Exercise, But Make It Balanced: Avoiding FHA
Published: Aug 22, 2024
Exercise is great for health, but too much or too little can disrupt your menstrual cycle. Discover how to find the right balance to prevent functional hypothalamic amenorrhea (FHA).
Exercise: Friend or Foe?
While exercise has numerous health benefits, excessive training without adequate nutrition can be a risk factor for FHA. Female athletes, especially those in endurance sports, are at higher risk when energy expenditure outpaces intake. Balancing exercise with nutrition is key to maintaining menstrual health.
The Female Athlete Triad
The 'female athlete triad' is a condition that includes low energy availability, menstrual dysfunction, and decreased bone density. Athletes with FHA often fall into this triad, showing how interconnected exercise, diet, and reproductive health are. Addressing these areas can help prevent long-term health issues.

Frequently Asked Questions
It's a combination of low energy, menstrual issues, and low bone density.
Yes, especially if not balanced with proper nutrition.
Ensure adequate caloric intake to match exercise levels.
Endurance sports like running and swimming.
Yes, by balancing energy intake and expenditure.
Wrapping Up
Striking the right exercise-nutrition balance is crucial for menstrual health.
References
- Otis CL, Drinkwater B, Johnson M, et al. American College of Sports Medicine position stand. The Female Athlete Triad. Med Sci Sports Exerc 1997; 29:i.
- Nattiv A, Loucks AB, Manore MM, et al. American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc 2007; 39:1867.
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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