Menstrual cycle vs oral contraceptives: muscle protein response to resistance exercise

The Effect of Menstrual Cycle Phase and Oral Contraceptive Use on Muscle Protein Metabolism Post-Resistance Training

Not applicable Interventional University of Toronto · NCT07258576

This trial will test whether natural menstrual cycle phases or taking oral contraceptives change how muscles build protein after resistance exercise in active women aged 18–40.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment20 (estimated)
Ages18 Years to 40 Years
SexFemale
SponsorUniversity of Toronto Academic / other
Locations1 site (Toronto, Ontario)
Trial IDNCT07258576 on ClinicalTrials.gov

What this trial studies

The trial compares muscle protein synthesis after a resistance exercise bout between women with natural menstrual cycles and women using monophasic or triphasic oral contraceptives. Participants are recreationally active women aged 18–40 with BMI 18.5–29.9 who resistance-train at least twice weekly and meet hormone-based inclusion criteria. The protocol uses a protein beverage and stable isotope tracers ([D5]phenylalanine and [13C]phenylalanine) to measure muscle protein turnover around exercise. Non-oral contraceptive participants must demonstrate progesterone sufficiency and OC users must have used their pill type for more than one year.

Who should consider this trial

Good fit: Recreationally active women 18–40 years old with BMI 18.5–29.9 who resistance-train at least twice weekly and either have regular menstrual cycles or have used monophasic/triphasic oral contraceptives for over one year.

Not a fit: Women with chronic diseases, obesity (BMI ≥30), hormonal IUDs (non-copper), current use of medications known to affect muscle protein synthesis, recent emergency contraception, or who cannot attend in-person lab visits are unlikely to benefit or be eligible.

Why it matters

Potential benefit: If successful, the findings could help personalize training and protein-intake recommendations for women using oral contraceptives or following natural cycles to improve muscle growth and recovery.

How similar studies have performed: Previous small physiological studies have examined sex hormones and muscle protein synthesis with mixed or inconsistent results, so this trial builds on limited prior evidence rather than a well-established consensus.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age: 18-40 years
* BMI between 18.5-29.9 kg/m2 (non-obese)
* Recreationally active (resistance train minimum twice a week)
* Using monophasic or triphasic oral contraceptives for \>1 year (for oral contraceptive users)
* Have regular menstrual cycles (21-35 days) for the past 3 months and discontinued any hormonal contraceptive use for at least 6 months (non-oral contraceptive users)
* Must meet a progesterone sufficiency test (non-oral contraceptive users)

Exclusion Criteria:

* Mid-luteal progesterone levels \<16umol
* Chronic disease diagnosis (cardiovascular, thyroid, diabetes)
* Current or recent remission of cancer
* Regular use of non-steroidal anti-inflammatory drugs (NSAIDs; except low-dose aspirin), anticoagulants
* Use of prescription drugs that would impact muscle protein synthesis, e.g. Statins, Lithium, ADHD medication.
* Insertion of intrauterine device (IUD) - exception: copper
* Use of emergency contraception in the last 3 months (e.g. Plan B)
* Severe food allergies (e.g. soy, nuts)
* Smoking, use of performance enhancing drugs (growth hormones, testosterone)

Where this trial is running

Toronto, Ontario

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Female Sex HormonesMenstrual CycleOral ContraceptivesProtein MetabolismResistance ExerciseWeightliftingIndicator Amino Acid OxidationStable Isotope Tracer
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.