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Old 03-21-2014, 08:14 AM #1
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Originally Posted by glenntaj View Post
--in 21 years at the age of 40?

Has that ever been looked into? There are many causes for this, but being very underweight is certainly a leading candidate--and that would mean a lot of hormonal abnormalities that could lead to many kinds of symptoms . . .
Yes, I have had everyone from my GP, OBGYN, Fertility Doctors, RH, Neurologist, and even alternative therapists look into the lack of menstruation. The official diagnosis is amenorrhea.

Recently, my new OBGYN pulled series of hormonal tests and my estrogen and progesterone came back unmeasurable they are so low. I considered birth control pills but decided not to add another "pill" into my body. The Tramadol and Linzess are doing enough damage for now! I am on synthroid for hypothyroidism. Now I am beginning to wonder if my thyroid stopped working because of low body weight as well...
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Old 03-21-2014, 11:16 AM #2
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Originally Posted by cat1234 View Post
Yes, pretty much all of my doctors have said at some point that I was on the thin side and could gain some weight. But nobody seemed overly concerned so I continued on my "merry" dieting way.
I've noticed in recent years that this has been a change in how doctors communicate with patients, and there have been articles and studies about it. When doctors act alarmed, disapprovingly, and/or scold patients, it tends to be off-putting, and some patients avoid their doctors out of fear of chastisement/embarrassment which can lead to un(der)treated health issues and further problems down the road. I've noticed the same change with dentists.

Mentioning/suggesting to patients is less "threatening" and often/usually results in better communication and cooperation, but some may think the doctor's casual attitude is unconcerned.

I think what that shows is that you can't win them all/danged if you do—danged if you don't, but the studies suggest that the milder approach works better for the greater number.

I'd love to cite the studies, but I admit I'm uncharacteristically winging this one from memory.

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Originally Posted by cat1234 View Post
The official diagnosis is amenorrhea.
Kinda meaningless.
Quote:
Amenorrhoea (BE), amenorrhea (AmE), or amenorrhœa, is the absence of a menstrual period in a woman of reproductive age.
....
Secondary amenorrhoea (menstruation cycles ceasing) is often caused by hormonal disturbances from the hypothalamus and the pituitary gland, from premature menopause or intrauterine scar formation.
http://en.wikipedia.org/wiki/Amenorrhoea
Which agrees with Glenntaj (cited causes notwithstanding), and what I was thinking. What's relevant is the reason for amenorrhea.

I also agree that it's not just about calories per se. Nerves—as well as muscles, bone, and other organs—must be fed the right things to stay healthy.

anorexia amenorrhoea neuropathy

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Last edited by Dr. Smith; 03-21-2014 at 07:03 PM. Reason: typo
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Old 03-21-2014, 07:22 PM #3
cat1234 cat1234 is offline
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Originally Posted by Dr. Smith View Post
I've noticed in recent years that this has been a change in how doctors communicate with patients, and there have been articles and studies about it. When doctors act alarmed, disapprovingly, and/or scold patients, it tends to be off-putting, and some patients avoid their doctors out of fear of chastisement/embarrassment which can lead to un(der)treated health issues and further problems down the road. I've noticed the same change with dentists.

Mentioning/suggesting to patients is less "threatening" and often/usually results in better communication and cooperation, but some may think the doctor's casual attitude is unconcerned.

I think what that shows is that you can't win them all/danged if you do—danged if you don't, but the studies suggest that the milder approach works better for the greater number.

I'd love to cite the studies, but I admit I'm uncharacteristically winging this one from memory.



Kinda meaningless.


Which agrees with Glenntaj (cited causes notwithstanding), and what I was thinking. What's relevant is the reason for amenorrhea.

I also agree that it's not just about calories per se. Nerves—as well as muscles, bone, and other organs—must be fed the right things to stay healthy.

anorexia amenorrhoea neuropathy

Doc
Interesting about the doctors. If I think about some of my past office visits, it would make sense. With patients like us, though, it would be more helpful just to be blunt and get it out there! That is much better than constantly second guessing what triggers symptoms.

On the nutritional end, I wonder what is good and what is bad for regeneration? I have looked at the sticky thread and there is just so much information plus everybody reacts differently to specific foods. I find that caffeine, artificial sweeteners and alcohol throws me off the edge.

I googled anorexia amenorrhea neuropathy and found some useful information so thank you for that.
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