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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