The menstrual cycle, hormonal contraception and alcohol use across a single cycle



Warren, Jasmine G ORCID: 0000-0001-6676-2954, Fallon, Victoria M ORCID: 0000-0002-7350-2568, Goodwin, Laura, Gage, Suzanne H ORCID: 0000-0002-2368-1115 and Rose, Abigail K
(2025) The menstrual cycle, hormonal contraception and alcohol use across a single cycle Addiction Research & Theory, ahead- (ahead-). pp. 1-10. ISSN 1606-6359, 1476-7392

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Abstract

Objective: Existing literature suggests an association between menstrual cycle and alcohol use. The present study investigated the relationship between menstrual cycle phases and hormonal contraception (naturally cycling [NC] and hormonal contraceptive [HC]) and alcohol use, while considering potentially influencing variables using multiple assessments over one cycle. Methods: 50 females (32 NC and 18 HC) completed a series of online questionnaires over one menstrual cycle. Results: We found that HC users craved and consumed more alcohol than NC participants. Menstrual cycle phase predicted levels of craving for the NC group. For the NC group, baseline units, craving, and mood predicted consumption; and the predictors of craving were baseline units, mood, phase, and relationship status. In the HC group, there were no predictors of consumption, but craving was predicted by: baseline units, mood, and impulsivity. There were no differences in drinking motives by group or phase. Conclusions: HC may affect drinking behavior whereas the effect of menstrual phase remains unclear. This has implications for HC use and menstrual awareness for health practices, e.g. for those with alcohol use disorders. Importantly, this study suggests the future direction of research into the topic such as additional methods to explore the association as well how to investigate underlying mechanisms.

Item Type: Article
Uncontrolled Keywords: 5202 Biological Psychology, 52 Psychology, Behavioral and Social Science, Substance Misuse, Contraception/Reproduction, Alcoholism, Alcohol Use and Health, Basic Behavioral and Social Science, Clinical Research, Brain Disorders, Prevention, 2.3 Psychological, social and economic factors, Cardiovascular, Cancer, Stroke, 3 Good Health and Well Being
Divisions: Faculty of Health & Life Sciences
Faculty of Health & Life Sciences > Inst. Population Health
Depositing User: Symplectic Admin
Date Deposited: 27 Aug 2025 09:22
Last Modified: 17 Jan 2026 09:23
DOI: 10.1080/16066359.2025.2542778
Open Access URL: https://doi.org/10.1080/16066359.2025.2542778
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3194175
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