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How to Solve Amenorrhea

by (1670)
Updated September 16, 2014 at 7:55 PM
Created October 11, 2012 at 2:49 AM

I am a bit befuddled as to why this has even happened. My doctor thinks that it is because I do not carry enough fat on my body, but I have to disagree. I may be athletic and lean, but I find myself at a health body weight of 105 and I am 5'2". I recently lost a some weight over the summer through training and walking a lot, but I am sure it wasn't all fat. My eating is very in tune as well. I eat 60% fat, 25% carbs (including greens) , 15% protein. Also, my lab results came back and everything looks fine, wonderful actually! My prolactin is in healthy range, my T3 is in the low-normal range which is good, and all else is adequate. The only wavering bit on my labs was my vitamin D level which looked a little low. I began supplementing with cod liver oil again last week so that should improve as well.

So what should I do to solve this?

My doctor thinks I need to eat more, but I think, why force feed myself when I simply am not hungry and at a weight where I feel happy and healthy?

I want to have children so I don't want to harm my body, though, so any help would really be appreciated.

Thank you!

EDIT: How long does it usually take after increasing carbs to see if it will return? I have now increased carbs to over 100g every day. What should my fat be, especially if my protein is about 100 g a day??

I have increased carbs and decreased fat, but it is hard to eat as many carb calories as fat calories and get what I need. I just want my period back-- never thought I'd have to say that.

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1173 · December 04, 2012 at 9:32 PM

did you recently stop hormonal birth control?

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1670 · November 28, 2012 at 2:45 AM

What is a good level for your prolactin to be at??

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1670 · November 22, 2012 at 9:58 PM

Yes. Estradiol was normal as well as all other female hormones which is why it's so befuddling.

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1670 · November 01, 2012 at 11:19 PM

wait how does cod liver oil correlate with this?

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11557 · November 01, 2012 at 2:21 PM

Yeah, it's less weight gain than people think usually- I had to gain maybe 6 lbs (all went into my breasts/hips/thighs) to menstruate again. Didn't look bigger just more "womanly".

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11557 · November 01, 2012 at 2:19 PM

Also, I might be in the minority, but cod liver oil made my menstruation HELL (its already bad, I'm waiting for endo testing). My period basically turned into passing clots and crying, so just be a bit careful.

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11557 · November 01, 2012 at 2:17 PM

Keep fat high, try different carb levels, don't stress about really high levels of protein or anything. Have you tried just letting strict ratios go and eating by approximation? Sometimes people combine stressing about eating with undereating for a not-very-conducive-to-a-happy-body combo.

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1670 · November 01, 2012 at 2:18 AM

How long does it usually take after increasing carbs to see if it will return? I have now increased carbs to over 100g every day. What should my fat be, especially if my protein is about 100 g a day???

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1670 · October 11, 2012 at 4:59 PM

My mom never had amenorrhea. She has hypothyroidism but I was completely fine in that respect with my TSH.

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1173 · October 11, 2012 at 5:36 AM

April I never asked you via FB but did you have your estradiol measured? mine is almost zero...definitely a sign that it is hypothalamic rather than related to PCOS, which usually has normal estrogen and high testosterone

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1670 · October 11, 2012 at 3:37 AM

Thanks you made me laugh too :)!

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649 · October 11, 2012 at 3:13 AM

Also, don't include greens in your carb intake at all. They aren't going to support a fetus.

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4 Answers

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649 · October 11, 2012 at 3:11 AM

This is a complicated issue. This is my take.

Please consider that "fat burning beast" mode, or ketosis or whatever, is sending your brain the message that you are starving even if you are eating a ton of coconut oil. Starvation isn't ideal for women's fertility. Sugar and insulin = fertility because they send the message to your brain that there is enough food that procreating is a safe thing to do. You may not have to gain even an ounce, but you should really consider changing up what you;re eating because it is not serving you well. Eat some carbs with EVERY meal. Fruit, tubers, eff it have some sticky mango rice grrl! Keep your total caloric intake the same just have less fat. Try it for 30 days. IT worked for me.

Also read this series: http://suppversity.blogspot.com/2012/09/the-female-athletes-triad-part-iii-how.html

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1670 · October 11, 2012 at 3:37 AM

Thanks you made me laugh too :)!

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649 · October 11, 2012 at 3:13 AM

Also, don't include greens in your carb intake at all. They aren't going to support a fetus.

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10653 · October 11, 2012 at 5:28 AM

Hey there, I have secondary amenorrhea. I didn't have a menstruation at all in 2011 and only had some light spotting in January of this year.

I had an eating disorder which my doctor thinks impacted my amenorrhea even more. Since I started menstruating in 2003, I would get my periods 4-6 months at a time or longer. I think mine is partly genetic because my mom said she also had irregular periods until she was 25-26. My FSH and LH were totally normal. I refuse to go on birth control or take anything that will mess with my hormones. I can only hope that by continuing to eat this way, my body will adjust itself but I figure I'm still repairing from my ED.

I've gained lots of weight and am about 19% body fat. Fat makes up most of my caloric intake ranging 40-60%. But I still don't have a regular period.

Although my mom is extremely fertile, I am slightly worried that it could be something serious such as PCOS. I have an appointment on Monday with an OBGYN to discuss my medical history to find probable causes of my amenorrhea. Did your mom experience amenorrhea as well?

Listen to your body and eat when you're hungry and don't force yourself. But maybe you could make do with upping your carbs.

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1670 · November 28, 2012 at 2:45 AM

What is a good level for your prolactin to be at??

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1670 · October 11, 2012 at 4:59 PM

My mom never had amenorrhea. She has hypothyroidism but I was completely fine in that respect with my TSH.

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1173 · October 11, 2012 at 5:36 AM

April I never asked you via FB but did you have your estradiol measured? mine is almost zero...definitely a sign that it is hypothalamic rather than related to PCOS, which usually has normal estrogen and high testosterone

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8042 · October 11, 2012 at 3:14 AM

I would check:

FSH/LH ratios (looking for PCOS) FBG and HbA1c for insulin resistance.

5 lbs of body weight may be all you need to tip the scales toward fertility.

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11557 · November 01, 2012 at 2:21 PM

Yeah, it's less weight gain than people think usually- I had to gain maybe 6 lbs (all went into my breasts/hips/thighs) to menstruate again. Didn't look bigger just more "womanly".

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1173 · October 11, 2012 at 5:36 AM

hey girl, I am in the same boat. did you have your estradiol measured?

also from what I have read, if you drop below what has been a weight setpoint for your body for much of your life, especially during puberty, your body might refuse to menstruate until you return to a similar weight. something about it being what your body is used to and apparently something we don't have control over like we would want to.

but that could be false...it's just what some people say

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1173 · December 04, 2012 at 9:32 PM

did you recently stop hormonal birth control?

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1670 · November 22, 2012 at 9:58 PM

Yes. Estradiol was normal as well as all other female hormones which is why it's so befuddling.

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