Menstrual cycle and bone health in adolescents.

The intriguing notion of the menstrual cycle's having an acute impact on bone metabolism is examined as an expression of estrogen changes manifest as fluctuations in calcium-regulating hormones or biomarkers of bone formation/resorption. The effects of estrogen, progesterone, androgens, and follicle-stimulating hormones on bone health are also reviewed here. To date, the balance of evidence suggests that the menstrual cycle may exert a significant effect on bone metabolism. Further research needs to be conducted, however, to define these hormonal relationships.