The aim of this study was (a) to show that different measures of spatial co
gnition are modulated by the menstrual cycle and (b) to analyze which stero
id is responsible for these cognitive alterations. The authors collected bl
ood samples in 3-day intervals over 6 weeks from 12 young women with a regu
lar menstrual cycle to analyze concentrations of estradiol, progesterone, t
estosterone, luteinizing hormone, and follicle-stimulating hormone. The per
formance on 3 spatial tests was measured during the menstrual and the midlu
teal phases. A significant cycle difference in spatial ability as tested by
the Mental Rotation Test was found, with high scores during the menstrual
phase and low scores during the midluteal phase. Testosterone had a strong
and positive influence on mental rotation performance, whereas estradiol ha
d a negative one. These results clearly indicate that testosterone and estr
adiol are able to modulate spatial cognition during the menstrual cycle.