Effect of Different Phases of Menstrual Cycle on Heart Rate Variability (HRV)

This may be pertinent to one of my current fertility patients.  But actually, to many of my patients, so great to keep in mind!

Effect of Different Phases of Menstrual Cycle on Heart Rate Variability (HRV)

Abstract
Background

Heart Rate Variability (HRV), which is a measure of the cardiac autonomic tone, displays physiological changes throughout the menstrual cycle. The functions of the ANS in various phases of the menstrual cycle were examined in some studies.
Aims and Objectives

The aim of our study was to observe the effect of menstrual cycle on cardiac autonomic function parameters in healthy females.
Materials and Methods

A cross-sectional (observational) study was conducted on 50 healthy females, in the age group of 18-25 years. Heart Rate Variability (HRV) was recorded by Physio Pac (PC-2004). The data consisted of Time Domain Analysis and Frequency Domain Analysis in menstrual, proliferative and secretory phase of menstrual cycle. Data collected was analysed statistically using student’s pair t-test.
Results

The difference in mean heart rate, LF power%, LFnu and HFnu in menstrual and proliferative phase was found to be statistically significant. The difference in mean RR, Mean HR, RMSSD (the square root of the mean of the squares of the successive differences between adjacent NNs.), NN50 (the number of pairs of successive NNs that differ by more than 50 ms), pNN50 (the proportion of NN50 divided by total number of NNs.), VLF (very low frequency) power, LF (low frequency) power, LF power%, HF power %, LF/HF ratio, LFnu and HFnu was found to be statistically significant in proliferative and secretory phase. The difference in Mean RR, Mean HR, LFnu and HFnu was found to be statistically significant in secretory and menstrual phases.
Conclusion

From the study it can be concluded that sympathetic nervous activity in secretory phase is greater than in the proliferative phase, whereas parasympathetic nervous activity is predominant in proliferative phase.
Keywords: Autonomic nervous system, Heart rate, Low frequency, Menstrual cycle, Vagal activity