Coaches consider various competencies (e.g. conditioning, nutrition, skills and tactics), when planning sessions, though rarely the impact of menstruation on the efficacy of training and competition performance for athletes. Given the impact menstrual symptoms can have on athletes, the management strategies that athletes may use to minimise any potential impact, and the mechanisms that provide barriers to greater coach athlete interaction require investigation and consideration. Therefore, this study aimed to investigate the strategies used by athletes to manage menstrual symptoms and the role coaches played in this process. An anonymous, 36-item questionnaire was developed and hosted on Qualtrics. Descriptive statistics and Chi-square statistics were used to analyse the data. One hundred and twenty-four valid responses from Australian athletes 16–45, with a mean age of 29 years, were received. Period pain (82%) and pre-menstrual symptoms (83%) were commonly reported and contributed to fatigue and to perceived reductions in performance during or just prior to the period (50.0% in training, 58.7% on ‘game day’). Contraceptive use was reported by 42% of athletes. Those reporting heavy menstrual bleeding (29.7%) were more likely to report increased fatigue (relative risk 1.6, 95% CI 1.07 to 2.32). Over three-quarters of athletes reported neither they nor their coaches altered training due to the menstrual cycle. Most athletes (76%) did not discuss menstruation with their coaches. Given the perceived negative impact on performance and potential risks with contraceptive usage during adolescence, coaches, trainers and athletes need to have a more open dialogue around the menstrual cycle.

中文翻译：

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当出现月经症状时，澳大利亚女运动员对与训练和比赛相关的挑战的看法

教练在计划训练时会考虑各种能力（例如体能、营养、技能和战术），但很少考虑月经对运动员训练效果和比赛表现的影响。考虑到月经症状可能对运动员产生的影响，运动员可以用来最大限度地减少任何潜在影响的管理策略，以及为加强教练运动员互动提供障碍的机制需要调查和考虑。因此，本研究旨在调查运动员用于管理月经症状的策略以及教练在此过程中所扮演的角色。在 Qualtrics 上开发并托管了一份包含 36 项的匿名问卷。使用描述性统计和卡方统计来分析数据。收到了 16-45 岁澳大利亚运动员的 124 份有效答复，平均年龄为 29 岁。经期疼痛 (82%) 和经前症状 (83%) 是常见的报告，它们会导致疲劳和经期期间或之前的表现下降（训练中 50.0%，“比赛日”58.7%）。42% 的运动员报告使用了避孕药具。那些报告大量月经出血 (29.7%) 的人更有可能报告疲劳增加（相对风险 1.6，95% CI 1.07 至 2.32）。超过四分之三的运动员报告说他们和他们的教练都没有因为月经周期而改变训练。大多数运动员 (76%) 没有与教练讨论月经问题。考虑到青春期使用避孕药具对表现和潜在风险的负面影响，教练，