Could Stress Be Causing Your Period Problems?
Published: Apr 25, 2024
Functional hypothalamic amenorrhea (FHA) might be the reason behind your irregular periods or lack of menstruation, often triggered by stress, excessive exercise, or low body weight.
Contents
Understanding FHA
Functional hypothalamic amenorrhea (FHA) is a type of amenorrhea caused by stress, low energy from dieting, or too much exercise. This condition disrupts hormone signals from the brain to the ovaries, leading to missed periods. Women with FHA usually have low levels of estrogen and other hormones, which affects the menstrual cycle.
Diagnosing FHA
Doctors diagnose FHA by ruling out other causes of missed periods through blood tests and medical history. Key indicators include low levels of hormones like estrogen and a history of stress, weight loss, or excessive exercise. Imaging tests may also be done to make sure nothing else is causing the problem.

FHA's Impact on Health
FHA not only affects menstruation but can also lead to low bone density, increasing the risk of fractures. It might also cause infertility due to anovulation, where the ovaries do not release eggs. Addressing the root cause, such as increasing caloric intake and reducing stress, is crucial for recovery.
Frequently Asked Questions
FHA is a condition where stress and low energy cause missed periods.
Through hormone tests and exclusion of other medical conditions.
Yes, it can lead to low bone density and fractures.
Yes, by addressing lifestyle factors like diet and stress.
Wrapping Up
Understanding FHA and addressing its causes can help restore menstrual health and prevent further complications.
References
- Gordon CM, Ackerman KE, Berga SL, et al. Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2017; 102:1413.
- De Souza MJ, Nattiv A, Joy E, et al. 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013. Br J Sports Med 2014; 48:289.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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