Losing weight can lead to endocrine disorders and menstrual disorders

Losing weight may lead to endocrine disorders and amenorrhea, commonly caused by insufficient energy intake due to excessive dieting or vigorous exercise. Amenorrhea is usually associated with functional inhibition of the hypothalamic pituitary ovarian axis, mainly influenced by factors such as rapid weight loss, low body fat percentage, nutritional deficiency, increased mental stress, and metabolic disorders.

1. Rapid weight loss

A short-term weight loss of more than 10% may interfere with the secretion of gonadotropin-releasing hormone, leading to follicular development arrest. accompanied by a decrease in basal metabolic rate and symptoms of chills, it is necessary to gradually restore a balanced diet, with a daily calorie intake of no less than 1200 calories, and prioritize supplementing high-quality protein such as eggs and fish.

2. Low body fat percentage

When a woman's body fat percentage is below 17%, the level of leptin synthesized by adipose tissue is insufficient, which affects the secretion of luteinizing hormone pulses. Symptoms such as dry skin and hair loss may occur, which can be improved through muscle building training combined with healthy fat intake such as nuts and avocados.

3. Nutritional deficiency

Iron deficiency inhibits hemoglobin synthesis, while zinc deficiency affects sex hormone metabolism. Typical symptoms include fatigue and cracked nails. It is recommended to test serum ferritin levels, consume moderate amounts of red meat and animal liver, and if necessary, follow medical advice to use dextran iron tablets and zinc gluconate oral solution.

4. Increased mental stress

Long term calorie deficit can increase cortisol levels and inhibit hypothalamic function. When accompanied by insomnia and anxiety, it is necessary to adjust the weight loss rate to within 0.5 kilograms per week, try a mindful diet, and if necessary, use Guweisu tablets to regulate autonomic nervous system function.

5. Metabolic disorders

Improper weight loss in patients with polycystic ovary syndrome may exacerbate insulin resistance, leading to acne and hirsutism. Blood glucose and androgen levels need to be monitored, and drugs such as metformin sustained-release tablets and spironolactone tablets should be used in combination under the guidance of a doctor.

It is recommended to adopt a gradual weight loss strategy, with a weekly weight loss of no more than 1 kilogram, ensuring that daily intake of grains, high-quality protein, and vegetables each account for one-third of the plate. If amenorrhea occurs for more than 3 months, medical examination of six sex hormones and thyroid function is required to rule out organic diseases such as pituitary microadenoma. During the recovery period, you can practice soothing exercises such as yoga and eight dan brocade, and avoid high-intensity interval training.