Kontrazeption bei Sportlerinnen

Athletic training might influence the endocrine regulation of the menstrual cycle, and some aspects of physical performance are probably influenced by the phase of the menstrual cycle. The interdependency between hormonal treatment and physical performance is discussed controversially. Altogether, a wide inter-individual variety exists. First places and medals have been reached and won by athletes during all phases of their menstrual cycle – independent of the endogenous hormonal regulation or hormonal contraception. In elite sports, athletes are characterised by different phenotypes. Athletes participating in strength sports have more muscles mass, while athletes in composite sports like gymnastics or figure skating weigh less than women who are not physically active or who are doing recreational sport. Questions concerning the best possible practice of contraception might occur in any gynaecological consultation. This article discusses special aspects concerning the choice of a contraceptive method for female athletes and the effects of different methods of contraception on physical performance of athletes.