ObjectiveTo evaluate the impact of circulating endocannabinoids on food craving, food intake behaviors, and satiety hormones across the menstrual cycle.MethodsWe studied 17 premenopausal women with regular menstrual cycles (23.2 ± 4.8 y, and BMI 22.4 ±1.9 kg/m2) during their late follicular and luteal phases. We measured fasting plasma estradiol, progesterone and leptin using electrochemiluminescence, and serum endocannabinoids using targeted LC‐MS/MS methods. Measured endocannabinoids and endocannabinoid‐like compounds included monoacylglycerol derivatives of arachidonate, linoleate and oleate (1‐ and 2‐AG, LG and OG, respectively), and acylethanolamides anandamide (AEA), stearoylethanolamide (SEA), oleoylethanolamide (OEA), palmitoylethanolamide (PEA), and docosatetraenoylethanolamide (DEA). We used a food craving inventory during the luteal phase to record cravings for sweet‐tasting and fat‐rich foods. We used the same construct to evaluate habitual intake in the three‐month period prior to the study. Three‐factor eating questionnaire was used once during the study to evaluate cognitive restraint, disinhibition, and hunger in these women. Spearman's correlation analyses were used to identify associations between ovarian hormones, endocannabinoids, leptin and eating behaviors. Wilcoxon's rank tests were used to evaluate differences between the phases of the menstrual cycle.ResultsSerum endocannabinoids were not different between the two phases of the menstrual cycle (eg: 2‐AG: p = 0.38). Irrespective of phase, several endocannabinoids were inversely associated with estradiol (Eg: 2‐OG: r = −0.39, p = 0.02; 2‐AG: r = −0.30, p = 0.09). Also, disinhibition was inversely associated with leptin (r = −0.54, p <0.01), and positively associated with habitual intake of sweet‐rich foods (r = 0.45, p <0.01). While evaluating only the luteal phase, OEA was positively associated with craving fat‐rich foods (r=0.61, p=0.01). Endocannabinoids were inversely associated with leptin (1‐OG: r =−0.56, p=0.02; 1‐LG: r=−0.50, p=0.04; 2‐AG: r= −0.44, p= 0.07), and cognitive restraint (2‐AG: r =−0.49, p=0.04; AEA: r=−0.57, p=0.02), while cognitive restraint was positively associated with craving sweet‐rich foods (r=0.49, p=0.05). Both SEA and PEA were positively associated with circulating progesterone (r=0.60, p=0.01; r=0.52, p =0.03 respectively), while AEA and 2‐AG showed a positive trend with progesterone/estradiol ratio (r=0.45, p=0.07; r=0.42, p=0.09 respectively). These associations were not present in the follicular phase.ConclusionsThe association of endocannabinoids with leptin, progesterone and increased fat‐rich food craving during the luteal phase warrants further study into what role they play in food intake regulation during the menstrual cycle.Support or Funding InformationUSDA‐ARS‐CRIS Project 2032‐51530‐022‐00D