The athletic association’s
current Preparticipation Physical Evaluation Form, which must be completed by a student and their physician and kept on file at their school, asks female athletes five questions about their periods, but they’re all listed as optional.
The questions, which association officials say have been on the form for at least two decades,include when a student had their first menstrual period, when the most recent one was, how long the interval between their periods typically lasts, how many they’ve had in the past year and the longest interval between periods in the last year.
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Robert Sefcik, a member of the sports medicine advisory committee, said making the menstrual cycle questions mandatory rather than optional is consistent with
national guidelines for sports physicals developed by the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Sports Medicine and other groups.
He said having a form that has been vetted and published by national organizations provides an “extremely credible resource” for doctors conducting sports physicals.
“We appreciate the medical necessity of the questions, including menstrual history, that are included on this form and support their inclusion on the form,” Sefcik, who was the committee’s previous chairperson and voted in favor of recommendations, wrote in an email.
The national guidelines say menstrual history is an “essential discussion for female athletes” because period abnormalities could be a sign of “low energy availability, pregnancy, or other gynecologic or medical conditions.”
“Menstrual dysfunction is 2-3 times more common in athletes than nonathletes, and 10-15% of female athletes have amenorrhea (loss of menstrual cycle) or oligomenorrhea (a decrease in number of menstrual cycles per year),” the guidelines read. “Amenorrhea occurs more frequently in players of sports that emphasize leanness, such as running, gymnastics, cheerleading, dance, and figure skating.”