What should I do if losing weight causes amenorrhea

Weight loss induced amenorrhea can be intervened through adjusting dietary structure, gradually recovering weight, supplementing key nutrients, psychological adjustment, and medical evaluation. Amenorrhea may be related to factors such as excessive dieting, low body fat percentage, hormonal imbalances, malnutrition, and mental stress.

1. Adjust dietary structure

Daily intake should be balanced with high-quality protein, healthy fats, and complex carbohydrates such as eggs, salmon, brown rice, etc., avoiding extreme low-carbon water or low-fat diets. Adding a small amount of nuts, avocados, and other foods to supplement essential fatty acids can help promote hormone synthesis. Consuming animal liver or blood products 1-2 times a week to prevent iron deficiency.

2. Gradual weight recovery

Body fat percentage should be restored to 18% or above, and monthly weight gain should not exceed 5% of original weight to avoid overeating and weight gain. By increasing 300-500 calories per day, it is recommended to prioritize high nutrient density foods such as quinoa and chickpeas. People with underweight need to cooperate with resistance training to improve body composition and reduce muscle loss.

3. Supplement key nutrients

Focus on supplementing vitamin D3, vitamin E, and B vitamins. Patients with nutritional amenorrhea can use hormone drugs such as estradiol valerate tablets and progesterone capsules according to medical advice. Daily consumption of plant-based estrogens such as flaxseed and black sesame seeds, and if necessary, oral administration of compound amino acid chelated calcium capsules to prevent osteoporosis.

4. Psychological adjustment

Long term eating disorder patients need cognitive-behavioral interventions to reduce anxiety about weight numbers. Establish a regular eating rhythm and avoid excessive exercise compensation. If amenorrhea exceeds 3 months, it can be recuperated with traditional Chinese patent medicines and simple preparations such as Motherwort Granules, but organic diseases should be excluded.

5. Medical evaluation

If menstrual bleeding still persists after 6 months of dietary adjustment, it is necessary to check the levels of anti Mullerian hormone and follicle stimulating hormone, and exclude pathological factors such as polycystic ovary syndrome and pituitary microadenoma. Gynecological ultrasound can evaluate endometrial thickness, and if necessary, use clomiphene citrate tablets for ovulation induction treatment.

It is necessary to maintain moderate exercise such as low-intensity activities like yoga and swimming in daily life, and avoid high energy consuming activities like marathons. Record the basal body temperature curve every month to monitor hormone fluctuations, and sleep for no less than 7 hours. Short term use of Danggui Yangxue Gao can assist in regulation, but it is important to note that weight recovery is the core intervention measure. If accompanied by symptoms such as hair loss and palpitations, it is recommended to prioritize seeking treatment at the endocrinology department.