Exercise on period: How the menstrual cycles can affect energy levels

Exercise on period: Image shows woman taking a break from exercising
(Image credit: Getty)

Do you exercise on your period? Or are you wondering whether it’s safe to workout during your time of the month?

No matter what stage you are in of your menstrual cycle, once you’re kitted out in some workout essentials, like one of the best sports bras for running – if you feel up to it – there’s nothing to stop you from exercising, even if you are on your period.  

But don’t just take our word for it. Science has proven that exercising on your period is safe to do. In fact it could prove to be very beneficial. However you might experience a number of different physical and psychological symptoms, such as feeling your energy levels are lower.

To discover everything there is to know about exercise on periods, we turned to the science and asked an expert to weigh in on the topic.

How does your period affect energy levels?

Your period can affect your energy levels in a couple of ways.

Firstly, if you experience heavy bleeding and lose more than 80 milliliters of blood during one menstrual period, it can lead to iron deficiency. Iron helps our body make red blood cells. But if our body doesn’t have enough iron, it can’t produce enough red blood cells which can lead to anemia. According to the Institute of Quality and Efficiency in Health Care, a lack of red blood cells in our blood means our bodies get less oxygen which in turn makes us feel ‘weak and tired’. 

Secondly, changing hormone levels have a big part to play in our energy levels.

Tamara Hew-Butler, who is Associate Professor of Exercise Physiology at Wayne State University, explains that women and those who menstruate tend to have lower energy levels during the second half of the of the menstrual cycle, known as the luteal phase which occurs during days 15 to 28. But why is this? 

Tamara Hew Butler
Tamara Hew-Butler

Tamara Hew-Butler is a podiatric physician and associate professor of Exercise and Sports Science at Wayne State University in Detroit, Michigan. She obtained her BS in Kinesiology at the University of California at Los Angeles, CA; Doctor of Podiatric Medicine (DPM) at Temple University in Philadelphia, PA; and Philosophy Doctor (PhD) at the University of Cape Town, South Africa. She is a Fellow of the American College of Sports Medicine (FACSM) and specializes in both sports medicine and exercise physiology. 

“Physiologically speaking, the first two weeks of the menstrual cycle – the follicular phase – is characterized by low levels of the two main female sex hormones, estrogen and progesterone,” Hew-Butler says. 

“The second two weeks – after ovulation, called the luteal phase – are characterized by high levels of progesterone and a smaller rise in estrogen. These high levels of progesterone, followed by a sudden drop in progesterone right before your period, seems to trigger an inflammatory response which precedes the onset of the  ‘premenstrual’ symptoms,” Hew-Butler adds.

Research suggests that the perception of low energy during the second half of the menstrual cycle mostly results from negative moods. I.e., irritability, anger and fatigue which increase the perception of fatigue.”

Woman exercising outdoors

(Image credit: Getty)

How does your period affect sporting performance?

There's a desperate need for more research that examines how menstrual cycles impact sporting performance. However, there are a few questionnaire-based studies that shed light on how periods typically affect people who exercise. Here's what we found:

1. It could affect endurance and strength 

Many people believe their period can affect sporting performance. Specifically, people who menstruate believe it affects their strength and endurance.

One 2022 study, published in the British Association of Sport and Exercise Medicine, found that 65.6% of elite female athletes agreed that their menstrual cycle affected their performance in training when it came to endurance and strength-related tests. While 58% of these athletes stated that their period affected their competitive performance.

2.  It can heighten physical and psychological distress  

A small study published in the British Journal of Sports Medicine asked 15 international female rugby players how the menstrual cycle and menstruation affects sporting performance.

Of note, 93% reported menstrual cycle-related symptoms with 33% per cent perceived heavy menstrual bleeding and 67% considered these symptoms impaired their performances.

The report said: “The most prevalent physical symptoms included stomach cramps/abdominal pain (80% of athletes) reduced energy levels, flooding and general discomfort. Psychological symptoms manifested as worry, distraction, negative mood states, feeling tearful and emotional, reduced motivation and feelings of agitation.”

These symptoms are likely to have a negative impact on performance, so don't be surprised if you find it harder to achieve your usual run time or lift the same weights when you're on your period.

Woman working out in home gym

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3.  It can leave you feeling tired

Another way your period may negatively affect sporting performance is through the development of iron deficiency and anemia due to heavy menstrual bleeding. 

Hew-Butler explains: “Heavy bleeding can deplete total body iron stores, which can negatively affect aerobic performance, especially in long distance runners.”

One study, published in PLOS One, found that heavy bleeding is very common in elite athletes, with 37% of those included in the study reporting the symptom. This was also associated with self-reported anemia in the athletes – a condition linked with fatigue. And you're unlikely to hit your personal best when you're feeling tired.

4.  It affects everyone differently 

While it’s likely that periods affect sporting performance, every woman and person who menstruates will experience this differently.

Research in the International Journal of Environmental Research and Public Health  reviewed studies investigating the effects of the menstrual cycle phase and found: “Studies examining objective performance (using anaerobic, aerobic or strength-related tests) do not report clear, consistent effects of the impact of menstrual cycle phase on physical performance. Overall sport performance can be influenced by both perceived and physical factors.”

Which is why, Hew-Butler states: “Although scientists make broad generalizations from the (very limited) scientific findings available, every female is their own experiment and must investigate what works – and does not work – during both training and competition.”

Woman running marathon

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Is it good to exercise on your period?

According to Hew-Butler, it is neither good nor bad to exercise during your period and is largely an individual decision, based upon your symptoms and comfort level.

“Exercising while menstruating is not physiologically harmful,” Hew-Butler tells us. 

In fact, some research – such as this piece published in The Cochrane Database of Systematic Reviews – suggest regular exercise could reduce menstrual pain. While another study published in the British Medical Journal found increased fitness levels have also been associated with lighter menstrual flow.

“Therefore, regular moderate exercise and increased fitness levels may decrease the severity of menstrual cycle symptoms,” Hew-Butler adds.

Becks Shepherd

Becks is a freelance journalist and writer writing for a range of titles including Stylist, The Independent and LiveScience covering lifestyle topics such as health and fitness, homes and food. She also ghostwrites for a number of Physiotherapists and Osteopaths. When she’s not reading or writing, you’ll find her in the gym, learning new techniques and perfecting her form.