Abstract

This article systematically updates the literature on changes in visual functions during the phases of the normal menstrual cycle in women. To update Guttridge's 1994 review of visual structures and functions associated with the menstrual cycle and broaden the search through psychophysical, neuroimaging and neurobehavioral measurements covering 1994-2020. Narrative review conducted in a neurosciences and behavior laboratory in Brazil. The PubMed, Cochrane Clinical Answers and Google Scholar databases were searched. After screening and applying the eligibility criteria, 32 articles were examined. Through this analysis, the following information was extracted: (1) geographical distribution of the study; (2) sample size (according to age and phase of the menstrual cycle); (3) type of measurements according to psychophysical, neuroimaging and neurobehavioral instruments; (4) vision testing model; (5) visual subcategory evaluated; (6) categories of processed visual stimuli; and (7) main findings. The menstrual phases give rise to significant changes in visual functions, including in relation to orientation and spatial attention, visual campimetry and visual sensitivity. These relate specifically to the follicular and luteal phases. These findings theoretically expand the effects of menstrual cycles on visual functions found by Guttridge (1994). Despite some inconsistencies in the studies analyzed, it was found that visual processing during the follicular and luteal phases of the normal menstrual cycle of healthy women can explain physiological, cognitive, behavioral and social modulations.

Highlights

  • The menstrual cycle of women is tightly controlled by endocrine, autocrine and paracrine factors that regulate ovarian follicular development, ovulation, luteinization, luteolysis and endometrial remodeling.[1]

  • TRV and TRA were higher during the menstrual phase and lower during the luteal phase There was no significant difference in binocularity or temporal dynamics

  • The results from the studies presented were inconclusive, but these inconsistencies may have been related to lack of experimental control and failure to assess the perimetry of the phases of the menstrual cycle

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Summary

Introduction

The menstrual cycle of women is tightly controlled by endocrine, autocrine and paracrine factors that regulate ovarian follicular development, ovulation, luteinization, luteolysis and endometrial remodeling.[1]. After screening and applying the eligibility criteria, 32 articles were examined Through this analysis, the following information was extracted: (1) geographical distribution of the study; (2) sample size (according to age and phase of the menstrual cycle); (3) type of measurements according to psychophysical, neuroimaging and neurobehavioral instruments; (4) vision testing model; (5) visual subcategory evaluated; (6) categories of processed visual stimuli; and (7) main findings. RESULTS: The menstrual phases give rise to significant changes in visual functions, including in relation to orientation and spatial attention, visual campimetry and visual sensitivity. These relate to the follicular and luteal phases. Despite some inconsistencies in the studies analyzed, it was found that visual processing during the follicular and luteal phases of the normal menstrual cycle of healthy women can explain physiological, cognitive, behavioral and social modulations

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