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The New Forms of Functional Hypothalamic Amenorrhoea

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Amenorrhea

Part of the book series: ISGE Series ((ISGE))

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Abstract

The main triggers of functional hypothalamic amenorrhoea are stress, weight loss, or excessive exercise, but the pathogenesis is not always immediately clear. This chapter highlights what is known about the pathophysiology of this form of menstrual dysfunction, as well as the steps for diagnostic evaluation, with a particular focus on less defined clinical situations as borderline energy deficiency, amenorrhoea that persists after weight recovery, and overlap of hypothalamic amenorrhoea with polycystic ovary syndrome.

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Author information

Authors and Affiliations

  1. University of Florence, Florence, Italy

    Vincenzina Bruni

  2. F.P. Florence, Florence, Italy

    Metella Dei

  3. F.P. Torino, Torino, Italy

    Simona Ambroggio

Authors
  1. Vincenzina Bruni
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  2. Metella Dei
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  3. Simona Ambroggio
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Editor information

Editors and Affiliations

  1. International Society of Gynecological Endocrinology, Pisa, Italy

    Andrea R. Genazzani

  2. Department of Gynecology and Reproductive Medicine, Karolinska University Hospital, Stockholm, Sweden

    Angelica Lindén Hirschberg

  3. Department of Obstetrics and Gynecology, University of Modena and Reggio Emilia, MODENA, Modena, Italy

    Alessandro D. Genazzani

  4. Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy

    Rossella Nappi

  5. Faculty of Medicine Clinic of Endocrinology Diabetes and Diseases of Metabolism, University of Belgrade University Clinical Center of Serbia, Belgrade, Serbia

    Svetlana Vujovic

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© 2023 International Society of Gynecological Endocrinology

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Bruni, V., Dei, M., Ambroggio, S. (2023). The New Forms of Functional Hypothalamic Amenorrhoea. In: Genazzani, A.R., Hirschberg, A.L., Genazzani, A.D., Nappi, R., Vujovic, S. (eds) Amenorrhea. ISGE Series. Springer, Cham. https://doi.org/10.1007/978-3-031-22378-5_4

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  • DOI: https://doi.org/10.1007/978-3-031-22378-5_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-22377-8

  • Online ISBN: 978-3-031-22378-5

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