Women's Health

Research on menstrual cycle, menopause, pregnancy, and hormonal influences on HRV

MedRxiv 2024 Evidence: Doesn't Work

HRV Varies Predictably Across the Menstrual Cycle

Wearable monitoring confirms that HRV decreases during the luteal phase (post-ovulation) and peaks in the follicular phase. Progesterone levels strongly predict these changes, with parasympathetic activity lowest about one week before menstruation.

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PMC/Korean Circulation Journal 2020 Evidence: Works

Hormone Replacement Therapy Improves HRV in Postmenopausal Women

A 6-month course of hormone replacement therapy significantly improved cardiac autonomic function in postmenopausal women, with increased parasympathetic activity and improved SDNN values.

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Cell Reports Medicine 2024 Evidence: Doesn't Work

HRV Decreases Throughout Pregnancy, Rebounds Before Delivery

Large-scale wearable studies confirm HRV decreases from pre-pregnancy through the third trimester (from ~40ms to ~30ms RMSSD), then begins recovering in the final weeks before delivery.

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International Journal of Sports Physiology and Performance 2023 Evidence: Doesn't Work

Oral Contraceptives May Modestly Affect HRV Patterns

Research on oral contraceptive effects on HRV shows mixed results. Some studies find higher nocturnal HRV during inactive pill phases, while others find minimal differences from non-users.

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American Journal of Physiology-Heart and Circulatory Physiology 2022 Evidence: Doesn't Work

Hot Flashes Associated with Acute HRV Changes

Hot flashes during perimenopause involve acute autonomic nervous system changes, with decreased parasympathetic and increased sympathetic activity. Severe menopausal symptoms correlate with chronically lower HRV.

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