Simple’s guide to intermittent fasting during your period
You’re just minding your business, ticking things off your to-do list (is it us, or does that thing get longer every day?), and quietly making progress.
Then BAM — along comes the monthly gift from your reproductive cycle to make life that much more … interesting.
You’ve heard intermittent fasting is an easier way to help manage your health — and that sure sounds like a good thing with everything else you have going on — but you’ve got some questions.
Is it safe to continue intermittent fasting during your period? Can fasting affect your period? Would you need to make changes to your fasting schedule during menstruation? Could intermittent fasting have stopped my period?
All of this along with “What’s for dinner tonight?” Sheesh.
Don’t worry, we’ve got your back on everything to do with intermittent fasting and periods. (FYI, we can hook you up with dinner ideas, too.)
Is intermittent fasting a good idea for women on their periods?
Intermittent fasting can be safe and effective for women, but a slower, gentler approach could help to reduce any risks, especially when fasting during your period.
Fasting can be more complicated for women than it is for men. A big reason why is the difference in hormones and how women’s bodies respond to calorie restriction (check out intermittent fasting for women for a deeper dive). This is especially true when it comes to menstrual cycles.
One exception may be for women with PCOS or hyperandrogenism. Although the research is limited, intermittent fasting schedules such as 16:8 have been shown to reduce the amount of androgens in both men and women.[1] Androgens are our growth and reproduction hormones, more readily found in men. In women, they are naturally produced in smaller amounts, but for some women, like those with PCOS, they can be in excess, causing irregularities in period cycles and problems with fertility. For women with PCOS or hyperandrogenism, intermittent fasting may prove to have benefits in terms of regulating cycles and improving fertility.
In general, we recommend women to start slow. Starting with shorter fasting periods, like 12:12, or even just adding an hour to your regular overnight fast and working up to a longer window is a smart bet in the beginning.
If you haven’t started your fasting journey yet and are not quite sure how to get started, read our intermittent fasting for beginners guide to learn more about the different schedules. Then, take our Simple quiz to find out which one might work best for you.
How does intermittent fasting affect your menstrual cycle?
Intermittent fasting during your menstrual cycle can be safe and beneficial, but to keep it that way, there are a few intermittent fasting mistakes to avoid.
There isn’t much research on intermittent fasting and the menstrual cycle. We know that aggressive calorie restriction can lead to hormonal changes which can affect if and when Aunt Flo shows up.[2] Overly restricting calories through time restriction is no different.
Our recommendation is that women not fast longer than 18 hours to ensure they’ve got enough time to get in all the nutrition they need unless their doctor has given them the OK to do so. While research is lacking, what we do have points to gentler fasting approaches having little adverse effect on menstruation.[1]
Some of the most common intermittent fasting side effects, especially when getting started, look and feel like premenstrual (PMS) symptoms.
- hunger and cravings
- irritability
- headaches
- fatigue and sleep issues
- upset stomach
This suggests the best time to start fasting is not during your luteal phase (i.e., before the start of your next menstrual period) when PMS is in full swing.[3] Those days are hard enough!
Is intermittent fasting on your period safe?
If you’re wondering, “Can — or should — you fast while on your period? Is it safe to do so?” here’s the answer. In general, intermittent fasting on your period is safe, but there are some things to take into consideration. During your menstrual cycle, your body goes through many changes; therefore, its needs change. We’ll get into more detail on that later.
Notice how your body responds to fasting as you go through your cycle. If you are noticing any changes in your cycle or an increase in PMS symptoms, your body may be telling you to dial it back a bit. To stay safe, listen to these signals and adjust as needed.
Are there any health benefits to fasting while on your period?
Again, there isn’t much research on the health benefits of fasting while on your period. As we discussed above, women with PCOS seem to benefit most.
One large study found that those following an intermittent fasting schedule had lower levels of anxiety and depression.[4] But we must take these results with a grain of salt, as more research is required before we can confidently claim this as a benefit for all people.
Menstrual cycle phases and intermittent fasting
The average cycle is about 28 days but can run shorter or longer.[5] When is the best time to fast during your menstrual cycle? Let’s look at the four phases to find out.
Menstruation (Days 1–5)
This begins at the first sign of bleeding or shedding of the uterine lining (aka your period). It’s when progesterone levels start to drop back down and can cause an increase in inflammation.[6]
Due to the potential anti-inflammatory benefit of fasting in those with a higher weight,[7] this phase could be the optimal time to increase your fasting hours (if you want to, of course) and focus on anti-inflammatory foods like green leafy veggies, nuts, berries, and sweet potatoes.[8]
Follicular phase (Days 6–14)
Estrogen and follicle-stimulating hormone (FSH) rise, causing the uterine lining to thicken, and an egg begins to form in the ovary.[9]
With estrogen comes higher energy levels and a mood boost.[10] This may be the ideal time to fast during your menstrual cycle. And, as insulin sensitivity is also at its best during this phase,[11] it’s a good time to focus on high-fiber, complex carbohydrates like whole grains, beans, and fruits during your eating window.
Ovulatory (~ Day 14)
Here, yet another hormone kicks in — luteinizing hormone (LH), which causes the now-fully-developed egg to be released.
Estrogen is now at its highest, and perhaps you’re feeling cute and frisky. The reason for that pep in your step: you are now at your most fertile. Perhaps you’re also feeling kinda “hot and bothered.” That’s due to your body temperature being higher, making hydration even more important.
With insulin sensitivity still high,[11] keep eating those B-vitamin-rich complex carbohydrates. You’ll need those B vitamins in the next phase when progesterone is queen, your mood drops, and PMS symptoms are looming.[12]
Luteal (Days 15–28)
The released egg travels down the fallopian tube to the progesterone-prepared uterus for fertilization and attachment.
This phase includes PMS (or premenstrual dysphoric disorder [PMDD] for some) and heightens your need for some TLC. Stress levels are high, hormones are shifting, inflammation is raging, and your body is more sensitive to all of it.
Although fasting may help with inflammation for some,[7] it can also add stress to a system that’s already under pressure.[13] This is a good time to take a break from fasting or at least dial it back to shorter fasts.
Aim to minimize simple carbs like soda, cakes, and cookies to keep your blood sugar level. Continue to fill up on those antioxidant-rich foods (may we suggest dark chocolate covered almonds? You can thank us later) and leafy green vegetables, drink some peppermint tea, and get some snuggles in with your favorite person, animal, or comfy blanket. This is the time to treat yo’self!
Intermittent fasting tips for women on their periods
- Begin tracking your cycle if you aren’t already. Take note of any symptoms and changes in your mood or energy.
- Take good care of yourself by taking our Simple quiz. That way, when you’re ready to try fasting, you’re all set up with your intermittent fasting schedule and plenty of Simple support. It’s here we can make sure you have plenty of healthy yet tasty dinner ideas, too. Check it out!
- Be flexible, and don’t be afraid to take a break or step back if your body asks you to.
- With period blood loss, your iron can run low.[14] Address this by eating more:
- Red meat, fortified cereals, lentils, tofu, spinach, and dried fruit for added iron. Pair with vitamin C for better absorption, and avoid tea or coffee during that meal.
- Fruit, especially citrus, bell peppers, and strawberries, for added vitamin C to help with iron absorption.
- Be mindful of getting adequate sleep. Poor sleep can affect your mood any day, never mind when your hormones are in flux. Changes in when you eat (for instance, eating carbs too late in the evening or in too small of amounts [15]) can affect sleep quality, which in turn can affect hormone cycles.[16]
When should women avoid intermittent fasting?
For the majority of your cycle, you can feel confident in fasting as usual, but in that luteal (PMS / self-care / treat yo’self) phase, we’d recommend you go more gently. Maybe shorten your fasts (or take a break completely) and give your body some extra love and nutrients like iron and antioxidant-rich foods.
Other times to take a step back from intermittent fasting would be when:
- you notice heavier bleeding than usual
- you have a delayed or missed period (and there is no other cause)
- you notice a worsening of symptoms, especially headaches, fatigue, and anxiety
These may be signs that your body is in a stressed state and fasting is hurting, not helping. So, chat with your healthcare provider before jumping into anything.
Thinking more broadly, there are some things that mean intermittent fasting isn’t for you, whether you’re on your period or not. If you:
- have a medical condition
- take prescription medications
- are extremely active
- are under the age of 18, or 80 years old or more
- are pregnant, breastfeeding, or trying to conceive
- have (or are at risk of having) an eating disorder or have a history of one
- have a Body Mass Index (BMI) < 18.5
avoid intermittent fasting unless you have the full support of your doctor.
Yes, theoretically, you can fast if your period is about to end. Remember, the menses and follicular phases are generally prime fasting time, but base your decisions on your individual response to fasting. If you are feeling particularly low energy or taking a little longer to bounce back, you may want to hold off for a couple more days.
It can definitely seem harder to lose weight on your period. Hormonal shifts may cause bloating, cravings, and water-weight gain. One study of healthy, overweight premenopausal women showed that changing what and when you eat during your cycle can help you continue to lose weight,[17] so don’t lose heart even if it seems your body is against you. If you’re feeling stuck, you might find some answers in our guide on why intermittent fasting is not working for you.
- Cienfuegos S, Corapi S, Gabel K, Ezpeleta M, Kalam F, Lin S, et al. Effect of Intermittent Fasting on Reproductive Hormone Levels in Females and Males: A Review of Human Trials. Nutrients [Internet]. 2022 Jun 3;14(11).
- Skarakis NS, Mastorakos G, Georgopoulos N, Goulis DG. Energy deficiency, menstrual disorders, and low bone mineral density in female athletes: a systematic review. Hormones . 2021 Sep;20(3):439–48.
- Reed BG, Carr BR. The Normal Menstrual Cycle and the Control of Ovulation. MDText.com, Inc.; 2018.
- Berthelot E, Etchecopar-Etchart D, Thellier D, Lancon C, Boyer L, Fond G. Fasting Interventions for Stress, Anxiety and Depressive Symptoms: A Systematic Review and Meta-Analysis. Nutrients [Internet]. 2021 Nov 5;13(11).
- Owen JA Jr. Physiology of the menstrual cycle. Am J Clin Nutr. 1975 Apr;28(4):333–8.
- Barcikowska Z, Rajkowska-Labon E, Grzybowska ME, Hansdorfer-Korzon R, Zorena K. Inflammatory Markers in Dysmenorrhea and Therapeutic Options. Int J Environ Res Public Health [Internet]. 2020 Feb 13;17(4).
- Wang X, Yang Q, Liao Q, Li M, Zhang P, Santos HO, et al. Effects of intermittent fasting diets on plasma concentrations of inflammatory biomarkers: A systematic review and meta-analysis of randomized controlled trials. Nutrition. 2020 Aug 12;79-80:110974.
- Hart MJ, Torres SJ, McNaughton SA, Milte CM. Dietary patterns and associations with biomarkers of inflammation in adults: a systematic review of observational studies. Nutr J. 2021 Mar 12;20(1):24.
- Groome NP, Illingworth PJ, O’Brien M, Pai R, Rodger FE, Mather JP, et al. Measurement of dimeric inhibin B throughout the human menstrual cycle. J Clin Endocrinol Metab. 1996 Apr;81(4):1401–5.
- Li D, Zhang L, Wang X. The Effect of Menstrual Cycle Phases on Approach-Avoidance Behaviors in Women: Evidence from Conscious and Unconscious Processes. Brain Sci [Internet]. 2022 Oct 21;12(10).
- MacGregor KA, Gallagher IJ, Moran CN. Relationship Between Insulin Sensitivity and Menstrual Cycle Is Modified by BMI, Fitness, and Physical Activity in NHANES. J Clin Endocrinol Metab. 2021 Sep 27;106(10):2979–90.
- Mocellin MC, Curioni CC, da Silva Pereira A, Ribas SA, Teixeira MT, de Macedo TSG, et al. Prevalence of vitamin B complex deficiencies in women in reproductive age, pregnant, or lactating woman in Brazil: a systematic review and meta-analysis protocol. Syst Rev. 2023 Jan 25;12(1):13.
- Kim BH, Joo Y, Kim MS, Choe HK, Tong Q, Kwon O. Effects of Intermittent Fasting on the Circulating Levels and Circadian Rhythms of Hormones. Endocrinol Metab (Seoul). 2021 Aug;36(4):745–56.
- Munro MG, Mast AE, Powers JM, Kouides PA, O’Brien SH, Richards T, et al. The relationship between heavy menstrual bleeding, iron deficiency, and iron deficiency anemia. Am J Obstet Gynecol. 2023 Jul;229(1):1–9.
- Vlahoyiannis A, Giannaki CD, Sakkas GK, Aphamis G, Andreou E. A Systematic Review, Meta-Analysis and Meta-Regression on the Effects of Carbohydrates on Sleep. Nutrients [Internet]. 2021 Apr 14;13(4).
- Shao S, Zhao H, Lu Z, Lei X, Zhang Y. Circadian Rhythms Within the Female HPG Axis: From Physiology to Etiology. Endocrinology [Internet]. 2021 Aug 1;162(8).
- Geiker NR, Ritz C, Pedersen SD, Larsen TM, Hill JO, Astrup A. A weight-loss program adapted to the menstrual cycle increases weight loss in healthy, overweight, premenopausal women: a 6-mo randomized controlled trial. Am J Clin Nutr. 2016 Jul;104(1):15–20.