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. 2023 Dec 17;56(4):706–716. doi: 10.1249/MSS.0000000000003354

TABLE 3.

Incidence of menstrual cycle symptoms reported in hormonal contraceptive users (AthleteHC) and naturally cycling athletes (AthleteNC) and on bleeding and nonbleeding days.

Menstrual Status Bleeding Patterns Interaction
AthleteNC (%) AthleteHC (%) P Bleeding Day (%) Nonbleeding (%) P P
Abdominal cramps 14.1 18.8 0.601 26.0 10.2 <0.001a 0.114
Acne 13.6 3.3 0.047a 5.2 12.5 0.442 0.785
Appetite changes 2.7 3.1 0.432 3.7 2.4 0.030a 0.384
Bloating 9.7 10.9 0.369 12.6 8.7 <0.001a 0.124
Breast pain 3.3 1.9 0.599 3.3 2.5 0.003a 0.574
Constipation 3.9 1.7 0.994 2.7 3.4 0.196 0.172
Fatigue 16.0 7.2 0.430 10.7 14.1 <0.001a 0.327
Headache 6.4 15.3 0.332 9.7 9.5 0.010a 0.020
Lower back pain 4.5 19.6 0.646 10.3 9.6 <0.001a 0.558
Mood changes 13.7 5.4 0.154 10.1 11.2 <0.001a 0.867
Sleep changes 5.0 1.4 0.056 5.2 2.8 0.075 0.408
Other 1.7 4.5 0.387 1.4 3.4 0.035a 0.092

Only symptoms with an incidence of >2.5% are reported here.

a Significant effect.