Pengaruh Penggunaan Kontrasepsi Hormonal terhadap Kinerja Fisik dan Kebugaran pada Wanita Usia Subur: Tinjauan Literatur dan Implikasinya dalam Praktik Kebidanan

Authors

  • Tri Yunita Fitria Damayanti Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

DOI:

https://doi.org/10.46838/spr.v6i1.729

Keywords:

Hormonal Contraception; Physical Fitness; Athletic Performance; Obstetrics

Abstract

This study aimed to synthesise current findings on the effect of hormonal contraceptive use on physical performance and fitness in women of childbearing age and its implications for midwifery practice. The method used was a systematic literature review of Scopus indexed articles from 2010-2023, which addressed the effects of hormonal contraception (pills, injections, IUDs and implants) on muscle strength, endurance, recovery and exercise adaptation in active women or athletes. Data were analysed narratively by grouping findings based on physiological and psychosocial aspects. Results showed that most studies found no significant effect of hormonal contraceptives on strength and endurance, but some studies showed changes in metabolic responses, muscle recovery, and exercise motivation. Variations in impact depended on the type of contraceptive and the context of physical activity. In obstetric practice, it is important to consider these factors in counselling for physically active women. In conclusion, hormonal contraceptive use does not significantly reduce physical performance, but the effects on recovery and psychosocial aspects need special attention. Midwives play an important role in providing appropriate counselling and multidisciplinary collaboration with sports health professionals is needed to support women's optimal reproductive health and physical fitness.

References

Agyekum, M. W., Henry, E. G., Kushitor, M., Obeng-Dwamena, A. D., Agula, C., Asuming, P. O., Toprah, T., Agyei‐Asabere, C., Shah, I., & Bawah, A. A. (2022). Partner Support and Women’s Contraceptive Use: Insight From Urban Poor Communities in Accra, Ghana. BMC Women S Health, 22(1). https://doi.org/10.1186/s12905-022-01799-7

Alayande, A., Mamman-Daura, F., Adedeji, O., & Muhammad, A. Z. (2016). Midwives as Drivers of Reproductive Health Commodity Security in Kaduna State, Nigeria. The European Journal of Contraception & Reproductive Health Care, 21(3), 207–212. https://doi.org/10.3109/13625187.2015.1137280

Allen, C., Havlíček, J., Williams, K., & Roberts, S. C. (2019). Evidence for odour-mediated assortative mating in humans: The impact of hormonal contraception and artificial fragrances. Physiology and Behavior, 210. https://doi.org/10.1016/j.physbeh.2019.05.002

Arthur, L. C., & Blake, K. R. (2022). Fertility predicts self-development-oriented competitiveness in naturally cycling women but not hormonal contraceptive users. Adaptive Human Behavior and Physiology, 8(4), 489–519. https://doi.org/10.1007/s40750-022-00198-4

Baumgartner, S., Bitterlich, N., Geboltsberger, S., Neuenschwander, M., Matter, S., & Stute, P. (2023). Contraception, Female Cycle Disorders and Injuries in Swiss Female Elite Athletes—a Cross Sectional Study. Frontiers in Physiology, 14. https://doi.org/10.3389/fphys.2023.1232656

Bedford, J. L., & Barr, S. I. (2010). The relationship between 24-h urinary cortisol and bone in healthy young women. International Journal of Behavioral Medicine, 17(3), 207–215. https://doi.org/10.1007/s12529-009-9064-2

Cabre, H. E., Gould, L. M., Redman, L. M., & Smith‐Ryan, A. E. (2024). Effects of the Menstrual Cycle and Hormonal Contraceptive Use on Metabolic Outcomes, Strength Performance, and Recovery: A Narrative Review. Metabolites, 14(7), 347. https://doi.org/10.3390/metabo14070347

Cheng, J., Santiago, K., Abutalib, Z., Temme, K., Hulme, A., Goolsby, M., Esopenko, C., & Casey, E. (2021). Menstrual Irregularity, Hormonal Contraceptive Use, and Bone Stress Injuries in Collegiate Female Athletes in the United States. Pm&r, 13(11), 1207–1215. https://doi.org/10.1002/pmrj.12539

Clarke, A. C., Bruinvels, G., Julian, R., Inge, P., Pedlar, C. R., & Govus, A. (2021). Hormonal Contraceptive Use in Football Codes in Australia. Frontiers in Sports and Active Living, 3. https://doi.org/10.3389/fspor.2021.634866

Dasa, M. S., Kristoffersen, M., Ersvær, E., Bovim, L. P., Bjørkhaug, L., Moe‐Nilssen, R., Sagen, J. V, & Haukenes, I. (2021). The Female Menstrual Cycles Effect on Strength and Power Parameters in High-Level Female Team Athletes. Frontiers in Physiology, 12. https://doi.org/10.3389/fphys.2021.600668

Dineley, B., Munro, S., Norman, W. V, Zevin, B., Hong, D., Katiraee, B., Fitzsimmons, B., & Renner, R. (2022). Contraceptive Counselling in 3 Canadian Bariatric Surgery Clinics: A Multicentre Qualitative Study of the Experiences of Patients and Health Care Providers. Cmaj Open, 10(1), E255–E261. https://doi.org/10.9778/cmajo.20200304

Ekenros, L., Rosen, P., Solli, G. S., Sandbakk, Ø., Holmberg, H., Hirschberg, A. L., & Fridén, C. (2022). Perceived Impact of the Menstrual Cycle and Hormonal Contraceptives on Physical Exercise and Performance in 1,086 Athletes From 57 Sports. Frontiers in Physiology, 13. https://doi.org/10.3389/fphys.2022.954760

Ekenros, L., Rosen, P., Solli, G. S., Sandbakk, Ø., Holmberg, H., Hirschberg, A. L., & Fridén, C. (2023). The Perceived Influence of Menstrual Cycle and Hormonal Contraceptives on Training and Performance: Comparison Between Football, Handball, and Orienteering. International Journal of Sports Science & Coaching, 19(4), 1560–1569. https://doi.org/10.1177/17479541231216403

Elliott‐Sale, K. J., Ackerman, K. E., Lebrun, C., Minahan, C., Sale, C., Stellingwerff, T., Swinton, P., & Hackney, A. C. (2023). Feminae: An International Multisite Innovative Project for Female Athletes. BMJ Open Sport & Exercise Medicine, 9(4), e001675. https://doi.org/10.1136/bmjsem-2023-001675

Elliott‐Sale, K. J., Flood, T. R., Arent, S. M., Dolan, E., Saunders, B., Hansen, M., Ihalainen, J. K., Taipale, R. S., Minahan, C., Thornton, J. S., Ackerman, K. E., Lebrun, C., Sale, C., Stellingwerff, T., Swinton, P., & Hackney, A. C. (2023). Effect of Menstrual Cycle and Contraceptive Pill Phase on Aspects of Exercise Physiology and Athletic Performance in Female Athletes: Protocol for TheFeminaeinternational Multisite Innovative Project. BMJ Open Sport & Exercise Medicine, 9(4), e001814. https://doi.org/10.1136/bmjsem-2023-001814

García‐Pinillos, F., Bujalance-Moreno, P., Jerez‐Mayorga, D., Velarde-Sotres, Á., Anaya-Moix, V., Pueyo-Villa, S., & Lago‐Fuentes, C. (2021). Training Habits of Eumenorrheic Active Women During the Different Phases of Their Menstrual Cycle: A Descriptive Study. International Journal of Environmental Research and Public Health, 18(7), 3662. https://doi.org/10.3390/ijerph18073662

Gomes, I. N., Coelho, A. R., & Metello, J. (2022). Contraceptive Practices and Contraceptive Counselling in High-Performance Portuguese Athletes. Scientific Journal of Sport and Performance, 1(1), 14–28. https://doi.org/10.55860/vwsx7721

Handy, C. J., Lange, H., Manos, B. E., Berlan, E. D., & Bonny, A. E. (2018). A Retrospective Chart Review of Contraceptive Use Among Adolescents With Opioid Use Disorder. Journal of Pediatric and Adolescent Gynecology, 31(2), 122–127. https://doi.org/10.1016/j.jpag.2017.11.002

Heather, A. K., Thorpe, H., Ogilvie, M., Sims, S. T., Beable, S., Milsom, S. R., Schofield, K., Coleman, L., & Hamilton, B. (2021). Biological and Socio-Cultural Factors Have the Potential to Influence the Health and Performance of Elite Female Athletes: A Cross Sectional Survey of 219 Elite Female Athletes in Aotearoa New Zealand. Frontiers in Sports and Active Living, 3. https://doi.org/10.3389/fspor.2021.601420

Jern, P., Kärnä, A., Hujanen, J., Erlin, T., Gunst, A., Rautaheimo, H., Öhman, E., Roberts, S. C., & Zietsch, B. P. (2018). A high-powered replication study finds no effect of starting or stopping hormonal contraceptive use on relationship quality. Evolution and Human Behavior, 39(4), 373–379. https://doi.org/10.1016/j.evolhumbehav.2018.02.008

Lee, J., Parisi, S. M., & Schwarz, E. B. (2013). Contraceptive Counseling and Use Among Women With Poorer Health. Journal of Womens Health Issues and Care, 02(01). https://doi.org/10.4172/2325-9795.1000103

Lohr, P. A., Aiken, A. R., Forsyth, T., & Trussell, J. (2018). Telephone or Integrated Contraception Counselling Before Abortion: Impact on Method Choice and Receipt. BMJ Sexual & Reproductive Health, 44(2), 114–121. https://doi.org/10.1136/bmjsrh-2017-101818

Lukasse, M., Baglo, M. C., Engdal, E., Lassemo, R., & Forsberg, K. (2021). Norwegian Women’s Experiences and Opinions on Contraceptive Counselling: A Systematic Textcondensation Study. European Journal of Midwifery, 5(February), 1–8. https://doi.org/10.18332/ejm/132224

Mattu, A. T., Iannetta, D., MacInnis, M. J., Doyle–Baker, P. K., & Murias, J. M. (2019). Menstrual and Oral Contraceptive Cycle Phases Do Not Affect Submaximal and Maximal Exercise Responses. Scandinavian Journal of Medicine and Science in Sports, 30(3), 472–484. https://doi.org/10.1111/sms.13590

Mechal, N., Negash, M., Bizuneh, H., & Abubeker, F. A. (2021). Unmet Need for Contraception and Associated Factors Among Women With Cardiovascular Disease Having Follow-Up at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia: A Cross-Sectional Study. https://doi.org/10.21203/rs.3.rs-154728/v1

Mercer, D., Convit, L., Condo, D., Carr, A. J., Hamilton, D. L., Slater, G., & Snipe, R. M. J. (2020). Protein Requirements of Pre-Menopausal Female Athletes: Systematic Literature Review. Nutrients, 12(11), 3527. https://doi.org/10.3390/nu12113527

Mufdlilah, M., & Aryekti, K. (2018). Factors Causing Contraceptive Acceptors Drop Out. Kesmas National Public Health Journal, 12(4), 202. https://doi.org/10.21109/kesmas.v12i4.1509

Mullinax, M., Sanders, S., Dennis, B., Higgins, J., Fortenberry, J. D., & Reece, M. (2017). How Condom Discontinuation Occurs: Interviews With Emerging Adult Women. Journal of Sex Research, 54(4–5), 642–650. https://doi.org/10.1080/00224499.2016.1143440

Myllyaho, M. M., Ihalainen, J. K., Hackney, A. C., Valtonen, M., Nummela, A., Vaara, E., Häkkinen, K., Kyröläinen, H., & Taipale, R. S. (2021). Hormonal Contraceptive Use Does Not Affect Strength, Endurance, or Body Composition Adaptations to Combined Strength and Endurance Training in Women. The Journal of Strength and Conditioning Research, 35(2), 449–457. https://doi.org/10.1519/jsc.0000000000002713

Nolan, D., Elliott‐Sale, K. J., & Egan, B. (2022). Prevalence of Hormonal Contraceptive Use and Reported Side Effects of the Menstrual Cycle and Hormonal Contraceptive Use in Powerlifting and Rugby. The Physician and Sportsmedicine, 51(3), 217–222. https://doi.org/10.1080/00913847.2021.2024774

Nolan, D., McNulty, K. L., Manninen, M., & Egan, B. (2023). The Effect of Hormonal Contraceptive Use on Skeletal Muscle Hypertrophy, Power and Strength Adaptations to Resistance Exercise Training: A Systematic Review and Multilevel Meta-Analysis. Sports Medicine, 54(1), 105–125. https://doi.org/10.1007/s40279-023-01911-3

Noordiati, & Sukriani, W. (2022). Utilization of Local Culture “Bapalas Bidan” as a Postpartum Counseling Media on Contraception Tools. Bali Medical Journal, 11(3), 1559–1564. https://doi.org/10.15562/bmj.v11i3.3641

Norton, A., & Shilkofski, N. (2022). Midwives’ Perspectives on Family Planning With Pregnant and Postpartum Women in the Philippines’ Mindanao Region: A Qualitative Study. Cureus. https://doi.org/10.7759/cureus.26473

Olloqui-Mundet, M. J., Cavia, M. d. M., Alonso-Torre, S. R., & Carrillo, C. (2023). Nutritional Education in the Midwife’s Consultation Room. Nutrients, 15(13), 2906. https://doi.org/10.3390/nu15132906

Ontiri, S., Mutea, L., Naanyu, V., Kabue, M., Biesma, R., & Stekelenburg, J. (2021). A Qualitative Exploration of Contraceptive Use and Discontinuation Among Women With an Unmet Need for Modern Contraception in Kenya. Reproductive Health, 18(1). https://doi.org/10.1186/s12978-021-01094-y

Pascoe, M., Carter, L. P., Honig, E., Bena, J., & Foldvary‐Schaefer, N. (2019). Pregnancy and Contraception Experiences in Women With Narcolepsy: A Narcolepsy Network Survey. Journal of Clinical Sleep Medicine, 15(10), 1421–1426. https://doi.org/10.5664/jcsm.7966

Pinheiro, J. A. R., Silva, L. A. d., Weber, V. M. R., Malfatti, C. R. M., & Brasil, M. R. (2023). Muscular Hypertrophic Effects of Oral Contraceptive Consumption in Women. Journal of Pharmacy and Nutrition Sciences, 13, 75–81. https://doi.org/10.29169/1927-5951.2023.13.08

R., H. A., Yudianti, I., & Mas’udah, E. K. (2024). History of Types and Length of Contraceptive Methods Use With Pre-Menopausal Complaints in Pre-Menopausal Women. Poltekita Jurnal Ilmu Kesehatan, 18(1), 86–93. https://doi.org/10.33860/jik.v18i1.2963

Rechichi, C., Dawson, B., & Goodman, C. (2009). Athletic Performance and the Oral Contraceptive. International Journal of Sports Physiology and Performance, 4(2), 151–162. https://doi.org/10.1123/ijspp.4.2.151

Reif, A., Wessner, B., Haider, P., Tschan, H., & Triska, C. (2021). Strength Performance Across the Oral Contraceptive Cycle of Team Sport Athletes: A Cross-Sectional Study. Frontiers in Physiology, 12. https://doi.org/10.3389/fphys.2021.658994

Robinson, J., Jamshidi, R., & Burke, A. E. (2012). Contraception for the HIV-Positive Woman: A Review of Interactions Between Hormonal Contraception and Antiretroviral Therapy. Infectious Diseases in Obstetrics and Gynecology, 2012, 1–15. https://doi.org/10.1155/2012/890160

Rocca, C. H., Muñoz, I., Rao, L., Levin, S. K., Tzvieli, O., & Harper, C. C. (2024). Measuring a Critical Component of Contraceptive Decision Making: The Contraceptive Concerns and Beliefs Scale. Maternal and Child Health Journal, 28(5), 847–857. https://doi.org/10.1007/s10995-023-03856-5

Rocha, J., Paxman, J. R., Dalton, C. F., Hopkins, M., & Broom, D. R. (2018). An acute bout of cycling does not induce compensatory responses in pre-menopausal women not using hormonal contraceptives. Appetite, 128, 87–94. https://doi.org/10.1016/j.appet.2018.05.143

Ronca, F., Blodgett, J. M., Bruinvels, G., Lowery, M., Raviraj, M., Sandhar, G., Symeonides, N., Jones, C., Loosemore, M., & Burgess, P. W. (2025). Attentional, anticipatory and spatial cognition fluctuate throughout the menstrual cycle: Potential implications for female sport. Neuropsychologia, 206. https://doi.org/10.1016/j.neuropsychologia.2024.108909

Shields, G. S., Sazma, M. A., McCullough, A. M., & Yonelinas, A. P. (2017). The effects of acute stress on episodic memory: A meta-analysis and integrative review. Psychological Bulletin, 143(6), 636–675. https://doi.org/10.1037/bul0000100

Solikhah, S., Sangruangake, M., Matahari, R., Rahmadhani, W., & Ruliyandari, R. (2022). Hormonal Contraceptive Use Related to Breast Cancer Among Women in Indonesia: A Nationwide Study. International Journal of Public Health Science (Ijphs), 11(3), 779. https://doi.org/10.11591/ijphs.v11i3.21560

Szollosi, Á., Kéri, S., & Racsmány, M. (2022). The key to superior memory encoding under stress: the relationship between cortisol response and mnemonic discrimination. Learning and Memory, 29(1), 7–15. https://doi.org/10.1101/lm.053452.121

Thwaites, A., Tran, A., & Mann, S. (2019). Women’s and Healthcare Professionals’ Views on Immediate Postnatal Contraception Provision: A Literature Review. BMJ Sexual & Reproductive Health, 45(2), 88–94. https://doi.org/10.1136/bmjsrh-2018-200231

Vannuccini, S., Clemenza, S., Rossi, M., & Petraglia, F. (2021). Hormonal Treatments for Endometriosis: The Endocrine Background. Reviews in Endocrine and Metabolic Disorders, 23(3), 333–355. https://doi.org/10.1007/s11154-021-09666-w

Welling, L. L. M. (2013). Psychobehavioral effects of hormonal contraceptive use. Evolutionary Psychology, 11(3), 718–742. https://doi.org/10.1177/147470491301100315

Wigginton, B., Harris, M. L., Loxton, D., & Lucke, J. (2016). A Qualitative Analysis of Women’s Explanations for Changing Contraception: The Importance of Non-Contraceptive Effects. Journal of Family Planning and Reproductive Health Care, 42(4), 256–262. https://doi.org/10.1136/jfprhc-2015-101184

Zaini, H. H., Cheong, A. T., & Manaf, A. H. A. (2023). Weight Change at 12 Months Among Hormonal Contraceptive Users at Nur Sejahtera Clinics of National Population and Family Development Board (LPPKN): A Retrospective Study. Malaysian Journal of Medicine and Health Sciences, 19(s17), 104–110. https://doi.org/10.47836/mjmhs.19.s17.14

Zell, B. A., Effland, K. J., Snyder, M., Hays, K., & Gordon, W. (2024). Prescriptive Authority for Direct Entry Midwives in Washington State: Increasing Client Access to Contraception. Journal of Midwifery & Women S Health, 69(4), 600–605. https://doi.org/10.1111/jmwh.13606

Zgliczyńska, M., Szymusik, I., Sierocińska, A., Bajaka, A., Rowniak, M., Sochacki-Wójcicka, N., Wielgoś, M., & Kosińska–Kaczyńska, K. (2019). Contraceptive Behaviors in Polish Women Aged 18–35—A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 16(15), 2723. https://doi.org/10.3390/ijerph16152723

Published

2025-05-23

How to Cite

Damayanti, T. Y. F. . (2025). Pengaruh Penggunaan Kontrasepsi Hormonal terhadap Kinerja Fisik dan Kebugaran pada Wanita Usia Subur: Tinjauan Literatur dan Implikasinya dalam Praktik Kebidanan. SPRINTER: Jurnal Ilmu Olahraga, 6(1), 188-203. https://doi.org/10.46838/spr.v6i1.729