{"id":21575,"date":"2024-10-17T08:00:00","date_gmt":"2024-10-17T13:00:00","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=21575"},"modified":"2024-12-02T06:55:29","modified_gmt":"2024-12-02T12:55:29","slug":"conmocion-cerebral-ciclo-menstrual","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/es\/concussion-menstrual-cycle\/","title":{"rendered":"\u00bfC\u00f3mo afectan las conmociones cerebrales al ciclo menstrual?"},"content":{"rendered":"\n

In 2021, tech company Vodafone released its PLAYER.Connect <\/em>platform in partnership with the Women\u2019s Welsh Rugby Union. The platform uses wearable devices to help players and coaches track health data. Last spring<\/a>, Vodafone added menstrual cycle data to the platform, enabling teams to view this important health data alongside data on exercise, sleep, stress, injuries, and other information. The company also announced that it would be conducting research with Cardiff Metropolitan University using data gathered by the Women\u2019s Welsh Rugby Union on the platform. This research would \u201cfurther investigate the impact of the menstrual cycle on areas ranging from concussion and injury prevention to muscle soreness, mood and sleep.\u201d<\/p>\n\n\n\n

Also last spring, the University of Birmingham (located in the United Kingdom) announced<\/a> the launch of a new study on concussion in female rugby players in partnership with biotech company Marker Diagnostics. Female athletes experience a higher rate of concussion than male athletes do, and may also experience more significant and long-lasting symptoms. As a result of the Birmingham research, in April of 2024, Vodafone announced<\/a> that it was adding a feature to PLAYER.Connect<\/em> to show concussion data side by side with menstrual cycle data.<\/p>\n\n\n\n

The connection between menstrual cycles and concussions<\/span><\/h2>\n\n\n\n

A research review<\/a> published in March of 2024 looked at \u201cfemale-specific health considerations in injury and illness surveillance and provide[d] rugby-specific recommendations for future surveillance\u201d [1]. Researchers discussed several areas of women\u2019s health in the article, including concussion. There isn\u2019t yet data on rugby player concussion risk in relation to cycles, but researchers found that female athletes playing other sports appeared to have higher risk of concussion during menstruation or the luteal phase<\/a> (depending on the study), and lower risk during the follicular phase<\/a>. The small injury numbers in certain menstrual cycle phases resulted in these studies lacking the appropriate power (there were not enough participants in the study) to consider such a detailed analysis. Changes to the menstrual cycle, including abnormal bleeding patterns, have also been reported after<\/em> concussion.\u00a0<\/p>\n\n\n\n

The ongoing study from the University of Birmingham plus the Vodafone data are expected to help fill the large knowledge gaps in how concussions impact female hormones, and vice versa. <\/p>\n\n\n\n

When is the worst<\/em> time of the cycle to sustain a concussion?<\/span><\/h2>\n\n\n\n

A 2013 study from the University of Rochester found that women (non-athletes) who experienced a concussion during their luteal phase<\/a> had a slower recovery and worse health one month after the concussion, compared to women who experienced a concussion during their follicular phase<\/a> [2]. A university news article<\/a> about the study also noted that other research has found that \u201cwomen experience greater cognitive decline, poorer reaction times, more headaches, extended periods of depression, longer hospital stays and delayed return-to-work compared to men following head injury.\u201d <\/p>\n\n\n\n

The article also shared some hypotheses about why researchers have found these differences. Of note, sex hormone levels can change following a head injury. Also, stressful events (like a concussion) can \u201cshut down\u201d the pituitary gland, which would cause a woman\u2019s levels of estrogen<\/a> and progesterone<\/a> to fall quickly. If a concussion occurs during the luteal phase (when progesterone levels are naturally high), a quick drop in progesterone could create a \u201cwithdrawal,\u201d contributing to or worsening concussion symptoms like headache, nausea, dizziness, and difficulty concentrating.<\/p>\n\n\n\n

Stressful events (like a concussion) can \u201cshut down\u201d the pituitary gland, which would cause a woman\u2019s levels of estrogen<\/a> and progesterone<\/a> to fall quickly. If a concussion occurs during the luteal phase (when progesterone levels are naturally high), a quick drop in progesterone could create a \u201cwithdrawal,\u201d contributing to or worsening concussion symptoms like headache, nausea, dizziness, and difficulty concentrating.<\/p><\/blockquote><\/figure>\n\n\n\n

One of the researchers noted, \u201cIf you get hit when progesterone is high and you experience a steep drop in the hormone, this is what makes you feel lousy and causes symptoms to linger. But, if you are injured when progesterone is already low, a hit to the head can\u2019t lower it any further, so there is less change in the way you feel.\u201d<\/p>\n\n\n\n

Lower concussion risk as a \u201chealth benefit\u201d of the Pill for female athletes?<\/span><\/h2>\n\n\n\n

A 2018 study<\/a> found that female college varsity athletes taking hormonal contraception experienced less severe<\/em> concussion symptoms than peers not taking hormonal contraception [3]. The researchers from the 2013 University of Rochester study offered a plausible explanation as to why this might be: women on the Pill may not experience the previously mentioned progesterone \u201cwithdrawal\u201d due to the synthetic progesterone they ingest via their birth control. <\/p>\n\n\n\n

One U of R study author stated, \u201cWomen who are very athletic get several benefits from the pill; it protects their bones and keeps their periods predictable. If larger studies confirm our data, this could be one more way in which the pill is helpful in athletic women, especially women who participate in sports like soccer that present lots of opportunities for head injuries.\u201d<\/p>\n\n\n\n

Protective benefits against concussion aside, what the study author meant by \u201cbone protection\u201d from the Pill is unclear since oral contraceptives are specifically known to decrease bone density<\/a>, which is especially concerning in young women, who should be at their peak bone density. We addressed the question of whether female athletes are better off on the Pill in greater detail here<\/a>. <\/p>\n\n\n\n

No, women aren\u2019t \u201csmall men\u201d….<\/span><\/h2>\n\n\n\n

The ongoing study of gender differences in concussion is one more example of the importance of understanding the differences between male and female bodies (and brains!) and their implications for health\u2014a growing area of study called gender-specific medicine<\/a>. Until recently, women were considered, for the purposes of scientific research, to be \u201csmall men.\u201d This assumption meant that medical treatments that were studied in men were also assumed to be effective and safe for women.<\/p>\n\n\n\n

Now, however, we know that this is not true. Men and women have fundamental differences in our physiology and biochemistry that affect our health and how we respond to various medical treatments. As more scientists and doctors consider women to have unique bodies and minds with unique needs, they will be better able to help heal those bodies and minds.<\/p>\n\n\n\n

\u2026and we need to adjust our coaching of female athletes accordingly<\/span><\/h2>\n\n\n\n

When it comes to concussion, it\u2019s critical for coaches, trainers, and physicians (not to mention the athletes themselves!) to understand how female athletes differ from male athletes. If there are special considerations when it comes to concussion depending on whether the patient is a male or female, and depending on where a female athlete is in her menstrual cycle when the injury happens, she, her healthcare providers, and her athletic trainers all need to know about them.<\/p>\n\n\n\n

\u201cSports were largely not designed for the female body,\u201d wrote Madison Ayers in a recent Natural Womanhood article<\/a>. \u201cThe cycle is not only impacted by intense activity, but it also works in reverse: the cycle can affect how the female body performs.\u201d<\/p>\n\n\n\n

Fortunately, recognition of the importance of gender-specific medicine is growing. As more and more people begin to understand that male and female bodies are meaningfully different, hopefully, female athletes will receive better care, better education, and better coaching\u2014and be both healthier and better athletes as a result.<\/p>\n\n\n\n

Additional Reading:<\/span><\/h2>\n\n\n\n

Is it better for female athletes to be on the Pill? <\/a><\/p>\n\n\n\n

Do female athletes perform worse during their periods?<\/a><\/p>\n\n\n\n

Gaining ten pounds not only healed my amenorrhea, but made me a stronger runner<\/a><\/p>\n\n\n\n

Knee surgery, blood clots, and birth control<\/a><\/p>\n\n\n\n

No, it\u2019s not normal for female athletes to lose their periods<\/a><\/p>\n\n\n\n

References: <\/span><\/h4>\n\n\n\n[1] Moore, Isabel S., Molly McCarthy-Ryan, Debbie Palmer, Joanna Perkins, and Evert Verhagen. 2024. \u201cIs Your System Fit for Purpose? Female Athlete Health Considerations for Rugby Injury and Illness Surveillance Systems.\u201d European Journal of Sport Science<\/em>: Special Issue. https:\/\/doi.org\/10.1002\/ejsc.12089<\/a>.<\/p>\n\n\n\n[2] Wunderle K, Hoeger KM, Wasserman E, Bazarian JJ. Menstrual phase as predictor of outcome after mild traumatic brain injury in women. J Head Trauma Rehabil. 2014 Sep-Oct;29(5):E1-8. doi: 10.1097\/HTR.0000000000000006. PMID: 24220566; PMCID: PMC5237582.<\/p>\n\n\n\n[3] Gallagher V, Kramer N, Abbott K, Alexander J, Breiter H, Herrold A, Lindley T, Mjaanes J, Reilly J. The Effects of Sex Differences and Hormonal Contraception on Outcomes after Collegiate Sports-Related Concussion. J Neurotrauma. 2018 Jun 1;35(11):1242-1247. doi: 10.1089\/neu.2017.5453. Epub 2018 Mar 27. PMID: 29336208; PMCID: PMC10331147.<\/p>\n\n\n\n

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