Can women fast without harming their hormones?

The truth about female fasting.
fasting and hormones, intermittent fasting,

Fasting is everywhere right now. From biohackers swearing by 72-hour water fasts to influencers posting their 16:8 routines, the internet is full of people promising weight loss, glowing skin, and endless energy. And while there’s truth in many of those claims, there’s one big catch that almost no one talks about: fasting for men and women are very different things.

If you’ve ever tried intermittent fasting only to feel anxious, exhausted, bloated, or even lose your period, you’re not imagining it. The science is clear: women’s bodies respond differently to fasting, especially because our hormones are constantly cycling. The very same fast that quickly helps a man shed fat could trigger stress hormones, thyroid suppression, or cycle irregularities in a woman.

Por qué mujer fasting is a fraught topic

But here’s where it gets complicated: the research on fasting and women’s health is still mixed. Some studies do show potential benefits for women, while others reveal risks like worsened blood sugar regulation or disrupted hormones. Experts like exercise physiologist Stacy Sims, PhD (whose book, Roar, was reviewed by Natural Womanhood) argue that most fasting research has been conducted on men, leaving women with less reliable data to guide their choices. Her conclusion? Until more is known, women should approach fasting cautiously and always tailor it to their unique physiology. Other experts, like Dr. Mindy Pelz (whose book, Fast Like a Girl, was also reviewed by Natural Womanhood), believe the benefits of fasting are simply too strong to ignore, and that women should dive in—with caution. So, what’s a girl to do? 

If you are wondering if fasting could work for you—and you’re looking for a smart, safe way to find out—the following are some suggestions for fasting like a woman, and assessing whether your body responds to it positively or negatively. 

Fasting 101: Why it works

At its simplest, fasting is about giving your body a break from constant digestion so it can switch into “repair” mode. Research shows fasting can:

For men, the datos around the benefits of fasting are especially strong: intermittent fasting has been shown to boost testosterone, improve metabolic health, and even support mental clarity [3][1].

For women, though, it’s more complicated. We evolved as the child-bearers, meaning our bodies are finely tuned to pick up on signals of famine. When calories are restricted too harshly or too frequently, the female body often downshifts reproduction and energy expenditure to protect survival. Translation: if fasting is too aggressive, your hormonas are the first thing to suffer [4].

Men vs. women: The key sex-based differences in fasting

Need more proof that fasting can have very different effects for men vs women? A landmark Estudio de 2005 publicado en Obesity Research looked at alternate-day fasting in men and women. After just three weeks, men’s insulin sensitivity improved. Women, on the other hand, experienced worsened blood sugar control [5].

Other research shows that while men’s bodies often respond to fasting with increased growth hormone and fat metabolism, women’s bodies sometimes respond by raising cortisol, the stress hormone [6]. Elevated cortisol can disrupt thyroid function [4], ovulation, and the ciclo menstrual [7].

So the big takeaway is this: fasting isn’t inherently bad for women, but it absolutely debe be tailored to female physiology. This means women should generally fast in shorter windows and with awareness of their menstrual cycle.

So the big takeaway is this: fasting isn’t inherently bad for women, but it absolutely debe be tailored to female physiology. This means women should generally fast in shorter windows and with awareness of their menstrual cycle.

Fasting and your menstrual cycle

The menstrual cycle isn’t just about fertility; it’s a 28-day hormonal symphony that affects how we eat, train, and recover. Aligning fasting with your cycle could be a smart way to make it work para you rather than against you. Below are some suggestions for how you might want to tailor fasting according to the phases of your menstrual cycle (which are best determined by charting your cycle with a fertility awareness method):

  • Menstrual Phase (Days 1–5): Gentle fasting (12–14 hours window) is fine if you feel up for it. Avoid long fasts.
  • Follicular Phase (Days 6–14): Best time to experiment with fasting. A 16:8 intermittent fast may work well. (While fasting may not work for every woman, this phase proves favorable for trying it out). [8]
  • Ovulatory Phase (~Day 14): Estrogen peaks; you may handle slightly longer fasts but don’t ignore hunger.
  • Luteal Phase (Days 15–28): Increased appetite and lower stress resilience. Scale back to 12–13 hours.

Personally, I fasted as a first account research for this article. While fasting, I only drank black coffee (just one cup in the morning an hour or later after waking up), water, and homemade bone broth. The main positive effect I could clearly point to was digestion. My bloating was reduced and my trips to the bathroom were consistent, and I find this significant since healthy digestion is one of the main pillars of good health. 

Given that I only fasted during the ten days of the follicular and ovulation phase of my cycle, however, I don’t have enough data to confidently point out other clear positive results. Nonetheless, I will continue testing how my body responds to fasting over the course of my cycle, since so far I have not experienced negative side effects. 

How to fast as a woman: Practical guidelines

What else might you want to consider besides your menstrual cycle phases when it comes to fasting? Because research around fasting is still conflicting, there is no universal prescription for women. But the below are some suggestions for how you might experiment safely with fasting as a woman:

  1. Start with a 12 hour fast. An overnight fast (7 PM to 7 AM) is a gentle starting point.
  2. Work up slowly. Extend only if you feel good, especially during your follicular phase.
  3. Don’t fast daily long-term. Women often do best fasting only a few days per week [3].
  4. Eat enough overall. For women, undereating leads to hormone disruption [7].
  5. Prioritize protein. Build meals around protein when you break your fast [3].
  6. Track your cycle and symptoms. If you lose your period, feel cold, anxious, or fatigued, it’s time to pull back [7].

When fasting goes wrong

On that note, here are some warning signs that you’re fasting too aggressively:

  • Your cycle becomes irregular or disappears [7]
  • You feel cold, anxious, or lightheaded [6]
  • Your sleep worsens
  • You develop intense sugar cravings or binge eating episodes
  • You experience headaches

These are your body’s signals to nourish, not restrict.

The bottom line on fasting

Fasting is powerful, but it’s not one-size-fits-all, especially for women. Current research shows both potential benefits and real risks, and experts like Stacy Sims remind us that until more female-focused studies are conducted, the safest approach is cautious self-experimentation. For many of us, the potential benefits can make intermittent fasting worth the try, but beware that su body may not experience the same benefits that others (especially men!) enjoy through fasting. 

If fasting makes you feel calm, focused, and energized, keep it in rotation. If it leaves you drained, anxious, or irregular, honor your intelligent female body and step back. Remember that the ultimate goal isn’t rigid discipline, but radiant and resilient health.

Referencias

[1] Longo VD, Mattson MP. Fasting: molecular mechanisms and clinical applications. Cell Metab. 2014;19(2):181–192. PubMed: 24440038.

[2]  Madeo F, Carmona-Gutierrez D, Hofer SJ, Kroemer G. Caloric restriction mimetics against age-associated disease: targets, mechanisms, therapeutic potential. Cell Metab. 2019;29(3):592–610. PubMed: 30840912.

[3] Sutton EF, Beyl R, Early KS, Cefalu WT, Ravussin E, Peterson CM. Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even Without Weight Loss in Men with Prediabetes. Cell Metab. 2018;27(6):1212–1221.e3. PubMed: 29754952

[4] Boelen A, et al. The influence of fasting and refeeding on thyroid hormone regulation. Endocr Rev. 2006;27(6):702–718. PubMed 15687365

[5] Heilbronn LK, Civitarese AE, Bogacka I, Smith SR, Hulver M, Ravussin E. Glucose tolerance and skeletal muscle gene expression in response to alternate day fasting. Obes Res. 2005 Mar;13(3):574-81. doi: 10.1038/oby.2005.61. PMID: 15833943.

[6] Tomiyama AJ, et al. Low calorie dieting increases cortisol. Psychosom Med. 2010;72(4):357-364. PubMed 16914585

[7] Gordon CM, Ackerman KE, Berga SL, Kaplan JR, Mastorakos G, Misra M, Murad MH, Santoro NF, Warren MP. Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2017;102(5):1413–1439. PubMed: 28368518.

[8] Gordon CM, Ackerman KE, Berga SL, Kaplan JR, Mastorakos G, Misra M, Murad MH, Santoro NF, Warren MP. Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2017;102(5):1413–1439. PubMed: 28368518.

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