{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T21:51:42Z","timestamp":1788904302553,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:00Z","timestamp":1694131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The purpose of this study was to examine the menstrual cycle (MC) characteristics, explore the impact on performance, and identify barriers to and facilitators of MC\u2010related communication among high\u2010performance female adolescent athletes in Singapore. Ninety athletes (15.4\u2009\u00b1\u20091.8\u2009years) from multiple sports completed an online questionnaire. Eighty\u2010four athletes were postmenarcheal (menarcheal age 11.9\u2009\u00b1\u20091.3\u2009years), including two who were using an oral contraceptive pill (OCP). Secondary amenorrhea, current or history of, was self\u2010reported in 16% of athletes. Sixty\u2010two percent and 67% of non\u2010OCP athletes perceived that the MC affected their ability to train and compete, respectively. Athletes preferred speaking to a parent (85%) and a female figure (67%) about MC\u2010related concerns. Through thematic analysis, three barriers to communication were constructed: (1) pervasive menstrual stigma, (2) constraints of the training environment, and (3) the low value placed on MC\u2010related conversations. Two facilitators of communication were constructed: (1) respect athletes' individual experiences as menstruating girls and (2) foster a safe space for MC\u2010related conversations. Findings demonstrated that menstrual irregularities are common in adolescent athletes and screening for MC disorders, particularly primary amenorrhea should be undertaken in this population, with clear support pathways for management including symptom mitigation. To support athletes in raising MC\u2010related concerns when needed, structured communication pathways that consider individual preferences and involve a (female) point of contact should be established within the training environment. Improving menstrual health literacy among adolescent athletes before any misinformation or negative perceptions are firmly established may contribute to longevity in their athletic careers.<\/jats:p>","DOI":"10.1111\/sms.14488","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T09:13:58Z","timestamp":1694164438000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Menstrual cycle characteristics, perceived impact on performance, and barriers to communication: Perspectives of high\u2010performance adolescent athletes in Singapore"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3565-1869","authenticated-orcid":false,"given":"Bernadette Cherianne","family":"Taim","sequence":"first","affiliation":[{"name":"Department of Sport and Health Sciences Technological University of the Shannon: Midlands Midwest  Athlone Ireland"},{"name":"SHE Research Group Technological University of the Shannon: Midlands Midwest  Athlone Ireland"},{"name":"National Youth Sports Institute  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0183-2904","authenticated-orcid":false,"given":"Jamie","family":"Lye","sequence":"additional","affiliation":[{"name":"National Youth Sports Institute  Singapore"},{"name":"Human Potential Translational Research Programme, Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9828-2349","authenticated-orcid":false,"given":"Haresh T.","family":"Suppiah","sequence":"additional","affiliation":[{"name":"Sport, Performance, and Nutrition Research Group, School of Allied Health, Human Services and Sport La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6858-0115","authenticated-orcid":false,"given":"Tin Wing","family":"Chan","sequence":"additional","affiliation":[{"name":"National Youth Sports Institute  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1289-0552","authenticated-orcid":false,"given":"Michael","family":"Chia","sequence":"additional","affiliation":[{"name":"Physical Education and Sports Science Group National Institute of Education, Nanyang Technological University  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6561-2460","authenticated-orcid":false,"given":"Anthea","family":"Clarke","sequence":"additional","affiliation":[{"name":"Sport, Performance, and Nutrition Research Group, School of Allied Health, Human Services and Sport La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-020-01319-3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2021-001300"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1123\/IJSPP.2019-0616"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-010-9091-z"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1123\/ijsnem.2018-0136"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000548"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2021.1911618"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-101486"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1747954121989237"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182212075"},{"key":"e_1_2_9_12_1","unstructured":"Plan International UK.Almost half of girls aged 14\u201321 are embarrassed by their periods.2017. 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