4

votes

What to do if Amenorrhoea strikes again?

Answered on August 19, 2014
Created March 17, 2012 at 3:37 AM

Apologies on the subject :)

About 2 months ago I recovered from being about 3.5kg (7 lb and 11.45 oz) underweight, and I regained my period after successfully gaining about 4/5 kilograms ( 9 lb and 14.73 oz) back into what I believe, for me is a healthy weight 50-51.5 kg ( 112 lb ) I'm 170 cm ( 5 ft 7 ) tall, and I am 16 years old ( and while normally getting period It either starts around the same time or earlier). I used to have an undereating tendency and have been skinny-ish for the most part of my life. My father is quite tall and skinny and the same for a few other members in the family, so I assume it's genetic

After recovering my period returned right around the usual day I would get my period. Now a month later, expecting my period to come, it's approx 3-4 days late Now I know this doesn't sound much, and that I probably shouldn't be worrying, but to ask in advance, If I get Amenorrhoea again, should I gain more weight? Or should I do something else? More fat?

Thank-you!

5f6acaa2591c41cc091fffd6e453c518

(203)

on March 18, 2012
at 06:41 AM

Thank-you for your responses! :)

518bce04b12cd77741237e1f61075194

(11577)

on March 18, 2012
at 02:34 AM

Some ladies do fine with a lighter body weight, the key is to have adequate fat stored and ready as a resource for regular menses. I've had friends very light that keep their menses, but it is only when they have enough fat, which is key.

518bce04b12cd77741237e1f61075194

(11577)

on March 18, 2012
at 02:26 AM

This is a really good point. One friend I'm thinking of, in particular, when she was diagnosed with Celiac initially gained back weight, but dropped off just because she was having a hard time eating enough calories without the carbs. Lost her period for a while until she figured out how to sneak in extra calories (olive oil all over veg, coconut milk smoothies etc)

5f6acaa2591c41cc091fffd6e453c518

(203)

on March 17, 2012
at 09:18 PM

When I was gaining weight I used fitday so I should probably use it again and when I first put in a normal day's worth of food while i was underweight I nearly fell off my chair! It was so little. Thank-you!

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 17, 2012
at 07:17 PM

Eugenia~ NOT toxic--in fact quite deficient. 45 nmol/L = 18 ng/ml. The conversion factor is 2.496 x ng/ml to get nmol/L.

3eca93d2e56dfcd768197dc5a50944f2

(11697)

on March 17, 2012
at 04:31 PM

Actually that number is close to being toxic. Most doctors would recommend anywhere between 50-90 ng/mL (unless our units are different).

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 17, 2012
at 01:56 PM

Oh, and I had regular menses at that weight.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 17, 2012
at 01:55 PM

I weighed 118 with a small frame at age 16, 5'6", so I agree that you need to add more weight.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 17, 2012
at 01:54 PM

Vitamin D is a hormone precursor and required for production of Progesterone, Estrogen and Testosterone. Actually 45 nmol/L is *very* deficient by the standards of the Vitamin D Council. Sufficiency would be 125-150 nmol/L.

Aa5e411ac90ac543cdb7d06a812a908d

(446)

on March 17, 2012
at 12:40 PM

Yes. I'm the same height, and twice in the past I've dropped my weight to ~60 kg with calorie counting and exercise. Both times I lost my period, only to get it back when I went up to 63-65 kg again. I'm not naturally skinny so you probably have a smaller frame than me, but 50 kg is not a healthy weight for your height. We're women, we need the body fat.

Aa5e411ac90ac543cdb7d06a812a908d

(446)

on March 17, 2012
at 10:41 AM

The subject is nothing to apologize for. Great question. Don't be ashamed to talk about menstruation or anything else regarding your health. :)

5f6acaa2591c41cc091fffd6e453c518

(203)

on March 17, 2012
at 04:32 AM

Thank-you! :) I'll check it out

5f6acaa2591c41cc091fffd6e453c518

(203)

on March 17, 2012
at 04:31 AM

Rarely, i'm not that-a great chef ;). I just started taking vitamin D after being mildly deficient at 45 nmol/L. and how does vitamin D3 affect fertility? Thank-you :)

5f6acaa2591c41cc091fffd6e453c518

(203)

on March 17, 2012
at 04:29 AM

I don't have access to sea vegetables and I follow a FODMAP diet so I stay away from sauerkraut but I do have some yogurt daily as I seem okay with it. I eat plenty of fish, mostly salmon and tuna, infact my B12 is a bit high :P. I'm definately not into artificial sweetners, I dislike the taste of them. Yep I do have fruit, particulary berries and occasionally grapes and banana. I cook with coconut and olive oil *depending on the heat* and I eat quite a bit of all natural coconut cream. I should try some local honey, but how come?

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4 Answers

5
9d43f6873107e17ca4d1a5055aa7a2ad

on September 07, 2013
at 12:44 AM

I would monitor caloric intake with Cron O Meter or Fitday. You might be surprised how easy it is to undereat on certain diets. You might have to resort to things that are normally not recommend on paleo forums (since most people struggle with overeating rather than undereating), such as smoothies, in order to boost your caloric intake. Calories calories calories is my mantra with menstruation issues.

5f6acaa2591c41cc091fffd6e453c518

(203)

on March 17, 2012
at 09:18 PM

When I was gaining weight I used fitday so I should probably use it again and when I first put in a normal day's worth of food while i was underweight I nearly fell off my chair! It was so little. Thank-you!

518bce04b12cd77741237e1f61075194

(11577)

on March 18, 2012
at 02:26 AM

This is a really good point. One friend I'm thinking of, in particular, when she was diagnosed with Celiac initially gained back weight, but dropped off just because she was having a hard time eating enough calories without the carbs. Lost her period for a while until she figured out how to sneak in extra calories (olive oil all over veg, coconut milk smoothies etc)

5
F92e4ca55291c3f3096a3d4d3d854986

(11698)

on March 17, 2012
at 12:22 PM

I understand that you're 16 so still growing, and that you come from a skinny family, but 112 lbs may still be less than your body needs to be. I'm sure you've done the calculation - it's a BMI of 17.5 which for an adult is definitely underweight.

Aa5e411ac90ac543cdb7d06a812a908d

(446)

on March 17, 2012
at 12:40 PM

Yes. I'm the same height, and twice in the past I've dropped my weight to ~60 kg with calorie counting and exercise. Both times I lost my period, only to get it back when I went up to 63-65 kg again. I'm not naturally skinny so you probably have a smaller frame than me, but 50 kg is not a healthy weight for your height. We're women, we need the body fat.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 17, 2012
at 01:55 PM

I weighed 118 with a small frame at age 16, 5'6", so I agree that you need to add more weight.

5f6acaa2591c41cc091fffd6e453c518

(203)

on March 18, 2012
at 06:41 AM

Thank-you for your responses! :)

518bce04b12cd77741237e1f61075194

(11577)

on March 18, 2012
at 02:34 AM

Some ladies do fine with a lighter body weight, the key is to have adequate fat stored and ready as a resource for regular menses. I've had friends very light that keep their menses, but it is only when they have enough fat, which is key.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 17, 2012
at 01:56 PM

Oh, and I had regular menses at that weight.

4
07c86972a3bea0b0dc17752e9d2f5642

on March 17, 2012
at 04:15 AM

I've struggled with amenorrhoea and the normal fluctuations in cycle length make me nervous as well. But they are just that, totally normal. Do your best to relax. I strongly reccomend you get the book "Taking Charge of Your Fertility," by Toni Weschler if you don't already have it. It explains how to recognize at what point in your cycle you are in, when you are ovulating, when you can expect your period and more. Tracking this is very easy and takes away much of the uncertainty and fear you get when your period is late.

5f6acaa2591c41cc091fffd6e453c518

(203)

on March 17, 2012
at 04:32 AM

Thank-you! :) I'll check it out

1
3eca93d2e56dfcd768197dc5a50944f2

(11697)

on March 17, 2012
at 04:06 AM

Not necessarily more fat, but more balanced food. For example, do you eat offal once a week, how about sea veggies like kelp? How about fermented foods like sauerkraut, maybe even some home-made goat kefir? Do you cook with coconut oil? Do you eat enough fish and shellfish? I hope you're not into artificial sweeteners, but you do have some fruit, and maybe some raw, unfiltered and local honey. How about bone marrow broths? Maybe some supplementation with a multi-vitamin (and D3, if you're not going out on the sun much), might help too.

3eca93d2e56dfcd768197dc5a50944f2

(11697)

on March 17, 2012
at 04:31 PM

Actually that number is close to being toxic. Most doctors would recommend anywhere between 50-90 ng/mL (unless our units are different).

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 17, 2012
at 07:17 PM

Eugenia~ NOT toxic--in fact quite deficient. 45 nmol/L = 18 ng/ml. The conversion factor is 2.496 x ng/ml to get nmol/L.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 17, 2012
at 01:54 PM

Vitamin D is a hormone precursor and required for production of Progesterone, Estrogen and Testosterone. Actually 45 nmol/L is *very* deficient by the standards of the Vitamin D Council. Sufficiency would be 125-150 nmol/L.

5f6acaa2591c41cc091fffd6e453c518

(203)

on March 17, 2012
at 04:29 AM

I don't have access to sea vegetables and I follow a FODMAP diet so I stay away from sauerkraut but I do have some yogurt daily as I seem okay with it. I eat plenty of fish, mostly salmon and tuna, infact my B12 is a bit high :P. I'm definately not into artificial sweetners, I dislike the taste of them. Yep I do have fruit, particulary berries and occasionally grapes and banana. I cook with coconut and olive oil *depending on the heat* and I eat quite a bit of all natural coconut cream. I should try some local honey, but how come?

5f6acaa2591c41cc091fffd6e453c518

(203)

on March 17, 2012
at 04:31 AM

Rarely, i'm not that-a great chef ;). I just started taking vitamin D after being mildly deficient at 45 nmol/L. and how does vitamin D3 affect fertility? Thank-you :)

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