Smith-Ryan · Journal of the International Society of Sports Nutrition 2025 · narrative review · n=?

Creatine in women's health: bridging the gap from menstruation through pregnancy to menopause.

Level 5 - mechanism / opinion, no new human data

Narrative review without systematic search or meta-analytic methodology

PubMed 40371844 · doi:10.1080/15502783.2025.2502094 · record verified 2026-08-26

What was done

The authors conducted a narrative review evaluating historical and recent research on creatine supplementation in women. The review examined the influence of female-specific hormonal fluctuations across life stages—including menstruation, pregnancy, and post-menopause—on creatine metabolism, exercise performance, body composition, and cognitive health.

What was found

The abstract reports no quantitative data, sample sizes, or effect sizes. Narratively, the authors state that creatine supplementation combined with resistance training has positive effects on muscle strength, exercise performance, and body composition in women. It also reports potential benefits for mood, cognitive function, and depression symptoms, with preliminary evidence for use during pregnancy and post-menopause, while highlighting a lack of data in perimenopausal women.

Why it matters

Female hormonal fluctuations uniquely affect creatine metabolism, yet women have historically been underrepresented in creatine literature. This review frames creatine beyond sports performance, highlighting potential applications across female reproductive and cognitive aging stages.

Limits

As a narrative overview, there are no systematic search protocols, meta-analytic data pooling, or risk-of-bias evaluations. No specific numerical values, dosages, or durations are reported in the abstract, and empirical data in perimenopausal women and long-term outcomes remain limited.