Health
Female Footballers Face More Severe Injuries During Menstruation, Study Finds
Female footballers may experience more serious injuries and longer recovery times when they are on their period, according to a new study. The research, published Tuesday in Frontiers in Sports and Active Living, followed FC Barcelona women’s players over four seasons from 2019 to 2023 in Spain’s professional league.
While the study found that menstruation does not increase the likelihood of injury, it revealed that injuries sustained during bleeding days resulted in significantly longer recovery periods. Lead author Eva Ferrer, a specialist in sports medicine and female health at Sant Joan de Déu Hospital and the Barça Innovation Hub, explained that injuries during menstruation led to three times more days lost to recovery compared to injuries at other points in the menstrual cycle.
For example, soft tissue injuries to muscles, tendons, and ligaments required an average of 684 days lost per 1,000 training hours during menstruation, compared to 206 days for injuries outside of bleeding days. “Small modifications such as longer warm-ups, adjusted high-speed workloads, or additional recovery support may help reduce the severity of injuries if they occur,” Ferrer said.
The study highlights how hormonal changes during the menstrual cycle can affect the body’s response to injury. Fluctuating estrogen and progesterone levels impact muscles, metabolism, and the immune system. Low estrogen can reduce the muscles’ ability to repair themselves and contribute to increased fatigue, pain, and sleep disturbances. Iron loss during menstruation may also lower stamina and slow recovery.
This is not the first time that hormonal changes have been linked to injury outcomes in female athletes. Earlier this year, FIFA funded a study to investigate the connection between the menstrual cycle and anterior cruciate ligament (ACL) injuries in women’s football. Researchers plan to monitor estrogen and progesterone levels, which have been associated with increased ligament laxity and decreased neuromuscular reaction times.
Simon Augustus, a researcher involved in the FIFA project, said, “We know hormones fluctuate during different phases of the cycle, but we do not yet know how much of an influence that may have on the risk of injury.”
The findings underscore the importance of considering female physiology in sports training and injury prevention. Adjusting training schedules, recovery protocols, and injury management according to the menstrual cycle could help protect athletes and reduce the impact of injuries when they occur.
As professional women’s football continues to grow, experts say integrating menstrual health into coaching and medical practices is key to supporting athlete performance and long-term career longevity.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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