Exercise amenorrhoea has also been reported in ballet dancers, cyclists, swimmers and those involved in nonweight bearing sports. Amenorrea en atletas pdf admin october 20, 2019 leave a comment. Common medical treatments for secondary amenorrhea include. In adolescents, amenorrhea may warrant investigation, and pregnancy should always be ruled out. Medical concerns in the female athlete american academy. The female athlete triad is a medical condition observed in physically active females involving three components. Amenorrea, osteoporosis, nutricion, ejercicio, deporte, mujer. Unfortunately, many female athletes associate oral contracep tive use with performancehindering side effects such as nausea, fatigue, and weight gain.
Athletic women are at risk for developing ovulatory dysfunction, which presents variably as menstrual irregularity or absence. Secondary amenorrhea american academy of pediatrics. In athletes, amenorrhea signals that the body is sacrificing the menses to provide energy for more important daily functions. The incidence is higher in marathon runners and is more frequent in women who weigh less and were slightly younger. Son debidas a alteraciones del desarrollo genital por anomalias geneticas o a trastornos endocrinologicos. Birth control pills or other types of hormonal medication. We have also proposed essential hyperandrogenism as an. An individual does not need to show clinical manifestations of all three components of the female athlete triad simultaneously to be affected by the condition. Care of the young athlete patient education handoutsthe female athlete triad if a lack of enough calories is the cause of the menstrual problem, it will be important that the athlete increase her food intake.
Roberto gutierrez cazorla juan antonio rangel garcia dialnet. Background knowledge is lacking about the associations between sport injuries and components of the female athlete triad. Amenorrea en atletas pdf admin june 30, 2019 no comments. Still university pa program objectives at the conclusion of this presentation, the participants will be able to. Objective to assess the prevalence of amenorrhea in elite female athletics athletes and if athletes with history of amenorrhea are at higher injury risk than athletes with regular menstrual cycles or on combined oral contraceptives. Pdf the relation between athletic sports and prevalence. Amenorrhea is when a woman of childbearing age fails to menstruate. Childrens hospital at montefiore bronx, ny menstrual cycle abnormalities. Amenorrhea in adolescent athletes american academy of. Functional hypothalamic amenorrhea is a diagnosis of exclusion that is common in female athletes, particularly those participating in aesthetic sports ballet, other. A prevalence of 2% to 5% is reported for the general population, with a higher percentage in athletes ranging from 3. A minority of female athletes participating in ballet, gymnastics, distance running, rowing, and cycling, as well as other sports activities, occasionally experience menstrual and associated physiologic changes.
She will need to eat all of the nutrients her body needs, which. Treatment for secondary amenorrhea, depending on the cause, may include medical or surgical treatments or a combination of the two. Menstruation athletic amenorrhoea better health channel. Amenorrhea in the female athlete michelle dibaise, dhsc, pac, dfaapa professor a.
Menstrual disturbances reflect altered sex hormone levels and are common among female athletes, particularly in endurance and esthetic sports 1, 2. The part of the brain called the hypothalamus regulates the menstrual cycle. Causes are thought to include low levels of body fat and the effects of exerciserelated hormones on the menstrual cycle. Athletes and dancers who begin training before menarche occurs may experience a later menarche and have an increased incidence of menstrual dysfunction when compared with girls who begin training after menarche occurs. Exercise induced amenorrhoea occurs in 525% of athletes and 1. The number of women participating in longdistance running has increased. Amenorrhea in adolescents newbery pediatric medicine. The relation between athletic sports and prevalence of amenorrhea and oligomenorrhea in iranian female athletes.
Klein, md, mph, san antonio military medical center, san antonio, texas merrily a. Amenorrea en mujeres deportistas mundo entrenamiento. Initially characterized as an isolated disruption of hypothalamic gonadotropin releasing hormone gnrh release, athletic amenorrhea, a form of hypogonadotropic hypogonadism, is invariably accompanied by additional neuroendocrine aberrations, including activation of. Women who are elite athletes or who exercise excessively on a regular basis are at risk of developing athletic amenorrhoea. Understanding the normal menstrual physiology and regulatory processes is important in differentiating etiologies when evaluating amenorrhea. National athletic trainers association position statement. Athletic amenorrhea is considered to be caused by an inhibition of the hypothalamuspituitaryovarian axis leading to estrogen deficiency due to caloric restriction 3, 4. Amenorrhea is the absence of spontaneous menstruation in women of reproductive age. The wide range in observed incidences 144% is due to the lack of a standard definition for secondary amenorrhea and differences between the populations surveyed. Functional hypothalamic amenorrhea is a diagnosis of exclusion that is common in female athletes, particularly those participating in aesthetic sports ballet, other dance genres, figure skating, and gymnastics and endurance sports crosscountry running. Amenorrhea and osteoporosis in adolescents athletes.
947 1183 157 1248 279 1321 1517 836 1317 558 1139 1141 477 1520 78 631 881 1316 1281 1507 622 570 348 778 891 313 574 1487 524 813 787 220 135 828 972 834 1022 728 440 29 1461 420