RESUMO
Amenorrhea is a hallmark sign of anorexia nervosa. Its cause is multifactorial and its resolution necessitates treatment of the underlying eating disorder. The neuroendocrine changes associated with menstrual abnormalities in underweight and weight recovered anorexia nervosa, recent research on osteopenia, and treatment recommendations are addressed.
Assuntos
Anorexia Nervosa/complicações , Distúrbios Menstruais/etiologia , Distúrbios Menstruais/fisiopatologia , Adolescente , Adulto , Anorexia Nervosa/diagnóstico , Densidade Óssea , Doenças Ósseas Metabólicas/etiologia , Exercício Físico/fisiologia , Feminino , Humanos , Doenças Hipotalâmicas/etiologia , Leptina/fisiologia , Fatores de RiscoRESUMO
Menarche is an important event during adolescence. For most girls, it marks successful progression through puberty and the onset of reproductive capability. Confidential and sensitive discussion of growth and development, body image, menstrual function, and sexual behavior is an important component of the annual health examination. Menstrual problems are common during adolescence and frequently require evaluation and intervention. Although most problems are explained by maturation of the hypothalamic-pituitary-ovarian axis, organic pathology must always be considered and excluded in a logical and cost-effective manner.
