A 30-year-old athlete complains of amenorrhea for 1 year. Her BMI is 20 kg/m2. LH and FSH are in low normal range. Clinical and USG findings are normal. Most likely cause is:
Ans. is b, i.e. Excessive exerciseThis athlete has BMI =20kg/m2, i.e. she is underweightHer FSH and LH are in low normal rangeAll these findings point towards that either there is a problem in hypothalamus or pituitary.One of the causes of hypothalamic amenorrhea is excessive exercise which is the most probable cause in this case.
Depression
Excessive exercise
Premature menopause
Anorexia nervosa
Disorders in Menstruation