Key Points Inadequate research, low menstrual health literacy, and lack of educational resources and training are barriers that prevent effective menstrual health monitoring for females, for both active individuals and elite athletes. The development of educational resources that use correct terminology (in lay language) is required for athletes, coaches and support staff. This strategy could help improve appropriate and effective menstrual cycle health monitoring for females in sport and exercise environments. A decision tree has been constructed for coaches, sporting organizations and athletes to inform decision-making on what menstrual health monitoring methods could be used, while also ensuring that there is some understanding/learning of what information will be provided.
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