WEIGHT RELATED AMENORRHEA
Female athletes, runners, ballet dancers are under constant stress and performing strenuous exercise. They have high level of corticotropin releasing hormone (CRH). The levels of ACTH cortisol and endogenous opioids are high. Leptin levels are low. CRH directly inhibits GnRH secretion via raised endogenous opioids. They are more likely to develop amenorrhea due to decrease in GnRH pulse frequency. According to body weight hypothesis, body weight should be above critical level to achieve menarche and regular menstruation. To achieve menarche, body fat should reach 17 percent of the body weight. And for regularity of menstruation body fat should be maintained at least at 22 percent.
Reduction of body fat by about one-third will result in menstrual abnormality. Menstruation becomes irregular when the BMI is < 19 kg/m2. These subjects are hypoestrogenic and have got elevated prolactin and cortisol level. Leptin level is found low.
HOMEOPATHIC MANAGEMENT OF WEIGHT RELATED AMENORRHOEA: -
The medicines that can be thought of use are:-