“They Seem to Only Know About Bleeding and Cramps”: Menstruation, Gendered Experiences, and Coach–Athlete Relationships

Abstract

Menstruation is a barrier to women’s sport participation through stigmas, silence, a lack of coach and athlete education, discomfort in communication, and risk of menstrual disorders, especially at nonelite levels. This study provides a qualitative and quantitative, poststructuralist feminist examination of the barriers and facilitators to positive coach–athlete communication and relationships around menstruation. The aim of the study is to create a gender-responsive model of coaching about menstruation. An online questionnaire was completed by 494 athletes aged 16 years or older. Utilizing poststructuralist feminist theory, qualitative and quantitative analysis highlighted women athletes’ experiences with menstruation, particularly surrounding coach–athlete communication. The results illustrated the heterogeneity of menstruation experiences, with athletes’ previous gendered experiences leading them to resist and/or uphold traditional, masculine-centric gender norms in sport. Most athletes experienced negative menstruation symptoms, but many did not speak with coaches about menstruation, highlighting menstruation’s current position as a siloed topic in sport, usually reserved just for women coaches. Athletes did not discuss menstruation due to discomfort, coach ignorance, menstruation stigmas, and fears of consequences. Athletes largely agreed coaches knowing and discussing menstruation would bring benefits, such as performance improvements, stronger coach–athlete relationships, and erasure of menstruation stigma. Overall, barriers to menstruation discussions include stigma, antagonism and pessimism, and maintenance of a masculine norm. A model of gender-responsive coaching around menstruation is proposed for coaches and sport organizations, which promotes integration and proactivity, tolerance and trust, and protection of athlete voice and agency.