Your Period Stopped…..but

Amenorrhea or the lack of a period is not just a fertility issue you need to be concerned about.
There are long term health consequences that arise from this condition. According to the article
Hypothalamic Amenorrhea and the Long-Term Health Consequences by C. Shufelt MD, et al
“The menstrual cycle is a reproductive vital sign and provides insight to hormonal imbalance.
Functional hypothalamic amenorrhea (FHA) is a common form of secondary amenorrhea
resulting in estrogen deficiency in your premenopausal women. FHA is caused by psychological
stress, excessive exercise, disordered eating or a combination of these factors. FHA is a
reversible condition when addressed properly.
Often, these young women are the “walking well” as they do not have bothersome symptoms of
low estrogen and are unaware of the consequences. Hypoestrogenemia in young women has
been associated with abnormal vascular function and premature cardiovascular disease, bone
loss (osteoporosis) within as little as six months and susceptibility to anxiety and depressive
traits.”
This condition is commonly seen in high school and college level female athletes and also with
women who intensely exercise. The lack of a period in young women is a concern and needs to
be tested properly to identify the causes. Doing both a blood and urine hormone test is a good
start and will show how the body needs to be supported naturally. The blood test reveals more
information on how the hormones are being produced. However the urine test can be more
revealing than the blood test, it shows how the body is getting rid of the hormones and their
metabolites which is crucial. There are other forms of urine hormone testing out there but the
DUTCH is our favorite.
Finding a health care provider who looks for the causes of the problem and not one who looks
to mask the symptom with medications is supper important. The Wellness Way of South Denver
is an office that will test your body and also support your body’s natural physiology while
addressing the causes of the problem. In person and virtual appointments are available.
Isaac A. Mooberry, DC

Amenorrhea or the lack of a period is not just a fertility issue you need to be concerned about.
There are long term health consequences that arise from this condition. According to the article
Hypothalamic Amenorrhea and the Long-Term Health Consequences by C. Shufelt MD, et al
“The menstrual cycle is a reproductive vital sign and provides insight to hormonal imbalance.
Functional hypothalamic amenorrhea (FHA) is a common form of secondary amenorrhea
resulting in estrogen deficiency in your premenopausal women. FHA is caused by psychological
stress, excessive exercise, disordered eating or a combination of these factors. FHA is a
reversible condition when addressed properly.
Often, these young women are the “walking well” as they do not have bothersome symptoms of
low estrogen and are unaware of the consequences. Hypoestrogenemia in young women has
been associated with abnormal vascular function and premature cardiovascular disease, bone
loss (osteoporosis) within as little as six months and susceptibility to anxiety and depressive
traits.”
This condition is commonly seen in high school and college level female athletes and also with
women who intensely exercise. The lack of a period in young women is a concern and needs to
be tested properly to identify the causes. Doing both a blood and urine hormone test is a good
start and will show how the body needs to be supported naturally. The blood test reveals more
information on how the hormones are being produced. However the urine test can be more
revealing than the blood test, it shows how the body is getting rid of the hormones and their
metabolites which is crucial. There are other forms of urine hormone testing out there but the
DUTCH is our favorite.
Finding a health care provider who looks for the causes of the problem and not one who looks
to mask the symptom with medications is supper important. The Wellness Way of South Denver
is an office that will test your body and also support your body’s natural physiology while
addressing the causes of the problem. In person and virtual appointments are available.
Isaac A. Mooberry, DC

  1. Hypothalamic Amenorrhea and the Long-Term Health Consequences by C. Shufelt, MD,
    et al Semin Reprod Med. 2017 May; 35(3): 256-262.

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