Dr. Mark

Education

Menstrual periodization & contraceptive physiology

Follicular vs luteal training, Henselmans weekly plan, water retention, appetite, OC hypertrophy impact.

1. Menstrual cycle physiology and performance

The cycle splits into two phases around ovulation. Estrogen–progesterone balance shifts load tolerance.

Follicular phase: performance peak

From day 1 of menses: low progesterone, rising estradiol to a pre-ovulation peak. Estrogen dominates—best window for strength: less damage susceptibility, higher insulin sensitivity, peak force and coordination.

Luteal phase: metabolic endurance

Post-ovulation: estrogen falls (small rebound), progesterone surges. Progesterone antagonizes estrogen—may blunt anabolic signaling, lower insulin sensitivity, raise core temperature and cardio stress. Heavy low-rep work dips slightly; high-rep metabolic work stays strong.

2. Henselmans menstrual periodization

Weeks 1–2 (follicular): strength and volume

Progressive overload: heavier loads, 5–8 reps, compounds, peak weekly volume—recovery is maximal.

Weeks 3–4 (luteal): metabolic training

Shift to 12–15+ reps, combo sets and antagonist supersets. Terminal luteal/PMS window—planned deload week as hormones drop.

3. Nutrition and body composition across the cycle

Fluid retention

Late luteal: progesterone and RAAS drive +1–3 kg scale weight—not fat; clears early follicular. Compare the same week across cycles (week 1 to week 1).

Appetite and metabolism

Luteal RMR may rise ~2–5% with stronger cravings. Hold deficit via fiber-rich vegetables and higher protein.

4. Oral contraceptives and hypertrophy

Combined OCs suppress endogenous estradiol and progesterone for steady synthetics—flattening natural estrogen peaks.

Long-term trials: OC users often gain ~40–60% less lean mass on lifting programs. Some progestins bind androgen receptors, blocking the small female testosterone pool.

Henselmans: if contraception is needed, non-hormonal copper IUDs or low-systemic options better preserve hypertrophy than classic combined pills.