The effect of the menstrual cycle on athlete health continues to evolve. Daniela Batev summarizes a 2025 consensus statement on how clinicians can navigate tracking menstrual cycles in athletes.
Soccer Football - UEFA Women’s Champions League - Paris St Germain v Bayern Munich - Bayern Munich’s Momoko Tanikawa scores their second goal REUTERS/Benoit Tessier
Until recently, research on menstrual cycles in sports has been fragmented, inconsistent, and often misinterpreted(1). In women’s football, research has stood on the sidelines with claims that certain phases predispose female athletes to performance dips or higher injury risk persist. The dialogue has been dominated by anecdote: coaches assuming that players are slower, weaker, or more injury-prone during particular phases of their cycle. Yet rigorous scientific evidence linking menstrual phases to measurable changes in performance or injury risk remains elusive(1,2,3).
Recognizing this knowledge gap, the Union of European Football Associations (UEFA) assembled a multidisciplinary panel of experts to develop an evidence-based consensus on best practices for menstrual-cycle tracking in women’s football. Their aim was not to create another performance algorithm, but to embed an athlete-centered, ethically responsible model that promotes health, autonomy, and long-term performance(1,5).
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