Are You Eating Enough to Get a Period?

Keto period or amenorrhea

Lost your period? You might just need to eat more. A lot more. Losing your period to undereating is called hypothalamic amenorrhea and is common, especially in women under thirty.

Unfortunately, hypothalamic amenorrhea can sometimes be misdiagnosed as polycystic ovary syndrome (PCOS) because both hypothalamic amenorrhea and PCOS can have “polycystic ovaries” on a pelvic ultrasound exam.

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If You’re Not Thinking About Ovulation, You’re Not Thinking About Health

Benefits of ovulation and ovulatory cycles.

This is my open letter to every clinician, personal trainer, and blogger who offers health advice without thinking about the importance of ovulation and natural ovulatory menstrual cycles.

Dear Sir,

Your restrictive dietary advice may cause young women to stop ovulating which is a problem because ovulation is how women make hormones.

That makes ovulation an essential part of human physiology and not just for making babies. Ovulation is not optional. Thank you.

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Is It PCOS or Hypothalamic Amenorrhea (Undereating)?

PCOS versus hypothalamic amenorrhea.

What is the difference between polycystic ovary syndrome (PCOS) and hypothalamic amenorrhea?

PCOS is the condition of androgen excess when all other causes of androgen excess have been ruled out. It can also cause irregular periods.

Hypothalamic amenorrhea (HA) is the loss of periods due to undereating. It can also present with mild acne, facial hair, and polycystic ovaries.

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PCOS Cannot Be Diagnosed (or Ruled Out) by Ultrasound

Polycystic ovary syndrome (PCOS) cannot be diagnosed by ultrasound because polycystic ovaries are not cysts. They’re follicles or eggs which are normal for the ovary.

It’s normal for all women to sometimes have a higher number of follicles. It’s normal for young women to always have a higher number of follicles because young women have more eggs. That’s why PCOS cannot be diagnosed by ultrasound. At the same time, PCOS cannot be ruled out by ultrasound because it’s possible to have normal-appearing ovaries on ultrasound and still have the hormonal condition PCOS.

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