predicted heavier menstrual bleeding. Women with healthy body weight and normal BMI had fewer cycle problems. As menstrual cycle disorder severity increased, the number of sports injuries also increased. Swimming was found to alleviate some of the premenstrual symptoms.

What it means for you

Intense competitive swimming can seriously disrupt menstrual cycles, with nearly a third of swimmers experiencing cycle stoppage. Maintaining a healthy body weight helps protect against cycle disruption. The main limitation is that this was a small study only of competitive swimmers, so we cannot be sure these findings apply to other athletes or regular exercisers.

31.26%

swimmers with menstrual cycle stoppage over 3 months

21.88%

swimmers with stoppage over 6 months

64

female swimmers studied

About the study

Original title
The Impact of Competitive Swimming on Menstrual Cycle Disorders and Subsequent Sports Injuries as Related to the Female Athlete Triad and on Premenstrual Syndrome Symptoms
Authors
Witkoś J, Błażejewski G, Hagner-Derengowska M et al.
Journal
International journal of environmental research and public health
Year
2022
Study design
Survey study
Participants
64
What was tested
None
Open access
Yes
Original abstract

Background : An athlete's menstrual cycle may be seriously disturbed when she undertakes a physical activity that exceeds the body's adaptive capacity and/or applies dietary restrictions. The main aim of this study was to assess the impact of swimming training undertaken by participants of sport clubs on disorders of the menstrual cycle. Methods: The study involved 64 female athletes. The questionnaire utilized in this study was composed by the authors, however some of the questions were based on Low Energy Availability in Females Questionnaire (LEAF-Q). Results: 31.26% of swimmers reported that the menstrual cycle was stopped for more than 3 months, of which 21.88% had a menstrual absence for more than 6 months and 9.38% between 3 months and 6 months. Years of training were a positive predictor of the 'more profuse bleeding'. There was a negative correlation between the disorders of the menstrual cycle, the body weight of the female participants ( p 0.05) and the body mass index ( p 0.01). It was found that with the severity of the degree of disorder in the menstrual cycle, the number of injuries among the surveyed swimmers increased ( p 0.05). Conclusions: The correct body weight of the participants was a positive predictor of the absence of the menstrual cycle disorders among the majority of women practicing swimming. Disorders in the menstrual cycle occurring in a certain percentage of the swimmers positively correlated with the number of injuries recorded among these swimmers. Swimming has been shown to alleviate some of the premenstrual symptoms.

Reproduced under CC-BY.

Topics