What's the best way to manage athletes with amenorrhea?
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Ruling out secondary causes of amenorrhea is, of course, the first step. Once that's done, you can make a presumptive diagnosis of hypothalamic amenorrhea and advise the patient to increase caloric intake or decrease energy expenditure to promote the return of normal menses (strength of recommendation: C, expert consensus).
Journal of Family Practice, 57(11) 2008: 749-750.
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