Female Infertility
Hypothalamic Amenorrhoea
Loss of menstruation due to suppressed GnRH secretion, often triggered by extreme energy deficit, excessive exercise, or psychological stress.
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Overview
Overview
Loss of menstruation due to suppressed GnRH secretion, often triggered by extreme energy deficit, excessive exercise, or psychological stress.
Symptoms
Absent periods for 3+ months
Low BMI or recent weight loss
Intense exercise history
Low oestrogen symptoms
Stress or anxiety
Causes
1
Excessive exercise2
Eating disorders / caloric restriction3
Psychological stress4
Chronic illnessHow It's Diagnosed
FSH, LH (very low)
Oestradiol (very low)
Brain MRI to exclude pituitary lesion
Bone density scan
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