Evidence map›Paper›PMID 42285716›Full record

ReviewCanadian family physician Medecin de famille canadien2026

Approach to sport-savvy contraceptive counselling for athletes.

Stephanie Ryall, Heidi Ohrling, Jane Thornton

Abstract readReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Spontaneous menstrual function as a health monitoring tool for athletes.Canadian family physician Medecin de famille canadien · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Stephanie RyallGraduate student in Clinical Science and Translational Medicine at the University of Ottawa in Ontario.
Heidi OhrlingSecond-year family medicine resident at the University of British Columbia in Nanaimo.
Jane ThorntonHealth, Medicine, and Science Department Director for the International Olympic Committee and is Associate Professor in the Department of Family Medicine at Western University in London, Ont, with cross-appointments in Epidemiology and Biostatistics and the School of Kinesiology.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo provide a practical approach for primary care physicians counselling female athletes on contraception choice. SOURCES OF INFORMATION: A targeted literature search was conducted in PubMed and Google Scholar for articles published until December 2025 and integrated key current research, including a 2024 cross-sectional study on female athletes' experiences with contraceptive selection and the 2023 International Olympic Committee's consensus statement on relative energy deficiency in sport (REDs). MAIN MESSAGE: Athletes frequently report sport-specific concerns are overlooked during contraceptive counselling with their physicians, leading to dissatisfaction and information seeking outside of medical settings. While evidence on the impact of contraceptives on athletic performance is limited, clinicians should address known performance-related factors such as iron status, menstrual symptom management, cycle timing manipulation, body composition concerns, and potential injury risk. Awareness of REDs is also essential, as hormonal contraception can impact menstrual changes that signal low energy availability.

conclusionContraceptive counselling that incorporates an athlete's sport and performance-related considerations can enhance confidence in contraceptive choice while helping to optimize both health and performance.

Indexed as

AthletesContraceptionCounselingCross-Sectional StudiesFemaleHumansRelative Energy Deficiency in SportSports

Identifiers

PMID42285716
PMCPMC13267166

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.