Menstrual cycle, hormonal contraceptives, and pelvic floor dysfunction in ladies Gaelic football and Camogie: prevalence of use, side-effects, and perceived symptomology

This study investigated the prevalence of hormonal contraceptive (HC) use and perceived side-effects, menstrual cycle (MC)-related symptoms and perceived influences on performance, and pelvic floor dysfunction (PFD) screening items among female athletes in ladies Gaelic football and camogie. An anonymous online survey was completed by 455 athletes currently competing in these sports in Ireland. Participants provided information on demographics, sport participation, MC characteristics, HC use, perceived symptomatology, and PFD screening items. In this cohort, 51.7% of respondents were current HC users, with the oral contraceptive pill being the most commonly reported HC type (69.2%). Among HC users, 62.0% self-reported negative side effects with fatigue (37.2%) and mood changes (35.0%) the most prevalent. Of the non-HC users, 97.7% self-reported MC-related symptoms, with abdominal cramping (84.0%) and fatigue (82.2%) being the most prevalent. Pelvic floor dysfunction-related symptoms were also common, with urinary urgency (47.8%), genital pain (44.3%) the most experienced. These findings demonstrate a notable prevalence of HC use, MC-related symptoms, and PFD symptoms in this population. This study may provide a rationale for increased education and support for female athletes, coaches, and volunteers in Gaelic games regarding these health issues, as well as the development of individualised strategies for managing symptoms. Future research should focus on PFD in Gaelic Games athletes, incorporating objective measures and exploring interventions to mitigate these issues.