four categories (<1, 1-3, >3-10, and >10 mg/L) according to American Heart Association (AHA) criteria. We used linear mixed models, marginal models, and GEE, as appropriate, adjusting for, age, race, body mass index, education, and cycle of blood draw.RESULTS: There were 1,894 menstrual cycles from 638 women included in the analysis. Compared to CRP <1 mg/L, higher CRP levels were not significantly associated change in continuous menstrual cycle length. However, compared to CRP <1 mg/L, a CRP >10 mg/L was associated with over twice the odds of having long cycles. When evaluating follicular phase length, a CRP of >10 mg/L was associated both with follicular phases that were 2.4 days longer and with over 2.5 times the odds of being long. Compared to CRP <1 mg/L, CRP 1-3 mg/L was significantly associated with a decreased odds of short cycles and short follicular phase, respectively, with a modest increase in follicular length.CONCLUSIONS: Among women age 30-44 attempting to conceive naturally, high levels of CRP are associated with increased odds of a long cycle and longer follicular phase length.IMPACT STATEMENT: Our findings demonstrate a potential pathophysiologic association between chronic inflammation and menstrual cycle characteristics. Further studies are required to further elucidate the mechanism.