and bone health in the adolescent athlete.
The main cause of amenorrhea in athletes seems to be an inhibition of the hypothalamus-pituitary-ovarian axis and it might be that prolonged exercise-induced amenorrhea
has adverse cardiovascular consequences [20,21].
[18.] Miles, M.: Leptin: A link between energy imbalance and exercise-induced amenorrhea
in female athletes.
Little evidence and no specific guidelines exist to guide the clinician in evaluating and managing exercise-induced amenorrhea
. All athletes with amenorrhea should have a pregnancy test, because pregnancy is the most common cause of secondary amenorrhea.
But for anorexic patients, the potential benefits might be offset by the risk of fractures, delayed weight gain, and exercise-induced amenorrhea
However, for patients with anorexia nervosa, the potential benefits of exercise might be offset by the risk of fractures, delayed weight gain, and exercise-induced amenorrhea
(24.) Jenkins PJ, Ibanez-Santos X, Holly J, Cotterill A, Perry L, Wolman R, Harries M, Grossman A: IGFBP-1: Metabolic signal associated with exercise-induced amenorrhea
. Neuroendocrinology 57:600-604, 1993.
The other ovary was removed in Arizona at age 29 because it was interfering with her hormone replacement therapy which she was taking to treat exercise-induced amenorrhea
Once other causes are ruled out, process of elimination leaves you with the diagnosis of an exercise-induced amenorrhea
. Not only are you at increased risk of bone fracture while experiencing a loss of periods, the condition may not be reversible.
Although exercise-induced amenorrhea
is usually reversible, other medical consequences of these changes may be more significant, Cumming says.
These findings suggest that mechanisms other than hypoestrogenism may be involved in the osteopenia associated with exercise-induced amenorrhea
Kutluk Oktay described a 29-year-old woman who had one ovary removed in her teen years and the other removed because it was interfering with her hormone replacement therapy, which she was taking to treat exercise-induced amenorrhea