hypothalamic amenorrhea deep dive: why your period might be missing
Fit to Live Podcast15 Tammi 2025

hypothalamic amenorrhea deep dive: why your period might be missing

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We are getting a little science-y today! In this episode, we talk all things amenorrhea with a large focus of the discussion on specifically functional hypothalamic amenorrhea. I am not a doctor and this is not intended to be medical advice or to diagnose you with HA. I just want to spread what I've learned, in hopes that it will help you too!

TIMESTAMPS BELOW.


1:30 important disclaimers

3:16 what does HA/FHA stand for?

3:37 amenorrhea 101

5:55 HA is not the only cause for amenorrhea

7:00 hypothalamic causes for amenorrhea

7:36 functional hypothalamic amenorrhea

8:51 menstrual cycle hormone signaling

11:38 GnRH as the initiator of reproduction

12:36 characteristics of FHA

13:50 individual differences

14:27 leptin & its interplay with FHA

17:15 stress & its interplay with FHA

20:43 impact of strenuous exercise + low energy availability

21:19 low estradiol & bone mineral density risk

25:55 the thyroid & its interplay with FHA

27:25 what's really the root cause here (tying it together)

29:20 short terms effects of HA

30:04 long term effects of HA

31:24 it's not just a missing period

31:30 research on amenorrheic subjects

32:30 can you be overweight and have FHA?

33:50 can you have FHA even if you're not clinically underweight?

34:50 common approaches to reversing the condition

35:08 how is FHA diagnosed? labs, etc!

37:11 when to look to PCOS instead

38:40 is FHA reversible?

much more to come on this topic - thanks for listening!!!

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