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What Do Doctors Do?
It may be easy for girls with female athlete triad to keep their symptoms a secret because information about their periods and any damage done to bones usually isn't visible to friends and family. And lots of girls become very skilled at hiding their disordered eating habits.
A doctor may recognize that a girl has female athlete triad during a regular exam. An extensive physical examination is a crucial part of diagnosing the triad. A doctor who suspects a girl has female athlete triad will probably ask questions about her periods, her nutrition and exercise habits, any medications she takes, and her feelings about her body. This is called the medical history. Because poor nutrition can affect the body in many ways, a doctor might also test for blood problems and nutritional imbalances. Because osteoporosis can put a girl at higher risk for bone fractures, a doctor who suspects female athlete triad may also request tests to measure bone density.
Doctors don't work alone to help a girl with female athlete triad - coaches, parents, physical therapists, pediatricians and adolescent medicine specialists, nutritionists and dietitians, and mental health specialists all work together to treat the physical and emotional problems that a girl with female athlete triad faces.
It might be tempting for a girl with female athlete triad to shrug off several months of missed periods, but getting help right away is important. In the short term, a girl with female athlete triad may have muscle weakness, stress fractures, and reduced physical performance. Over the long term, a girl with female athlete triad may suffer from bone weakness, damage to her reproductive system, and heart problems.
A girl who is recovering from female athlete triad may work with a dietitian to help get to and maintain a healthy weight and ensure she's eating enough nutrients for health and good athletic performance. Depending on how much the girl is exercising, she may have to reduce the length of her workouts. Talking to a psychologist or therapist can help a girl deal with depression, pressure from coaches or family members, or low self-esteem and can help her find ways to deal with her problems other than restricting her food intake or exercising excessively.
Some girls with female athlete triad may need to take hormones to supply their bodies with estrogen so they can get their periods started again. In such cases, birth control pills are often used to regulate a girl's menstrual cycle. Calcium and vitamin D supplementation is also common for a girl who has suffered bone loss as the result of female athlete triad.
What If I Think Someone I Know Has Female Athlete Triad?
A girl with female athlete triad can't just ignore the disorder and hope it goes away - she needs to get help from a doctor and other health professionals. If your friend, sister, or teammate has signs and symptoms of female athlete triad, discuss your concerns with her and encourage her to seek treatment. If she refuses to seek treatment, you may need to mention your concern to her parent, coach, teacher, or school nurse.
Looking for ways to be supportive to your friend with female athlete triad? You may worry about being nosy, but don't: Your concern is a sign that you're a caring friend. Lending an ear may be just what your friend needs.
Tips for Female Athletes
Here are a few tips to help teen athletes stay on top of their physical condition:
Keep track of your periods. It's easy to forget when you had your last visit from Aunt Flo, so keep a little calendar in your gym bag and mark down when your period starts and stops and if the bleeding is particularly heavy or light. That way, if you start missing periods, you'll know right away and you'll have accurate information to give to your doctor.
Don't skip meals or snacks. You're constantly on the go between school, practice, and competitions, so it may be tempting to skip meals and snacks to save time. But eating now will improve your performance later, so stock your locker or bag with quick and easy favorites such as bagels, string cheese, unsalted nuts and seeds, raw vegetables, energy bars, and fruit.
Visit a dietitian or nutritionist who works with teen athletes. He or she can help you get your dietary game plan into gear and can help you determine if you're getting enough key nutrients such as iron, calcium, and protein. And, if you need supplements, a nutritionist can recommend the best choices.
Do it for you. Pressure from teammates, parents, or coaches can turn an activity you took up for fun into a nightmare. If you're not enjoying your sport, make a change. Remember: It's your body and your life. Any damage you do to your body now, you - not your coach or teammates - will have to live with later.
Updated and reviewed by: Steven Dowshen, MD
Date reviewed: October 2003
Originally reviewed by: Angela D. Smith, MD
