Abstract
Relevant for female athletes in general and especially in adolescent female athletes are the long-term consequences of insufficient energy intake that results in menstrual cycle disturbances and low bone mineral density. Prolonged exercise as practiced by elite athletes can lead to serious, long-term health problems if diet is not adjusted to compensate for energy expenditure. A good barometer of how energy intake matches energy expenditure in female athletes is menstrual function. Eumenorrhea is the term used to describe normal length, regular menstrual cycles. Oligomenorrhea refers to infrequent menses or menstrual cycles that occur inconsistently at intervals of 39–90 days. Amenorrhea is the absence of menstrual cycles in a nonpregnant, sexually mature woman. When menstrual cycles become disordered as a result of prolonged or excessive exercise, there very well may be an issue related to insufficient energy intake, and consultation of a health care provider knowledgeable in sports medicine is strongly advised to correct the situation. The standard curriculum for high school and college coaches of female athletes should include the health consequences of exercise-induced menstrual function and specific methods of prevention and treatment.
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References
Loucks AB, Horvath SM. Athletic amenorrhea: a review. Med Sci Sports Exerc. 1985;17:56–72.
Peterson F, Fries H, Nillius SJ. Epidemiology of secondary amenorrhea. Incidence and Prevalence rates. Am J Obstet Gynecol. 1973;117:80–6.
Hull MG. Ovulation failure and induction. Clin Obstet Gynaecol. 1981;8:753–85.
Azziz R, Woods KS, Reyna R, et al. The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab. 2004;89:2745–9.
Loucks AB, Thuma JR. Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women. J Clin Endocrinol Metab. 2003;88:297–311.
Stein I, Leventhal M. Amenorrhea associated with bilateral polycystic ovaries. Am J Obstet Gynecol. 1935;29:181–91.
Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertil Steril. 2004;81:19–25.
Hillard PJA, Deitch HR. Menstrual disorders in the college age female. Pediatr Clin North Am. 2005;52:179–97.
Ovalle F, Azziz R. Insulin resistance, polycystic ovary syndrome, and type 2 diabetes mellitus. Fertil Steril. 2002;77:1095–105.
Legro RS. Polycystic ovary syndrome and cardiovascular disease: a premature association? Endocr Rev. 2002;24:302–12.
Loucks AB. The response of luteinizing hormone pulsatility to five days of low energy availability disappears by 14 years of gynecological age. J Clin Endocrinol Metab. 2006;91:3158–64.
Loucks AB. Energy availability and infertility. Curr Opin Endocrinol Diabetes Obes. 2007;14:470–4.
Bronson FH. Mammalian reproductive biology. Chicago, IL: The University of Chicago Press; 1989.
Bachman GA, Kemmann E. Prevalence of oligomenorrhea and amenorrhea in a college population. Am J Obstet Gynecol. 1982;144:98–102.
Singh KB. Menstrual disorders in college students. Am J Obstet Gynecol. 1981;140:299–302.
Thorner MO, Vance ML, Laws Jr ER, et al. The anterior pituitary. In: Wilson JD, Foster DW, editors. Williams textbook of endocrinology. 9th ed. Philadelphia: Saunders; 1998. p. 249–340.
Yeager KK, Agostine R, Nativ A, et al. The female athlete triad: disordered eating, amenorrhea, osteoporosis. Med Sci Sports Exerc. 1993;25:775–7.
Loucks AB, Vaitukaitis J, Cameron JL. The reproductive system and exercise in women. Med Sci Sports Exerc. 1992;24(Suppl):S288–93.
Nattiv A, Loucks AB, Manore MM, et al. American College of Sports Medicine Position Stand: The female athlete triad. Med Sci Sports Exerc. 2007;39:1867–82.
Loucks AB, Kiens B, Wright HH. Energy availability in athletes. J Sports Sci. 2011;29:S7–15.
Pantano KJ. Current knowledge, perceptions, and interventions used by collegiate coaches in the U.S. regarding the prevention and treatment of the female athlete triad. N Am J Sports Phys Ther. 2006;1:195–207.
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Norman, R.L. (2014). Abnormal Menstrual Cycles. In: Robert-McComb, J.J., Norman, R.L., Zumwalt, M. (eds) The Active Female. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8884-2_5
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