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The Link Between Amenorrhea and Anorexia: Understanding the Dangers


Amenorrhea, the absence of menstrual periods, can be a distressing symptom for any woman. However, when amenorrhea is caused by anorexia nervosa, a severe eating disorder, the dangers become even more pronounced. In this blog post, we will delve into the risks associated with amenorrhea due to anorexia and shed light on the critical importance of recognizing and addressing this dangerous combination.

The Relationship between Amenorrhea and Anorexia:

Amenorrhea resulting from anorexia nervosa is classified as a secondary amenorrhea. Anorexia nervosa is characterized by a distorted body image, an intense fear of gaining weight, and restrictive eating habits. The extreme reduction in calorie intake and nutritional deficiencies associated with anorexia can disrupt the delicate hormonal balance required for regular menstrual cycles. This is because your body believes that you’re in grave danger, and it attempts to protect you. Shutting down your reproductive cycle helps to conserve energy for necessary body functions.

Dangers of Amenorrhea Due to Anorexia:

1. Hormonal Imbalances and Reproductive Health:

Anorexia-induced amenorrhea disrupts the normal functioning of the hypothalamic-pituitary-ovarian axis, which governs the menstrual cycle. Severely restricted caloric intake and inadequate nutrition lead to hormonal imbalances, including decreased levels of estrogen. Prolonged amenorrhea resulting from anorexia can impair fertility, making it challenging for women to conceive. Additionally, irregular or absent periods can serve as a warning sign of an underlying eating disorder that requires urgent attention. One of the easiest ways to gain your period back is by simply gaining weight which is also a likely way of regaining fertility.

2. Bone Health Complications:

Amenorrhea due to anorexia poses a significant threat to bone health. Low estrogen levels resulting from restricted food intake and amenorrhea contribute to decreased bone mineral density. This raises the risk of osteoporosis, a condition characterized by weakened bones and increased susceptibility to fractures. Young women with anorexia-induced amenorrhea are particularly vulnerable to these bone health complications, as their bodies are still developing and building peak bone mass.

3. Cardiovascular Risks:

Anorexia nervosa, compounded by amenorrhea, can have detrimental effects on the cardiovascular system. The severe malnutrition associated with anorexia can lead to a weakened heart muscle, low blood pressure, electrolyte imbalances, and arrhythmias (irregular heart beat). Reduced estrogen levels further contribute to an unfavorable lipid profile, insulin resistance, and increased risk of cardiovascular diseases such as heart disease and high blood pressure.

4. Psychological Impact:

The interplay between anorexia nervosa and amenorrhea can significantly impact a person's mental well-being. The absence of periods may reinforce distorted beliefs about body image and reinforce disordered eating behaviors. This can lead to a vicious cycle of negative self-image, depression, anxiety, and a further exacerbation of the eating disorder. The psychological toll of anorexia-induced amenorrhea requires comprehensive treatment that addresses both the physical and emotional aspects of the condition.

Seeking Help and Treatment:

Recognizing the dangers of amenorrhea due to anorexia is crucial for both individuals experiencing this condition and their loved ones. Timely intervention is critical to address the underlying eating disorder and its effects on reproductive health, bone density, cardiovascular well-being, and mental health. Treatment approaches typically involve a multidisciplinary team, including medical professionals, dietitians, therapists, and support groups. A comprehensive treatment plan may include nutritional rehabilitation, counseling, cognitive-behavioral therapy, and, in severe cases, medical intervention.


The link between amenorrhea and anorexia nervosa highlights the profound dangers associated with this combination. From hormonal imbalances and reproductive health complications to increased risks of bone health issues and cardiovascular diseases, the impact of anorexia-induced amenorrhea can be devastating. It is imperative to raise awareness, promote early detection, and provide comprehensive treatment to address both the physical and psychological aspects of this complex condition. By doing so, we can strive towards supporting individuals in their journey to recovery and restoring their overall health and well-being.

Message to the Reader:

Friend, this is a message that your body is so much more than something to look at. Your body can grow a whole human being, it can run, jump, play. Your body supports you when you are going on a walk with friends. It enjoys food with family. Your body allows you to play musical instruments and create beautiful art. Nourish it, take care of it. Treat your beautiful, strong, and wonderful body with respect for all it allows you to experience.

With much love,

Anna :)

“Go, eat your bread with joy, and drink your wine with a merry heart; for God has already accepted your works.”

Ecclesiastes 9:7

“Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more than food, and the body more than clothes? Look at the birds of the air; they do not sow or reap or store away in barns, and yet your heavenly Father feeds them. Are you not much more valuable than they?

Matthew 6:25-26



Anna is a current intern for Live RecoverED. She is an undergraduate student athlete at Concordia University, St. Paul studying exercise science with hopes to become a Physical Therapist and competing in cross country and track and field. When not working, Anna enjoys spending time with friends and family on the lake and learning new songs on the guitar.

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