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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Loss of menstruation due to suppressed GnRH secretion, often triggered by extreme energy deficit, excessive exercise, or psychological stress.

Absent periods for 3+ months

Low BMI or recent weight loss

Intense exercise history

Low oestrogen symptoms

Stress or anxiety

Excessive exercise

Eating disorders / caloric restriction

Psychological stress

Chronic illness

FSH, LH (very low)

Oestradiol (very low)

Brain MRI to exclude pituitary lesion

Bone density scan

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Get a personalised treatment plan for Hypothalamic Amenorrhoea from our fertility specialists