Related Experiment Video
Updated: Jun 26, 2026

A Method to Study the Impact of Chemically-induced Ovarian Failure on Exercise Capacity and Cardiac Adaptation in Mice
Published on: April 7, 2014
Menstrual Cycle Characteristics and Perceived Impact in Female Volleyball Players
Zsuzsanna Kneffel1, Tímea Kováts1, Anna Áder1
1Department of Health Sciences and Sport Medicine, Hungarian University of Sports Science, 1123 Budapest, Hungary.
Background:
Research on the influence of the menstrual cycle on female athletic performance remains limited. This study investigated menstrual cycle characteristics, menstrual disorders, and phase-specific variations in perceived performance among female volleyball players.
Methods:
Eighty-four recreational and competitive athletes (M = 25.62 ± 6.43 years) completed a comprehensive survey between March and April 2025, including a modified Menstrual Distress Questionnaire (MEDI-Q) assessing physical and psychological well-being, perceived sport performance, training quality, and motivation across the menstrual, follicular, and luteal phases.
Results:
Perceived sport performance differed significantly across phases, with the highest scores in the follicular phase (M = 1.70 ± 1.51), followed by the luteal (M = 0.88 ± 1.13) and menstrual (M = 0.64 ± 1.00) phases (p < 0.001). Perceived performance impairments were greatest during menstruation and lowest in the follicular phase. Motivation exhibited a similar trend, peaking in the follicular (M = 1.74 ± 1.55) and declining during menstruation. Menstrual disorders were reported by 75% of participants, and 59.5% experienced dysmenorrhea. Knowledge scores (M = 11.13/18) indicated a moderate understanding of menstrual physiology.
Conclusions:
These findings demonstrate significant menstrual phase-related variations in subjective performance and motivation, emphasizing the importance of menstrual cycle awareness, athlete education, and individualized, phase-based training strategies to optimize performance and support female athlete welfare.
Related Concept Videos
The Menstrual Cycle
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a uterine...
Menses Phase
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
Hormonal Regulation of the Menstrual Cycle
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH release.
Disorders of the Female Reproductive System
Hormonal Control of the Ovarian Cycle
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
Secretory Phase
Following ovulation, the corpus luteum, a temporary endocrine structure, produces progesterone and estrogens. These hormones stimulate the growth and coiling of endometrial...
