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Review, 2020

Can not eating enough or overexercising stop your period?

Yes. Between 16% and 47% of lean female athletes have disordered eating. Low energy, excessive exercise, and stress can stop periods, but periods usually return when these causes are addressed.

Early or limited evidence Young women, especially female athletes in ballet, running, gymnastics, and figure skating

What they did

Reviewed scientific literature on how low weight, excessive exercise, and high stress cause menstrual irregularities.

What they found

Between 16% and 47% of lean female athletes have disordered eating. Low energy availability, excessive exercise, and stress disrupt hormone regulation, causing low estrogen and amenorrhea. Low estrogen leads to bone loss, tissue atrophy, infertility, and pain during intercourse. Weight gain and addressing eating disorders or stress restore menstruation.

What it means for you

If your periods have stopped, consider whether eating, exercise, or stress might be responsible. Gaining weight and recovering from eating disorders are the best treatments. In resistant cases, hormone therapy with transdermal estrogen and progesterone may be needed. This is a review of existing research.

16-47%

Lean female athletes with disordered eating

About the study

Original title
Menses Requires Energy: A Review of How Disordered Eating, Excessive Exercise, and High Stress Lead to Menstrual Irregularities
Authors
Huhmann K
Journal
Clinical therapeutics
Year
2020
Study design
Review
What was tested
Weight gain and lifestyle modification; hormone replacement in resistant cases

Topics