Limberg JK, Eldridge MW, Proctor LT, Sebranek JJ, Schrage WG. ␣-Adrenergic control of blood flow during exercise: effect of sex and menstrual phase. J Appl Physiol 109: 1360-1368, 2010. First published August 19, 2010 doi:10.1152/japplphysiol.00518.2010.-Sex differences exist in autonomic control of the cardiovascular system. This study was designed to directly test sex or female menstrual phase-related differences in ␣-adrenergic control of blood flow during exercise. We hypothesized that women would exhibit reduced ␣-adrenergic vasoconstriction compared with men during exercise; in addition, women would constrict less during the early luteal than the early follicular phase of the female menses. Young men (n ϭ 10) were studied once and women (n ϭ 9) studied twice, once during the early follicular phase and once during the early luteal phase of female menses. We measured forearm blood flow (FBF; Doppler ultrasound of the brachial artery) during rest and steady-state dynamic exercise (15 and 30% of maximal voluntary contraction, 20 contractions/min). A brachial artery catheter was inserted for the local administration of ␣-adrenergic agonists [phenylephrine (PE; ␣1) or clonidine (CL; ␣2)]. Blood flow responses to exercise [forearm vascular conductance (FVC)] were similar between all groups. At rest, infusion of PE or CL decreased FVC in all groups (40 -60% reduction). Vasoconstriction to PE was abolished in all groups at 15 and 30% exercise intensity. Vasoconstriction to CL was reduced at 15% and abolished at 30% intensity in all groups; women had less CL-induced constriction during the early luteal than early follicular phase (P Ͻ 0.017, 15% intensity). These results indicate that vasodilator responses to forearm exercise are comparable between men and women and are achieved through similar paths of ␣-adrenergic vascular control at moderate intensities; this control may differ at low intensities specific to the female menstrual phase. exercise vasodilation; functional sympatholysis THE UNDERSTANDING OF VASCULAR CONTROL MECHANISMS responsible for skeletal muscle blood flow during exercise stems from predominantly male participants. Given the potential for sexspecific differences in physiological control during exercise, these results are limited in application. Evidence from both animal and human studies indicates that women demonstrate greater blood flow to exercising muscles compared with men (19,25,28). The prominent role of the sympathetic nervous system in the integrated exercise response (29, 37) provides support that sex differences in sympathetic control have the potential to influence muscle blood flow responses.At rest, women exhibit reduced vasoconstrictor responses to sympathetic stimulation in both the forearm and calf compared with men (16, 18). One potential mechanism may be related to the vasodilatory effect of estrogen and its ability to inhibit ␣-adrenoceptor binding (32, 33). After acute exposure to increased levels of estrogen, perimenopausal women exhibit blunted norepinephrine (NE) responsi...