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Evaluation and management of menstrual dysfunction in athletes
M Shangold1, R W Rebar, A C Wentz
1Department of Obstetrics and Gynecology, Hahnemann University, Philadelphia, Pa 19102.
JAMA
|March 23, 1990
Summary
Female athletes experience more menstrual dysfunction than the general population. Evaluation is crucial to rule out other conditions before diagnosing exercise-associated menstrual dysfunction.
Area of Science:
- Sports Medicine
- Reproductive Endocrinology
Background:
- Menstrual dysfunction is more prevalent in athletes compared to the general population.
- Athletic training involves numerous physiological changes that can disrupt menstrual cyclicity.
Purpose of the Study:
- To highlight the importance of evaluating athletes with menstrual irregularities.
- To emphasize the need to exclude other pathological conditions when diagnosing exercise-associated menstrual dysfunction.
Main Methods:
- Review of factors contributing to menstrual disturbances in athletes.
- Diagnostic criteria for exercise-associated menstrual dysfunction.
Main Results:
- Oligomenorrhea, amenorrhea, and delayed menarche are common in athletes.
- Diagnosis requires exclusion of other potential causes of menstrual dysfunction.
Conclusions:
- Athletes with menstrual dysfunction need comprehensive medical evaluation.
- Prompt treatment is recommended to prevent adverse health outcomes in affected athletes.