10 Secrets for Training During That Time of the Month

 

Dealing with your period while balancing sports can be stressful and uncomfortable. But your period is a positive thing: It’s an important marker of health, and there are ways to make this part of your life easier.

Here, Dr. Michele LaBotz, TrueSport Expert and sports medicine physician, breaks down the period basics you need to know to take control of your cycle and train effectively no matter what time of the month it is.

 

1. Remember That Your Period Is a Positive

Before we talk about training during that time of the month, it’s important to remember that getting your period regularly is a sign of good hormone health. Younger teens will often have irregular periods, but once they become more regular, it is an indicator that your body is recovering properly and getting the fuel that it needs to perform and function at a high level, says LaBotz.

 

2. Don't Count Yourself Out of Competition Just Because You Have Your Period

At some point in your athletic career, you will likely need to compete during your period. Don’t panic: You may not feel amazing, but the data actually suggests that your performance should be fine. “There are so many females who feel like their performance falls off significantly just before or during their period,” says LaBotz. “But when you look at the objective data and the studies, that’s actually not the case and the perception doesn’t match the reality. So, you may not feel great, but you absolutely can still perform well. And if your performance is not meeting your expectations, there is probably a different underlying cause.”

 

3. Get to Know Your Menstrual Cycle

While we’re primarily addressing periods here, having a basic understanding of the phases of your hormonal cycle can help you better understand why you may feel different from week to week. Most cycles will typically run between 28 to 35 days for many young athletes, and the cycles can be broken down into four phases:

• Menstrual phase: This is considered day 1 of your cycle and is the first day of bleeding during your period. This phase typically lasts for 4-6 days.
• Follicular phase: This is the first part of your cycle after your period stops. Your estrogen will rise in this phase as your uterus lining regrows and an egg matures in the ovary.
• Ovulation: Your luteinizing hormone will rise, and your ovary will release an egg. Some will notice lower abdominal cramping or discomfort during this time known as “mittelschmerz.” This is common and some athletes find that exercise actually helps with the symptoms.
• Luteal phase: Progesterone peaks during this phase between ovulation and your next period, and will then drop as your body prepares to shed the lining that has build up in the uterus (your period is that lining shedding). Some will feel bloating, camping, and increased moodiness during this time.

 

4. New to Menstruating? Don't Expect a Perfect Period.

If you only got your period within the last year, your cycle may not be standardized yet. “When your period first starts, it’s going to be irregular, and you don’t know when it’s going to happen,” LaBotz says. “Sometimes you go a number of months without getting it, and that’s fine at first. But once it becomes regular for a few months, it should stay that way.”

 

5. Not Getting Your Period: When Should You Talk to Your Doctor or Athletic Trainer?

If you’ve been getting a regular period and it suddenly stops or your cycle is lasting longer than 35 days, it’s a good idea to discuss that with your doctor or your athletic trainer, says LaBotz. While teens may experience the occasional period irregularity, skipping multiple periods can be a sign of Relative Energy Deficiency in Sport (REDs) and the sooner you can address that issue, the less problems you’re likely to have later.

Similarly, if you’re 15 years old and still don’t have your period, it may also be time to have a conversation with your doctor. Some girls simply get their periods late, but a delayed period can also be a signal that your body is in a state of low energy availability.

“The standard in the United States is that if you don’t get your period by the age of 15, your doctor will look into it,” LaBotz explains. “A lot of times we look at the age the mother was when she started her period, and typically, a daughter will get hers within a couple of years of that. So, if your mother got her period young, we may do a workup earlier than 15 to rule out any issues. And certainly at 15, if you don’t have your period, that can raise significant medical concerns.”

 

6. Using Hormonal Birth Control? Your Period and Cycle Will Be Different

If you’re using hormonal birth control, it’s important to understand what that means for your period. While you will bleed monthly if you’re using the birth control pill, you aren’t experiencing a true hormonal cycle. “The hormones in birth control are ‘steady state,’” says LaBotz. “So, you won’t have the same hormonal fluctuations throughout the month that you’d have without it.”