How does stress affect the menstrual cycle?

How does stress affect the menstrual cycle?

Many women know intuitively that stress has an impact on their period. But what is stress and how does stress affect the menstrual cycle?

We usually associate stress with particular situations, such as losing a loved one, an intense break up or an overwhelming work schedule. But stress can come in many other less obvious forms:

  • Positive life events e.g. relocating, changing jobs, moving house, having a baby
  • Exercise e.g. exercising too often or too intensely
  • Diet e.g. not consuming enough energy or nutrients
  • Self talk e.g. a loud inner critic, feeling unworthy or inadequate
  • Environmental stressors e.g. chemicals in food, cleaning products, toiletries

All of these things add up to create your stress load. In this fast paced world we live in it can be a lot! Whether they realise it or not, most women today are living with a high stress load. This is one leading factor in many of the menstrual cycle issues we are seeing. Stress can contribute to painful periods, excessively heavy bleeding, irregular or missed periods and unexplained infertility. It may also be implicated in other conditions such as PCOS and endometriosis.

How does stress affect the menstrual cycle?

When we are in a stressful situation, we release stress hormones to help us deal with the task at hand. The most well known stress hormones are cortisol and adrenaline which increase blood sugar and blood pressure giving us that “pumped up” feeling. Every morning a spike of cortisol wakes us up then levels should gradually decrease until the evening so that we can get a good nights’ sleep.

However, when we are under stress we can end up with chronically high levels of cortisol. How does stress affect the menstrual cycle? Alexandra Pope and Sjanie Hugo Wurlitzer, authors of the book Wild Power, call the menstrual cycle our “stress sensitive system”. Menstrual issues are like the canary in the coal mine to let us know that something is out of balance within the body. Before we realise it consciously, our bodies are keeping the score.

Stress and your hormones

Our hormonal system is one big interconnected web of chemical messengers. A chronic increase in stress hormone production sets off a hormonal domino effect in the body via the HPO (hypothalamic-pituitary-ovarian) axis. When stress hormone levels are high, the sex hormones which control our menstrual cycle can also be affected. This can lead to changes in the length of your cycle and can also contribute to period pain, PMS symptoms and infertility (Reference).

Dr Claudia Welch, author of Balance your Hormones, Balance your Life calls our sex hormones the “yin hormones” and stress hormones the “yang hormones”. Yin hormones are nourishing, calming and promote wellbeing, healing and fertility. Yang hormones are heating and promote activity and survival. When your body perceives stress, survival is the number one priority and having babies comes way down the list. For this reason it puts producing stress hormones ahead of sex hormones and stress can affect the menstrual cycle.

Can stress cause your period to be late?

Stress can cause your period to be late by delaying ovulation. If cortisol levels are high and this disrupts the normal sex hormone production, ovulation will not occur. Often, the body will have a “second attempt” at ovulation a few days later. The luteal phase (the time between ovulation and your period) is consistent for each women between 10 and 14 days. So if ovulation is delayed due to stress, your period will also be delayed.

Can you have a missed period from stress?

In the same way that stress can cause a delayed period, it can also cause you to miss a period altogether. It really depends on your body and how it perceived and handles stress. Most of the time, a missed period is nothing to worry about. With short term stress, menstruation should return as usual the following month when the stressor has passed.

However, when stress continues over a long period of time and menstruation is stopped for 6 months or more, this is known as Hypothalamic Amenorrhea. Many women who experience Hypothalamic Amenorrhea engage in chronic dieting or high intensity exercise. It can also happen in women who are under chronic stress from any of the things on the list above.

Stress and pre-menstrual symptoms

The pre-menstrual phase can be the most difficult part of the menstrual cycle for many women. It’s often when we feel at our most vulnerable emotionally and may be experiencing fatigue and other physical symptoms. When we are under stress these physical and emotional changes can be ramped up, in some cases leading to severe PMS.

As we move towards menstruation, there is this natural call to retreat within ourselves. We tend to become less outward focused, more introverted and less motivated for work or intense physical activities. If we are under stress and we can’t align with this natural shift in pace or if we allow the shoulds and shouldn’ts of the mind to come before the wisdom of the body, we can get into trouble.

The body can fight back with all the weapons it has at it’s disposal – period cramps, mood swings, intense fatigue and exhaustion just to name a few. Often these symptoms are a message that it is all just too much and that is perfectly ok. The last thing we want to do is judge or criticise our bodies for being this way. This only adds to the stress load and can worsen the response.

What to do if stress is affecting your menstrual cycle

The first thing to do is to take a moment to P A U S E.

Grab a journal or use the notes app in your phone to keep track of your stress levels and stressors on a daily basis. When do you feel agitated, rushed, overwhelmed, exhausted or inadequate? Are there particular situations, places or people that are contributing to your stress? Could your current lifestyle be increasing your stress levels? Take your time and get very clear on the big picture of your life.

Once you have identified the the stress which could be affecting your menstrual cycle, it’s time to make a plan. Are there any stressors which can be eliminated from your life? For the ones that can’t, is there a change in approach or perspective which could reduce the stress this thing causes you? Are there any lifestyle changes which could make your life more easeful and nourishing?

Finally, it’s important to have tools to support you in “emptying your stress cup”. This is unique to you but here are a few of my suggestions:

All of these activities can help you to get out of over thinking busy mode and into your body. They help to soothe your nerves and bring your nervous system into a relaxed state. Your body knows how to heal and restore balance when it is given the space.

Over to you…

If you would like to work with me 1-2-1 to balance your hormones and improve your health, contact me to set up a free discovery call. I am a nutritionist, yoga teacher and women’s wellness coach. We will create a plan tailored to your individual needs and vision for your health. I will then be there for support, guidance and accountability as you work towards your goals!

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Powerful Hypothalamic Amenorrhea recovery signs to look out for

It’s been over 5 years since I recovered my natural cycles after 8 years of missing periods aka Hypothalamic Amenorrhea (I explained what that is in this post). I remember feeling like I was doing all the right things to recover and just waiting for my period to return. It can be a long wait full of uncertainty and sometimes you just want a sign you are on the right track. So today I want to share a few Hypothalamic Amenorrhea recovery signs that indicate your body is healing and your period may be about to arrive!

Physical Hypothalamic Amenorrhea recovery signs

Part of the Hypothalamic Amenorrhea recovery process is reconnecting with your body. With all of my clients, not just women who want to recover their periods, body awareness meditations play a key role. It’s so easy to become disconnected from our bodies and their needs. This can happen due to working in front of a computer all day leading to numbness. We can also experience disconnection when we deny our bodies’ needs for too long e.g. chronic dieting or pushing through fatigue. One of the key Hypothalamic Amenorrhea recovery signs is feeling reconnected with your body and it’s sensations.

In general, this can mean knowing absolutely when you are hungry, thirsty or tired and exactly what you need. This might sound obvious to some but I am sure many of you understand how it feels to “lose touch” with your body. During Hypothalamic Amenorrhea you can feel so unsure and no longer trust the signals your body is sending you. Especially if you start the recovery process and feel that your appetite is out of control or you need to sleep all of the time. Building this trust with your body and accepting everything is so important to recovering your periods.

More specifically, experiencing sensations in the area of your womb is one of the most powerful Hypothalamic Amenorrhea recovery signs. If you are connected through this part of your body (e.g. through practicing regular womb meditations and breathwork) you will feel when the energy of your womb and sacral chakra come back online before your first period arrives. This can feel like tingling, warmth, heaviness or any other subtle sensation. It’s a deep inner knowing that comes via the physical body and makes you realise what a powerful energetic being you are!

woman suffering from a stomach pain
Photo by cottonbro on Pexels.com

Emotional Hypothalamic Amenorrhea recovery signs

As well as physical changes, you will also likely experience emotional changes during the recovery process. Again there are two facets to this. Generally, one of the Hypothalamic Amenorrhea recovery signs is feeling more emotionally stable day to day. Recovery can be a bumpy road where you experience a rollercoaster of emotions. Sometimes you can feel worse than before you started and that’s ok. Deciding to recover your period can bring up a lot of “stuff” as you face fears and challenge your beliefs.

What I experienced personally and see in other women is that once our hormones start to balance out and our period is due to arrive, some of this instability settles down. Partially this is due to a calming of the nervous system once you are well nourished and energy balance is restored. Less mental chatter around food and body weight fears will mean you experience less anxiety and feel calmer overall as you progress through your recovery. Your body and mind reach an equilibrium and it can be such a relief.

a person sitting on wooden planks across the lake scenery
Photo by S Migaj on Pexels.com

That said, another of the Hypothalamic Amenorrhea recovery signs is experiencing pre-menstrual symptoms. You might notice some long forgotten signs of feeling moody or irritable and wonder why. This can be particularly surprising if you have started to feel much better emotionally during recovery. It’s important to watch out for a period of feeling not yourself as this could be a sign that your period is about to arrive. Often, we don’t realise until afterwards that it was hormonal changes leading to us feeling off. But as a positive, cyclical mood changes can be a sign that your body is gearing up to menstruate again.

Measurable Hypothalamic Amenorrhea recovery signs

Finally, for those of you who like to track and measure things, one of the Hypothalamic Amenorrhea recovery signs which is measurable is Basal Body Temperature (BBT). Often during Hypothalamic Amenorrhea, your metabolic rate is lower. Your hypothalamus detects that not enough energy is coming in and turns down the metabolic dials. This is what causes your reproductive hormones to shut down but your metabolic rate also decreases so that you waste less energy as heat.

This can mean that your core body temperature drops from the usual 36.6°C to less than 36°C. I explained more about this in a previous post about signs of a low metabolism. So tracking your BBT under the arm or tongue a few times a week can be a good way to keep an eye on your healing process. Ideally, you want your BBT to reach 36.6°C first thing in the morning before eating anything. If you are resting and eating enough food to restore your hormones, this should happen naturally over time.

Another interesting pattern to watch out for is a sudden rise in BBT. All ovulating women experience this temperature shift each cycle. After ovulation the body temperature can rise by around 0.5°C and remain there until menstruation. This is how the fertility awareness method works to identify ovulation and therefore fertile windows. Towards the end of my recovery process I downloaded a menstrual cycle tracking app to record by BBT. Before my first period I noticed this sudden and sustained shift in temperature and I got so excited as I knew I was on the right track and my first followed 2 weeks later!

Summary

I hope that understanding these Hypothalamic Amenorrhea recovery signs gives you confidence in your recovery process. I know how hard it can be to trust your body and wait but I promise you can heal. Your body is a powerful healing machine that it is designed to find balance once it has the right conditions. Keep listening and responding again and again. Build that connection with yourself and your physical body and wait for the miracle to occur. I promise it will be worth it!

Not sure what to eat to recover your period? Check out my period recovery meal plan!

Over to you…

If you would like to work with me to balance your hormones and improve your health, contact me to set up a free 15 minute discovery call. I am a nutritionist, yoga teacher and women’s wellness coach. We work together using a combination of modalities to support your individual needs and help you to feel your best.

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Period recovery meal plan

THE Hypothalamic Amenorrhea recovery meal plan

It’s been a bit quieter around here for a while, and for a very good reason! For a long time I have wanted to create a tool to support women to recover their missing periods. I know that changing my diet was one of the hardest things parts of my period recovery journey. So, my secret project for the last couple of months has been creating a Hypothalamic Amenorrhea recovery meal plan!

I am so excited to finally have this ready to share with you. Hopefully it will be a helpful tool for you on this exciting but challenging journey of getting your period back. I know that a large percentage of my readers are women who are were I was 5 years ago. At that time I was trying to get my period back after 8 years of Hypothalamic Amenorrhea. I have also shared many posts previously about why your periods can stop and how to get your period back.

When I finally realised that my “healthy” diet and workout regime was the reason for my missing periods I was stunned. I remember being extremely confused and so unsure of how to eat more after years of restricting how much and what I ate. I swung between restriction and binge eating on processed foods more times than I can remember. I’d feel ashamed of my huge appetite and couldn’t understand why my meals weren’t satisfying.

Back then I would have loved to have a Hypothalamic Amenorrhea recovery meal plan to guide me. I even went back to university to study nutrition and spent countless hours researching nutrition, metabolism and hormonal health to figure it all out! Then I trained to become a Women’s Wellness Coach because I was determined to use this experience to help other women. So I am very happy to finally be able to offer your this period recovery meal plan where I have done the hard work for you.

What does the Hypothalamic Amenorrhea recovery meal plan include?

The Hypothalamic Amenorrhea recovery meal plan is 38 pages long and split into 10 sections:

I have created 20 simple recipes and combined these into a 7 day Hypothalamic Amenorrhea recovery meal plan to inspire you on your period recovery journey. As I highlight in the book, I am a Nutritionist and not a Chef. For this reason, all meals are super easy to make and take less than an hour to prepare. The recipes use cheap and easily accessible ingredients that you will find in your local supermarket. No expensive superfoods needed!

I have based this meal plan on a minimum of 2500 calories per day. This is the recommendation of Dr Nicola Rinaldi, researcher and author of No Period Now What. I highly recommend purchasing her book for more on the science of Hypothalamic Amenorrhea and the recovery process. Yes 2500 calories can sound scary if you are coming from the world of diet culture. I explain why this minimum energy intake is necessary within the guide.

How was the Hypothalamic Amenorrhea recovery meal plan designed?

I have carefully designed the meal plan to ensure that each meal and snack is energy dense. Each one contains a balance of macro-nutrients i.e. carbohydrates, fats and proteins which each have an important role in your hormonal and metabolic health. This is to provide your body with the fuel and building blocks it needs to recover your hormones and restore your period.

In addition, I have chosen a wide variety of foods throughout the Hypothalamic Amenorrhea recovery meal plan. This is to maximise the micro-nutrient intake and ensure that your nutritional needs are met. Nutritional rehabilitation is a major part of recovering your period if it has gone missing due to under eating, over exercising or excessive stress. Therefore this was an important element when designing the period recovery meal plan.

You want your body to finally feel safe and nourished. I hope that the recipes in the Hypothalamic Amenorrhea recovery meal plan will do just that! The plan is designed around whole, unprocessed foods with a high nutrient density. Not because these are the ONLY foods you should eat. Rather to give a strong nutritional foundation from which you can play around with other foods.

It is designed to inspire you and give you a launch pad from which you can get creative. The sample 7 day period recovery meal plan includes different recipes for each meal, every day of the week. However you can use the 20 recipes in which ever way you choose. Personally I like to consume the same lunch and breakfast for a whole week to make meal preparation easier. Then I switch it up to ensure variety throughout each month.

I have provided a full macro and micro nutrient breakdowns of the 7 day meal plan. Additionally, each recipe comes with a summary nutrient breakdown in EU label style. I know not everyone likes to focus on numbers. However it can be a useful tool to understand how different foods can support your body. Full macro and macro nutrient breakdowns for each recipe are available as additional pdfs.

Will I definitely get my period back if I follow this meal plan?

Of course there can never be any guarantee that you will get your period back. I would be lying if I told you that. However it is very possible and so many women have made this journey to regain their natural cycle even after many years of Hypothalamic Amenorrhea. It is important first to confirm the diagnosis your doctor. You want to rule out any other medical issues which could be causing your missing period. The rates of recovery for confirmed Hypothalamic Amenorrhea are very promising when following a healing lifestyle.

A survey concluded that after making lifestyle changes (including adopting a period recovery diet and reducing exercise), 57% of women recovered their period within 6 months. For some women the process can take longer, sometimes up to 2 years. What I can say is that regardless of the outcome, adopting the period recovery diet will NOURISH you. Eating this way will ensure that your body gets plenty of energy from nutrient dense source. This will improve your overall health and vitality, not just your hormones!

Remember to focus on the process and not the outcome. Your body is intelligent and knows how to heal itself when it has the resources it needs.

How can I purchase the Hypothalamic Amenorrhea recovery meal plan?

So, is this is something you are interested in? Would you like to invest in the Hypothalamic Amenorrhea recovery meal plan as a tool for your period recovery journey? Well I have an exciting offer until the end of the year! I will be selling the plan at a discounted price until 31/12/2022. So if you want to have this as a tool for the new year to start or continue your period recovery journey then go ahead and grab your copy now.

NOTE – If you have any questions about the meal plan, you can email me or leave a comment below. If you do purchase the plan and you find it helpful, I encourage you to please leave a review and to share the product link with other ladies who might benefit from this tool.

Over to you…

If you would like to work with me to balance your hormones and improve your health, contact me to set up a free 15 minute discovery call. I am a nutritionist, yoga teacher and women’s wellness coach. We work together using a combination of modalities to support your individual needs and help you to feel your best.

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Can you get your period back following a vegan diet?

One of the questions I am often asked by women who are trying to heal from Hypothalamic Amenorrhea and recover their period is whether it’s possible to heal your hormones and regain a healthy menstrual cycle whilst still following a vegan diet. If you haven’t read my previous posts on the HA recovery diet and how I got my period back, I’d recommend to check those out first before going ahead with this one because I explain all about the factors that can cause your period to disappear or become irregular and the strategy to recover. This is a topic I have researched extensively over the years and I have personal experience with so I wanted to share my advice from a public health nutrition perspective.

So to return to the initial question: can you get your period back whilst following a vegan diet? The short answer is yes, it’s absolutely possible and I did it myself. After watching documentaries about the environmental impact of animal agriculture and the health benefits of a vegan diet I was committed and I chose to maintain my vegan diet whilst trying to recover my period. I did manage to get my period back after 4 months of going “all-in” with my diet and no exercise so it is definitely possible! However does this mean I recommend a vegan diet to my clients or that I believe a vegan diet is optimal when try to get your period back? Definitely not! In fact I am no longer vegan and although I have no regrets, if I could go back in time with the information I have now I would definitely choose differently. Here are a few reasons why…

1. Calories

One of the important factors for many women with Hypothalamic Amenorrhea is eating enough calories. When you lose your period due to an energy imbalance, i.e. not eating enough to support your activities, increasing your energy intake is very important. You can definitely do this on a vegan diet simply by eating more food but as many plant-based foods are more calorie dilute this can be a struggle! Especially if you eat a lot of fruit and vegetables, starchy carbs and legumes which all have a high amount of water and fiber, you might find that you get full before you consume the amount of calories that your body really needs. This makes a plant-based diet great for weight loss but not so much when boosting your energy intake is your goal.

Of course, you can add in more energy dense vegan foods such as nuts and seeds, nut butters, oil and processed foods which take up less space in your stomach and are easier on your digestive system, but in my experience, bloating and other digestive issues are likely even when consuming the minimum calorie intake for healing your hormones. Actually I had forgotten how it felt not to be bloated until I finally reduced the amount of fibre I was consuming from beans, vegetables and nut butters. If you are extremely committed to recovering your period on a vegan diet, you can opt for easy to digest foods such as bread or crackers with jam, processed cereals and plant-based milk. However, as I will come to in the next point, these are not the most nutritious foods and you might find that your body needs ALOT of them to satisfy your nutrient needs for healing.

2. Nutrients

Hypothalamic Amenorrhea is an issue primarily of energy imbalance, but as all foods contain both macro and micronutrients, not eating enough food can easily lead to nutritional deficiencies. Part of recovering your menstrual cycle is nutritional rehabilitation which means flooding the body with as many building blocks for repair as possible. Nutrients that can be difficult to obtain and absorb in a vegan diet include iron, calcium, vitamin A (retinol) and vitamin D. Under stress our bodies also use some nutrients at a much faster rate than usual. Yes, it is theoretically possible to eat a well planned vegan diet which meets all of the recommended daily amounts. However, we don’t have control of our internal processes and if digestion is compromised, which is often the case with hormonal imbalance, then we can’t be sure we are really absorbing and benefitting from all of these nutrients.

It’s important to reflect on your history with dieting and if your past experience with restricting your food intake or the types of foods you eat could put you at risk of nutrient deficiencies. Or if you are unsure and you have the budget you can also ask your doctor to run a blood test for the key nutrients. The problem with this is that, there may also be additional compounds present in animal products which we don’t yet fully understand and for that reason, I think it’s just not worth the risk. Personally, I would suggest that if you are determined to follow a vegan diet, it’s better to heal the body with a high nutrient, omnivorous diet then, once the body is healthy and functioning optimally, consider adopting a more plant-based diet.

3. Fat and cholesterol

In general, the vegan diet tends to be higher in carbohydrates and lower in fat compared to diets including animal-based products. In addition, the fats available in plant-based foods such as nuts, seeds and avocados are generally poly-unsaturated fats and there is some research to suggest that these fats are actually less supportive to metabolic health compared with saturated fats which are found in meat and dairy. Losing your period is commonly a sign of being in a lower metabolic state and so you really want to be eating a metabolism supporting diet to get your period back. I am by no means saying nuts and seeds are unhealthy and that we should avoid them, but when we want to send the body the signal that the famine is over and its safe to rev up the metabolism and reproductive system, we want to make sure we are consuming enough saturated fat.

Adding in more fat from coconut is a good step towards a more metabolically supportive vegan diet but getting more variety of fats and nutrients from animal based sources will take your diet to the next level. Animal fats also contain cholesterol which is another nutrient you want to be consuming when you are trying to get your period back. Often cholesterol is demonised and we are told to avoid high-cholesterol foods if we want to be healthy. But when it comes to hormone balancing and especially recovering from Hypothalamic Amenorrhea when hormone production is lower than it should be, having some cholesterol in your diet can actually be beneficial and speed up the healing process. Cholesterol is a building block for reproductive hormones such as estrogen and progesterone which are necessary for a healthy menstrual cycle and regular period. Cholesterol cannot be synthesised by plants and is only found in animal-based foods such as meat and eggs, therefore consuming even a small amount of these foods on a regular basis can support your hormone healing process.

4. Mental restriction

This is a tricky one because personally, adopting a vegan diet was what finally enabled me to let go of restrictive dieting and allow myself to eat an abundance of food. Because I was no longer focusing on choosing food to maintain a low body weight but rather on sourcing ethical food, it took the focus away from calories and allowed me to eat more. That said, once I finally decided to let go of veganism and re-introduce animal products, whilst still allowing myself to eat the amounts of food my body asked for, I experienced a whole new level of food freedom which I didn’t know I was missing, especially in social situations where I had always felt isolated being the only vegan. I think you have to be very honest with yourself about the reason you want to follow a vegan diet and whether there is a chance that a desire to restrict your food is influencing your decision.

Unfortunately, there are also many rabbit holes to fall down when it comes to the vegan diet which can lead to some pretty extreme dietary restriction: raw vegan, starch solution, high carb low fat, 80 10 10, vegan keto just to name a few! So while it is possible to regain your period on a vegan diet, I’d say that for a full mental recovery following a balanced diet that includes all foods is optimal. Coming back to the idea of safety, you want to create an environment of abundance to really allow your body to relax and heal and this means abundance both in terms of quantity and variety of foods. If you are 100% sure that you are choosing a vegan diet for ethical reasons only, you can support your body better by eating a varied and balanced vegan diet and not being seduced by the health claims of these more restricted diets.

Over to you…

So those are my thoughts on why a vegan diet is not optimal when trying to recover your period. I understand that for some, eating animal products is simply not an option so I hope the few tips for how you can modify your vegan diet to be more hormonally supportive were also helpful. Please like and share this post to support my channel and share with anyone who might benefit from this article.

If you are interested in this topic and would like me to talk more about my experience with getting my period back on a vegan diet or the process of reintroducing animal products back into your diet after long-term veganism, leave me a comment or drop me an email and I will do my best to help! If you are looking for guidance, support and accountability on you health journey, please contact me for information on the nutrition and holistic health coaching packages I offer. I would love to work together with you to get you feeling your best again.

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How to get your period back on a vegan diet

Women often ask me whether it’s possible to heal your hormones and get your period back on a vegan diet. In this post I will give my opinion and explain my reasons why. If you haven’t read my previous posts on the HA recovery diet and how I got my period back, I’d recommend to check those out first before going ahead with this one. There I explain all about the factors that can cause your period to disappear or become irregular. I also explain in detail and the nutrition strategy to recover your menstrual cycle after Hypothalamic Amenorrhea.

So to return to the initial question: can you get your period back on a vegan diet? The short answer is yes, it’s absolutely possible and I did it myself. I went vegan in 2015 after watching documentaries about the environmental impact of animal agriculture and the health benefits of a plant-based diet. At the time I was committed and I chose to maintain my vegan diet whilst trying to recover my period. I did manage to get my period back after 4 months of going “all-in” with my diet and no exercise. So it is definitely possible to get your period back on a vegan diet!

However, does this mean I recommend a vegan diet to my clients? Or that I believe it is optimal to get your period back on a vegan diet? Definitely not! In fact, I am no longer vegan and re-introduced animal products to my diet 3 years ago. Although I have no regrets, if I could go back in time with the information I have now I would definitely choose differently. Here are a few reasons why it might be more difficult to get your period back on a vegan diet. This is a topic I have researched extensively over the years and I have personal experience with.

Why might it be hard to get your period back on a vegan diet?

Eating the amount of calories needed to heal

One of the important factors for many women with Hypothalamic Amenorrhea is eating enough calories. When you lose your period due to an energy imbalance, increasing your energy intake is very important. You need to eat enough to support your bodily functions and daily activities. Plus extra for healing and repair of damage caused by malnourishment. You can definitely do this on a vegan diet simply by eating more food. However, as many plant-based foods are more calorie dilute this can be a struggle!

Fruit and vegetables, starchy carbs and legumes all have a high amount of water and fiber. If you base your vegan diet on these healthy whole foods, you might find that you get full before you consume the amount of calories that your body really needs. This makes a plant-based diet great for weight loss! Unfortunately, it’s counter-productive when boosting your energy intake is your goal. If you want to get your period back on a vegan diet you need to eat a lot of food!

How to eat more calories on a vegan diet

Adding in energy dense vegan foods such as nuts and seeds, nut butters, oil and processed foods helps. These foods are lower in water and fibre. This means they take up less space in your stomach and are easier on your digestive system. But in my experience, bloating and other digestive issues are likely. Even when consuming the minimum calorie intake for healing your hormones. As a vegan I ate a lot of beans, vegetables and nut butters which are all super high in fibre. Actually I forgot how it felt not to be bloated until I finally reduced the amount of fibre I was consuming.

If you want to try to get your period back on a vegan diet, focus on lower fibre foods. Don’t get caught up in the low fat trend. Eat fats from nuts, seeds and coconut. Opt for easy to digest foods such as bread or crackers with jam, processed cereals and plant-based milk. However, as I will come to in the next point, these are not the most nutritious foods. Therefore, you might find that your body needs a large quantity of them to satisfy your nutrient needs for healing.

Getting adequate nutrients

Hypothalamic Amenorrhea is an issue primarily of energy imbalance, but as all foods contain both macro and micronutrients, not eating enough food can easily lead to nutritional deficiencies. Part of recovering your menstrual cycle is nutritional rehabilitation. This means flooding the body with as many building blocks for repair as possible. Nutrients that can be difficult to obtain and absorb in a vegan diet include iron, calcium, vitamin A (retinol) and vitamin D.

Under stress our bodies also use some nutrients at a much faster rate than usual. Yes, it is theoretically possible to eat a well planned vegan diet which meets all of the recommended daily amounts. However, we don’t have control of our internal processes. Often hormonal imbalance and compromised digestion go hand in hand. If your digestion is poor, you can’t be sure you are benefitting from all of these nutrients.

Nutritional rehabilitation on a vegan diet

It’s important to reflect on your history with dieting. Consider if your past experience with restricting the amount or types of foods you eat could put you at risk of nutrient deficiencies. If you’re unsure you can also ask your doctor to run a blood test for the key nutrients. If you have the budget, you can also order tests online via companies such as Thriva or Forth. What ever diet you follow, make sure to include foods containing these nutrients to rebuild your stores.

The only problem is that there may also be additional compounds present in animal products which we don’t yet fully understand and aren’t covered by tests. I think it is better to heal your body with a high nutrient, omnivorous diet. Then once your body is healthy and functioning optimally you can consider adopting a more plant-based diet long term if you desire. You want to make the healing process and simple as possible for yourself! You have a whole lifetime to follow a vegan diet once you get your period back and your body is healthy again.

Quantity and type of fat on a vegan diet

In general, a vegan diet tends to be higher in carbohydrates and lower in fat compared to diets including animal-based products. In addition, the fats available in plant-based foods such as nuts, seeds and avocados are generally poly-unsaturated fats. There is some research to suggest that these fats are actually less supportive to metabolic health. Conversely, saturated fats which you mostly find in meat and dairy, are pro-metabolic.

Losing your period is commonly a sign of being in a lower metabolic state. So you really want to be eating a metabolism supporting diet to get your period back. I am by no means saying nuts and seeds are unhealthy and that you should avoid them entirely. But when you want to send the body the signal that the famine is over and its safe to rev up the metabolism and reproductive system, you want to make sure you are consuming enough saturated fat.

Adding in more fat from coconut is a good step towards a more metabolically supportive vegan diet. Eating coconut oil, milk or flakes will make it easier to get your period back on a vegan diet. However, consuming more variety of fats and nutrients from animal based sources will take your diet to the next level.

Low cholesterol on a vegan diet

Animal fats also contain cholesterol which is another nutrient you want to include daily when you are trying to get your period back. Often cholesterol is demonised and nutrition guidelines tell us to avoid high-cholesterol foods if we want to be healthy. When it comes to hormone balancing and especially recovering from Hypothalamic Amenorrhea, hormone production is lower than it should be. In this case, having some cholesterol in your diet is actually beneficial and speed up the healing process.

Cholesterol is a building block for reproductive hormones such as estrogen and progesterone. These hormones are necessary for a healthy menstrual cycle and regular period! Cholesterol cannot be synthesised by plants and is only found in animal-based foods such as meat and eggs. Therefore consuming even a small amount of these foods on a regular basis can support your hormone healing process.

Overcoming mental restriction

This is a tricky one because personally, adopting a vegan diet was what finally enabled me to let go of restrictive dieting and allow myself to eat an abundance of food. Because I was no longer focusing on choosing food to maintain a low body weight. I was focused on sourcing ethical food which took the focus away from calories and allowed me to eat more. That said, once I finally decided to let go of veganism and re-introduce animal products, I experienced a whole new level of food freedom which I didn’t know I was missing.

Especially in social situations where I had always felt isolated being the only vegan. I think you have to be very honest with yourself about the reason you want to follow a vegan diet. Is there is any chance that a desire to restrict your food is influencing your decision? Are you consuming a balanced vegan diet or are there still rules and restrictions present? Do you still fear certain foods because you believe they are toxic or will make you gain weight?

Restrictive vegan diet rabbit holes

Unfortunately, there are also many rabbit holes to fall down when it comes to the vegan diet. This can lead to some pretty extreme dietary restrictive diets. Raw vegan, starch solution, high carb low fat, 80 10 10, vegan keto just to name a few! So while it is possible to get your period back on a vegan diet, I’d say that for a full mental recovery following a balanced diet that includes all foods is optimal.

Coming back to the idea of safety, you want to create an environment of abundance. You need to really allow your body to relax and heal. This requires abundance both in terms of quantity and variety of foods. If you are 100% sure that you are choosing a vegan diet for ethical reasons only, support your body better by eating a varied and balanced vegan diet. Don’t be being seduced by the health claims of these more restricted vegan diets!

So is it really possible to get your period back on a vegan diet?

So those are my thoughts on why a vegan diet is not optimal when trying to recover your period. I understand that for some, eating animal products is simply not an option. So I hope the few tips for how you can modify your vegan diet to be more hormonally supportive were also helpful. Are you interested in this topic? Would you like me to talk more about my experience with getting my period back on a vegan diet? Leave me a message or email me at lovemoonlife.mail@gmail.com.

Over to you…

If you would like to work with me to balance your hormones and improve your health, contact me to set up a free 15 minute discovery call. I am a nutritionist, yoga teacher and women’s wellness coach. We work together using a combination of modalities to support your individual needs and help you to feel your best.

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Why (and how) women should approach health and fitness differently to men

Ladies, ever wondered why it seems so much easier for your boyfriend or husband to stick to a diet or fitness plan and get results? Why some weeks you are full of energy and others you hardly want to drag yourself out of bed? How you can go 2 weeks eating healthily then all of sudden all you want is chocolate and ice cream? If you’ve found yourself questioning whether you just have less motivation or your body just doesn’t function as well then you’re not alone. The answer is simple and something that we live every single day, often without even being aware of it. Can you guess?

IT’S

OUR

MENSTRUAL

CYCLE!

As women we are simply not the same from week to week. Our hormone levels are continuously shifting which has a huge impact on our energy levels, mood, cravings, sleep and so much more. This can make it hard for us to stick to a routine and often feel like a failure for being inconsistent. We can think of men as being like the sun and women more like the moon. The sun shines consistently day by day, sometimes there might be some clouds in the sky or even a huge storm that affects how brightly we see its rays but behind all of that it keeps on shining just the same. The moon however moves through it’s lunar cycle from the new or dark moon where the sky appears empty to the full moon where it shines big and bright.

The lunar cycle is such a good metaphor for our menstrual cycle. The new moon represents menstruation, the time of the month when we are much less energetic and physically need to rest. The full moon represents ovulation when our energy levels are at their peak and we are overflowing with creativity and physical energy. Don’t get me wrong though, just because the moon appears dark at the new moon, it doesn’t mean there is no light, the light is just on the other side so we don’t see it. This is the time when lots of inner work is being carried out including physical and mental healing and the seeds of inspiration for creative projects are being birthed.

Because for men, the hormonal shifts are much more subtle and occur mostly on a 24hr basis, they can more easily stick to a daily routine that works for them week in week out whereas us women have both our daily and monthly rhythms to take into account. Our bodies are also more sensitive to stress from working out or not eating enough food as they are constantly trying to maintain hormonal balance and fertility. We can choose to see this as a weakness or we can see it as a super power that we can work with. There are times of the month when our strength and stamina can feel unlimited and we can surprise ourselves with what we can achieve and there are other times when we can push ourselves through a grueling workout and actually cause ourselves more harm than good because our bodies have to rely on stress hormones and adrenal reserves to make it through.

Of course we all know this on some level but we often think of it as something we have to work against rather than work with. Often we feel like we are “normal” for a couple of weeks and then BAM our hormones come along to ruin everything and we fall off the wagon. But what if we became more aware of how our bodies change throughout the month and actually build this into our health and fitness plan? What a game changer that would be! No more beating yourself up because you got so hungry before your period that you ate a large bar of chocolate every day. No more dragging yourself through intense workouts on your bleeding says when your body is crying out for rest. Instead using self-awareness and self-compassion to create a health plan that truly works for you.

What could this cyclical approach to health and fitness look like? When it comes to nutrition, this would be truly trusting your body and allowing yourself to eat intuitively. This doesn’t mean allowing yourself to eat a large bar of chocolate every day because, “PMS”, but it does mean loosening up on the diet rules, understanding why those cravings might be there and making sure that you are well fed and nourished during the day. The quantities and types of foods you crave will likely change throughout your cycle and this is ok, in fact it is essential. Your metabolic rate and nutrient requirements shift with your hormones and so the foods that will support your body also change week to week.

The simple overall guideline for a healthy diet of eating mostly whole, unprocessed foods applies throughout the cycle but the amount of energy, macro-nutrients and the ratio of raw vs. cooked foods can definitely change. It’s much better to tune into your body to find what works for you, but if you’re struggling with getting started I did write a series of posts on how to eat for each of the phases of your menstrual cycle.

With fitness and exercise, again it is very individual. Some women need to fully rest during their period otherwise they will feel like they are dragging throughout the month ahead. Others, me included, need a bit of easy movement to help manage painful cramps. I’m sure there are some women who can exercise intensely during their period without any issues but I think this is the exception rather than the rule. If you do workout during your period, ask yourself whether you are doing it because you feel like you should or whether it is what your body is genuinely asking for. In general, during your period and the few days before it’s a good idea to at least slow down, decrease the intensity of your workouts and create space for some more restorative activities like yoga, stretching and gentle walking to help your body recover and restore energy.

On the other hand, the rising energy and stamina in the couple of weeks after your period (the follicular and ovulatory phases) are a great time to really get out there and move your body. This is a good time for more intense cardio workouts as you can get all of the benefits of getting your heart rate up and sweating without feeling totally drained. Movement can also be a great way to boost your mood and reduce PMS symptoms as you approach your period, but our energy levels tend to start to drop off towards the end of the pre-menstrual phase so it’s good to be aware of this and be prepared to take it easier without feeling guilty for not performing at your best.

In general it’s about understanding and accepting that as women we are not the same everyday and we can’t expect ourselves to show up, robot-like, in the same way every day. That is a recipe for disappointment, hormonal imbalance and burn out as I’ve learned the hard way!

Over to you

I hope you found this post interesting and it gives you a new perspective and understanding of why a traditional approach to health and fitness might not work perfectly for you as a woman. If you have any questions or want to share your experiences, let me know in the comments below! If you’re interested in health and wellness for women, follow along with my blog and please share to support my business!

If you are looking for guidance, support and accountability on your holistic health journey, please contact me or check out the nutrition and health coaching packages I offer. My specialty is helping women to balance their hormones and heal their body and metabolism after chronic or restrictive dieting but I also help anyone who is looking to improve their overall health and find the perfect balance for their body. I would love to work together with you to move past any health blocks and get you feeling your best again!

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Foods for healthy hormones and weight loss

A quick post for you today with some of my top foods for healthy hormones and weight loss. Include these foods in your diet to nourish your body, balance your hormones and reach your healthy, happy weight. If you haven’t already, check out yesterday’s post on how the calorie density of foods affects weight loss. Lots of the foods on the list below are “low calorie density” meaning that they will help you to feel full and satisfied when combined with other foods. At the end of the article I will give you some examples of how to put simple meals together including these foods.

Top 15 foods for healthy hormones and weight loss

  1. Potatoes (any variety, especially sweet potatoes)
    Potatoes have to be my top food on the list. Mainly because they are so demonised in the dieting world and I want to throw the idea that potatoes are bad for you out of the window! Potatoes are a super filling food which will give your body the energy to function at it’s best and also provide a good dose of vitamin C, vitamin B6 and also vitamin A for sweet potatoes. Eat them with the skin and you’ll get the added benefits of a fibre boost to aid digestion and keep you full for longer.

  2. Oats
    Oats are another great source of complex carbohydrates which will give you the fuel to lead a healthy, active life. Eat them raw in muesli, blended in a smoothie or cooked as porridge with whatever toppings you like. Oats are a good source of minerals such as manganese, zinc and biotin and also provide you with fibre and protein to keep you feeling full and satisfied for hours.

  3. Greek yoghurt
    I just loooove greek yoghurt! It makes such a tasty, satisfying breakfast or dessert and also provides plenty of protein to help with repair and growth and fats to support healthy hormone production and absorption of fat soluble vitamins A, D, E and K. Yoghurt is also an excellent source of calcium to keep your bones and teeth strong and to maintain healthy thyroid function.

  4. Tahini (sesame seed butter)
    Another food I love from the Mediterranean culture is tahini. I was first introduced to this liquid gold when I started to make my own hummus but now I love it on toast, on porridge oats and in salad dressings. The bitter taste isn’t for everyone but it is a great mineral dense food providing calcium and iron as well as a dose of fat and protein to make your meals tasty and satisfying.

  5. Broccoli
    Now onto the veggies.. broccoli is definitely a winner. Cruciferous veggies such as broccoli, cauliflower and kale all have a component called DIM which helps to detoxify excess estrogen from your system and improve your hormonal balance. Broccoli also has plenty of fibre to aid digestion and lots of vitamin C. Top tip – pair with iron rich foods to aid with absorption.

  6. Leafy greens
    Maybe I am cheating here by grouping them together but a healthy diet is not complete without those leafy greens. Whether it is soft baby lettuce in a salad or cooked dark greens such as collards or chard, getting those leafy greens into your body will do wonders for your hormonal and overall health. They provide a huge amount of vitamins and minerals as well as fibre to help sweep out excess hormones from your system.

  7. Courgette (zuccini)
    Courgette is another low calorie density food that can add bulk to your meals and help you feel satisfied. It’s not the most nutrient dense vegetable but it does offer vitamin C and B6 as well as smaller amounts of iron and calcium. But the mild taste of courgette makes it a vegetable that most people can include into their diet and it is less likely to cause bloating and gas like the cruciferous veggies can which makes it a winner for me.

  8. Berries
    How could I forget about the fruits?? It’s hard to limit myself to just a couple of fruits as I love them all but berries definitely make the top of the list. They are packed full of anti-oxidants, vitamins and minerals and water rich helping to hydrate your body so you can feel your best. They are delicious hot or cold and are usually available year round fresh or frozen. My favourites are raspberries and blackberries – yum!

  9. Bananas
    Another fruit that has to make the list is the humble banana, another fruit that people tend to be afraid of. Don’t be – I wouldn’t like to try and count the amount of bananas I have eaten over the last 5 years but trust me it’s a lot! Bananas are such a versatile fruit and can be enjoyed as a snack or used as a sweetener to your meals. They give you a good dose of carbs to boost your energy and mood and are a good source of potassium, vitamin C and B6.

  10. Hemp seeds
    Now these is a real nutrient power house. Hemp seeds are a great plant-based source of omega-3 fats, zinc, iron and magnesium so if you’re veggie or vegan definitely include these in your diet for hormonal balance and overall health. They are also a complete protein to support muscle growth as well as healthy skin, hair and nails. You can eat them sprinkled on porridge or salads or blend them into a smoothie for extra creaminess.

  11. Black and kidney beans
    Kidney beans and black beans are another great plant-based source of iron and calcium as well as magnesium and vitamin B6. These are great to eat before and during your period to support healthy blood iron levels. They also provide some calcium as well as protein and plenty of fibre. Top tip – if you are just starting to include beans in your diet, take it slow, add in small amounts and let your digestion adjust over time to avoid gas and bloating!

  12. Red lentils
    Red lentils are softer and generally easier on your digestion compared to beans but they too are a good plant-based source of iron and vitamin B6. Lentils also provide folate which is an essential vitamin for women who are trying to conceive. Lentil soups are a warming, filling meal especially for the cold months. You can mix it up by adding different veggies, herbs and spices to change the flavour.

  13. Chickpeas
    Last one of the legumes is chickpeas! They have a similar nutritional profile to kidney beans but with the added benefit that they can be blended with tahini and lemon to make humus. This is great for anyone who doesn’t like the texture of beans as it can be added to wraps and sandwiches or used as a dip for veggies or tortilla chips. Chickpeas are also great baked as a crisp snack or added to veggie curries as a protein source.

  14. Salmon
    Fish and seafood are an amazing source of zinc for healthy hormones as well as iodine. Salmon and other oily fish such as mackerel or sardines also provide those omega-3 fats to support your brain health and lower inflammation as well as being essential for healthy hormone production. The NHS recommend including one portion of oily fish in your diet every week for optimal health.

  15. Eggs
    Last but not least, we have eggs. I have included these because they are such a dense source of nutrients, especially vitamin A, B12 and selenium. Just adding one boiled egg to a salad can make it so much more satisfying but they also make a quick and easy meal for breakfast, lunch or dinner. Go for organic free-range eggs where possible to avoid hormone disrupting anti-biotics and chemicals

Meals including foods for healthy hormones

Here are some simple meal ideas including foods for healthy hormones to give you inspiration.. enjoy!

Breakfast foods for healthy hormones

  • Porridge oats cooked with mashed banana and tahini
  • Greek yoghurt topped with oats, lots of berries and a sprinkle of hemp seeds
  • Oat and banana pancakes topped with berries and tahini

Lunch foods for healthy hormones

  • Leafy green salad with salmon and boiled potatoes
  • Omelette with broccoli and courgette
  • Red lentil and sweet potato soup with side of wilted spinach and courgette

Dinner foods for healthy hormones

  • Black and kidney bean chili with a side of grilled courgettes
  • Sweet potato and chickpea curry with a side of steamed broccoli
  • Roasted or baked potatoes with grilled salmon and veggies

Over to you..

  • Comment: Have you experienced tooth decay and demineralisation on a vegan diet?
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Real health #27 Top 15 foods for healthy hormones and weight loss

A quick post for you today with some of my top foods to include in your diet to nourish your body, balance your hormones and reach your healthy, happy weight. If you haven’t already, check out yesterday’s post on how the calorie density of foods affects weight loss. Lots of the foods on the list below are “low calorie density” meaning that they will help you to feel full and satisfied when combined with other foods. At the end of the article I will give you some examples of how to put simple meals together including these foods.

  1. Potatoes (any variety, especially sweet potatoes)
    Potatoes have to be my top food on the list. Mainly because they are so demonised in the dieting world and I want to throw the idea that potatoes are bad for you out of the window! Potatoes are a super filling food which will give your body the energy to function at it’s best and also provide a good dose of vitamin C, vitamin B6 and also vitamin A for sweet potatoes. Eat them with the skin and you’ll get the added benefits of a fibre boost to aid digestion and keep you full for longer.

  2. Oats
    Oats are another great source of complex carbohydrates which will give you the fuel to lead a healthy, active life. Eat them raw in muesli, blended in a smoothie or cooked as porridge with whatever toppings you like. Oats are a good source of minerals such as manganese, zinc and biotin and also provide you with fibre and protein to keep you feeling full and satisfied for hours.

  3. Greek yoghurt
    I just loooove greek yoghurt! It makes such a tasty, satisfying breakfast or dessert and also provides plenty of protein to help with repair and growth and fats to support healthy hormone production and absorption of fat soluble vitamins A, D, E and K. Yoghurt is also an excellent source of calcium to keep your bones and teeth strong and to maintain healthy thyroid function.

  4. Tahini (sesame seed butter)
    Another food I love from the Mediterranean culture is tahini. I was first introduced to this liquid gold when I started to make my own hummus but now I love it on toast, on porridge oats and in salad dressings. The bitter taste isn’t for everyone but it is a great mineral dense food providing calcium and iron as well as a dose of fat and protein to make your meals tasty and satisfying.

  5. Broccoli
    Now onto the veggies.. broccoli is definitely a winner. Cruciferous veggies such as broccoli, cauliflower and kale all have a component called DIM which helps to detoxify excess estrogen from your system and improve your hormonal balance. Broccoli also has plenty of fibre to aid digestion and lots of vitamin C. Top tip – pair with iron rich foods to aid with absorption.

  6. Leafy greens
    Maybe I am cheating here by grouping them together but a healthy diet is not complete without those leafy greens. Whether it is soft baby lettuce in a salad or cooked dark greens such as collards or chard, getting those leafy greens into your body will do wonders for your hormonal and overall health. They provide a huge amount of vitamins and minerals as well as fibre to help sweep out excess hormones from your system.

  7. Courgette (zuccini)
    Courgette is another low calorie density food that can add bulk to your meals and help you feel satisfied. It’s not the most nutrient dense vegetable but it does offer vitamin C and B6 as well as smaller amounts of iron and calcium. But the mild taste of courgette makes it a vegetable that most people can include into their diet and it is less likely to cause bloating and gas like the cruciferous veggies can which makes it a winner for me.

  8. Berries
    How could I forget about the fruits?? It’s hard to limit myself to just a couple of fruits as I love them all but berries definitely make the top of the list. They are packed full of anti-oxidants, vitamins and minerals and water rich helping to hydrate your body so you can feel your best. They are delicious hot or cold and are usually available year round fresh or frozen. My favourites are raspberries and blackberries – yum!

  9. Bananas
    Another fruit that has to make the list is the humble banana, another fruit that people tend to be afraid of. Don’t be – I wouldn’t like to try and count the amount of bananas I have eaten over the last 5 years but trust me it’s a lot! Bananas are such a versatile fruit and can be enjoyed as a snack or used as a sweetener to your meals. They give you a good dose of carbs to boost your energy and mood and are a good source of potassium, vitamin C and B6.

  10. Hemp seeds
    Now these is a real nutrient power house. Hemp seeds are a great plant-based source of omega-3 fats, zinc, iron and magnesium so if you’re veggie or vegan definitely include these in your diet for hormonal balance and overall health. They are also a complete protein to support muscle growth as well as healthy skin, hair and nails. You can eat them sprinkled on porridge or salads or blend them into a smoothie for extra creaminess.

  11. Black and kidney beans
    Kidney beans and black beans are another great plant-based source of iron and calcium as well as magnesium and vitamin B6. These are great to eat before and during your period to support healthy blood iron levels. They also provide some calcium as well as protein and plenty of fibre. Top tip – if you are just starting to include beans in your diet, take it slow, add in small amounts and let your digestion adjust over time to avoid gas and bloating!

  12. Red lentils
    Red lentils are softer and generally easier on your digestion compared to beans but they too are a good plant-based source of iron and vitamin B6. Lentils also provide folate which is an essential vitamin for women who are trying to conceive. Lentil soups are a warming, filling meal especially for the cold months. You can mix it up by adding different veggies, herbs and spices to change the flavour.

  13. Chickpeas
    Last one of the legumes is chickpeas! They have a similar nutritional profile to kidney beans but with the added benefit that they can be blended with tahini and lemon to make humus. This is great for anyone who doesn’t like the texture of beans as it can be added to wraps and sandwiches or used as a dip for veggies or tortilla chips. Chickpeas are also great baked as a crisp snack or added to veggie curries as a protein source.

  14. Salmon
    Fish and seafood are an amazing source of zinc for healthy hormones as well as iodine. Salmon and other oily fish such as mackerel or sardines also provide those omega-3 fats to support your brain health and lower inflammation as well as being essential for healthy hormone production. The NHS recommend including one portion of oily fish in your diet every week for optimal health.

  15. Eggs
    Last but not least, we have eggs. I have included these because they are such a dense source of nutrients, especially vitamin A, B12 and selenium. Just adding one boiled egg to a salad can make it so much more satisfying but they also make a quick and easy meal for breakfast, lunch or dinner. Go for organic free-range eggs where possible to avoid hormone disrupting anti-biotics and chemicals.

Here are some simple meal ideas to give you inspiration.. enjoy!

Breakfasts

  • Porridge oats cooked with mashed banana and tahini
  • Greek yoghurt topped with oats, lots of berries and a sprinkle of hemp seeds
  • Oat and banana pancakes topped with berries and tahini

Lunch

  • Leafy green salad with salmon and boiled potatoes
  • Omelette with broccoli and courgette
  • Red lentil and sweet potato soup with side of wilted spinach and courgette

Dinner

  • Black and kidney bean chili with a side of grilled courgettes
  • Sweet potato and chickpea curry with a side of steamed broccoli
  • Roasted or baked potatoes with grilled salmon and veggies

Over to you…

I hope you enjoyed this article and the series so far. Let me know in the comments below your thoughts and your favourite healthy foods if I’ve missed them off the list!

  • If you want to follow along with this Real Health January blog series, like this post and follow my blog for daily updates. And please share with anyone you think might be interested!
  • If you are looking for guidance, support and accountability on you health journey, please contact me for information on the health coaching packages I offer. I would love to work together with you to get you feeling your best again!

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hypothalamic amenorrhea

Why it is important to have regular menstrual cycles

It’s been a while since I talked about my favourite topic.. the menstrual cycle. Specifically why having regular menstrual cycles is important for your overall health and the problems associated with not having a regular period. Any guys out there, maybe this isn’t the article for you. Feel free to read on though and you might learn something to help the ladies in your life!

Stress and the menstrual cycle

We usually think of our menstrual cycle as two phases: bleeding and not bleeding. In reality it is a menstrual cycle with levels of several reproductive hormones shifting throughout the month. The amount of these hormones your body produces is sensitive to stress. This includes both physical stress from under-eating and over-exercising and mental and emotional stress.

Not having regular menstrual cycles can therefore be a sign your body is under too much stress. When you lose your period altogether because of a stressful lifestyle is it called Hypothalamic Amenorrhea (HA). Or you may experience delayed ovulation, anovulatory cycles or a short luteal phase. Either way there are several health problems that come with not having regular menstrual cycles.

Why a regular menstrual cycle is important

Fertility

The most obvious reason to have regular menstrual cycles is of course your fertility. The whole point of your menstrual cycle is to enable you to get pregnant and have a baby. If you don’t have your period, it’s very unlikely you are going to be able to get pregnant. The main event of your menstrual cycle is ovulation. This is the release of a mature egg from one of your ovaries. If you aren’t ovulating, pregnancy is also impossible, even if you do have a period.

But what if you have decided you don’t want children or you’ve already had children? It’s still important for you to have regular menstrual cycles too! I spent many years believing it was “fine” that I didn’t have my period. It was actually pretty convenient to be honest. I didn’t have to buy tampons, worry about getting pregnant or have my period ruin my plans. But once I found out what it means to not have a period and how unhealthy it is for your body I was shocked. I wished I’d been told sooner the importance of regular menstrual cycles.

Bone health and osteoporosis

One of the key hormones that drives your menstrual cycle is estrogen. Apart from it’s role in your menstrual cycle, did you know that estrogen also helps to build your bones? When women enter the menopause and stop producing estrogen they start to lose bone mineral density. As a result, post-menopausal women are at an increased risk of developing osteoporosis or brittle bones.

Not having regular menstrual cycles is a sign that your hormone balance is off and estrogen levels could be low. Girls who don’t have their period due to hypothalamic amenorrhea during their teenage years are at risk of developing early onset osteopenia which can lead to osteoporosis if not treated. This might not mean much when you are young. But trust me, you want to make sure you are building strong bones while you can!

Don’t forget that your if your bones are losing minerals then it’s highly likely that your teeth are suffering too. This puts you at increased risk of cavities and teeth sensitivity. Who thought that periods and teeth were related?! I experienced the worst dental health of my life after following a restricted diet for many years. Post-recovery my teeth have never been whiter and stronger.

Heart disease risk

Another surprising link is between the menstrual cycle and heart disease. Estrogen has an anti-oxidative, anti-inflammatory effect in the body. It also acts as a vasodilator meaning it causes your blood vessels to expand. Low levels of estrogen have been linked with a build up of plaque in the arteries and an increased risk of developing heart disease. Most of the research is in post-menopausal women but there are also studies showing the same effect in younger women.

Yes this is even for those who exercise! You might think you are being super healthy and boosting your cardio-vascular system. However, if you are exercising excessively and experiencing hormonal imbalance then you are undoing all of that hard work. Another thing I wish I’d known about in my early twenties when I exercises like a fiend but didn’t have regular menstrual cycles..

Other problems with not having a regular menstrual cycle

Hormonal imbalance

Not having regular menstrual cycles puts you at risk for issues later in life. It can also cause problems in the here and now. Low estrogen can also be the explanation for fatigue, headaches, low sex drive, vaginal dryness, anxiety, depression and insomnia. Plus, not having regular menstrual cycles can be a sign that other things are off in your body. We often think of our body systems acting in isolation. In reality, all of these things are connected. If one falls down it can have a domino effect throughout your hormonal system.

Cortisol

An example of this is raised levels of the stress hormone cortisol. Often women without regular menstrual cycles have higher levels of the stress hormone cortisol. Therefore irregular or missing periods can be a sign from your body that your stress levels are high. Elevated cortisol is associated with bone loss as well as anxiety, insomnia and lower thyroid hormones. In hypothalamic amenorrhea, your metabolism is suppressed leading to symptoms of hypo-thyroidism such as feeling cold all of the time, hair loss and low energy levels.

Digestive issues

Many women who develop irregular or missing periods due to restricting their food intake also experience digestive problems. For example, bloating, stomach pain, constipation and food intolerances. If you don’t have regular menstrual cycles and you feel like you are constantly struggling with digestive issues, then maybe the two could be related.

In Ayurveda, this is described as having an imbalance in vata dosha. This means that the elements of air and ether have become excessive in the body leading to qualities of cold, dryness and lightness.

What should you do if you don’t have a regular menstrual cycle?

If this is you, don’t worry, now you know you can do something about it! The first thing to do is visit your GP for some tests to discover the reason for your irregular or missing periods. There are many reasons for irregular periods including polycystic ovarian syndrome (PCOS), medications including birth control and menopause. Your doctor can help you to rule out any underlying cause.

If there is no medical reason for your irregular or missing periods, it may be that excessive stress or lifestyle factors are at play. This is where supportive nutrition, fertility yoga and wellness coaching can help you to regain regular menstrual cycles. Learning to track your menstrual cycle and adjust your diet, movement and self-care practices to your natural flow can also help to heal menstrual irregularities as well as PMS and painful periods.

Over to you…

If you would like to work with me to balance your hormones and improve your health, contact me to set up a free 15 minute discovery call. I am a nutritionist, yoga teacher and women’s wellness coach. We work together using a combination of modalities to support your individual needs and help you to feel your best.

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References

Emma O’Donnell, Jack M. Goodman, Paula J. Harvey, Cardiovascular Consequences of Ovarian Disruption: A Focus on Functional Hypothalamic Amenorrhea in Physically Active Women, The Journal of Clinical Endocrinology & Metabolism, Volume 96, Issue 12, 1 December 2011, Pages 3638–3648, https://doi.org/10.1210/jc.2011-1223

Nicola Rinaldi. No Period Now What.

Other posts you might like

Shufelt, C. L., Torbati, T., & Dutra, E. (2017). Hypothalamic Amenorrhea and the Long-Term Health Consequences. Seminars in reproductive medicine35(3), 256–262. https://doi.org/10.1055/s-0037-1603581

hypothalamic amenorrhea

Real health #20 Why your period is so important for your health

It’s been a while since I talked about my favourite topic.. the menstrual cycle aka your period. Specifically why your period is important for your overall health and the problems associated with not having a regular menstrual cycle. Any guys out there, maybe this isn’t the article for you but feel free to read on and you could just learn something to help the ladies in your life!

We usually think of our menstrual cycle as two phases: bleeding and not bleeding. In reality it is a menstrual cycle with levels of several reproductive hormones shifting throughout the month. The amount of these hormones your body produces is sensitive to stress, including both physical stress from under-eating and over-exercising and mental and emotional stress. When you lose your period because something is off in your lifestyle is it called Hypothalamic Amenorrhea (HA). I wrote all about this in a previous post so you can check that out if you are interested in learning more. But here I want to focus on the problems that come with not having your period.

The problems with not having a period

The most obvious reason to have a regular, healthy period is of course your fertility. The whole point of your menstrual cycle is to prepare your body for pregnancy and allow you to have a baby. If you don’t have your period, it’s very unlikely you are going to be able to get pregnant. But what if you have decided you don’t want children or you’ve already had children? It’s still important for you to have your period too! I spent many years believing it was “fine” that I didn’t have my period and it was actually pretty convenient to be honest, not to have to buy tampons, worry about getting pregnant or have my period ruining my plans but once I found out what it means to not have a period and how unhealthy it is for your body I was shocked and I wished I’d been told sooner.

One of the key hormones that drives your menstrual cycle is estrogen. Apart from it’s role in your menstrual cycle, did you know that estrogen also helps to build your bones? When women enter the menopause and stop producing estrogen they start to lose bone mineral density and are at an increased risk of developing osteoporosis or brittle bones. Not having a regular period is a sign that your hormone balance is off and estrogen levels could be low. Girls who don’t have their period due to hypothalamic amenorrhea during their teenage years are at risk of developing early onset osteopenia which can lead to osteoporosis if not treated. This might not mean much when you are young but trust me, you want to make sure you are building strong bones while you can! And don’t forget that your if your bones are losing minerals then it’s highly likely that your teeth are suffering too putting you at increased risk of cavities and teeth sensitivity. Who thought that periods and teeth were related??

Another surprising link is between hypothalamic amenorrhea and heart disease. Estrogen has an anti-oxidative, anti-inflammatory effect in the body and also acts as a vasodilator meaning it causes your blood vessels to expand and low levels of estrogen have been linked with an increased risk of developing heart disease. Even though most of the research is in post-menopausal women, there have also been studies linking low estrogen levels in younger women with build up of plaque in the arteries and increased risk of heart disease in later life. And yes this is even for those who exercise! You might think you are being super healthy and boosting your cardio-vascular system but if you are exercising excessively and you have lost your period then you are undoing all of that hard work. Another thing I wish I’d known about sooner..

Other problems with hypothalamic amenorrhea

Not only does hypothalamic amenorrhea put you at risk for issues later in life, it can also cause problems in the here and now. Low estrogen can also be the explanation for fatigue, headaches, low sex drive, vaginal dryness, anxiety, depression and insomnia just to name a few. And as well as your reproductive hormones, not having your period could be a sign that other things are off in your body. We often think of our body systems acting in isolation but in reality, all of these things are connected and if one falls down it can have a domino effect throughout your body.

Often women with hypothalamic amenorrhea have higher levels of the stress hormone cortisol which also has been associated with bone loss as well as anxiety, insomnia and lower thyroid hormones. In hypothalamic amenorrhea, your metabolism is suppressed which could explain symptoms of hypo-thyroidism such as feeling cold all of the time, hair loss and low energy levels. Many women who develop hypothalamic amenorrhea due to restricting their food intake also experience digestive problems like bloating, stomach pain, constipation and food intolerances. If you don’t have your period and you feel like you are constantly struggling with digestive issues, then maybe the two could be related.

What should you do if you’ve lost your period?

So if you have made it to the end of this post, well done and I hope I didn’t scare you too much. If this is you, don’t worry, now you know you can do something about it! First you can read my blog posts about hypothalamic amenorrhea, how to recover and my recovery story. I’d also recommend buying the book No Period Now What by Nicola Rinaldi if you want an in depth explanation of all things hypothalamic amenorrhea related. If you need that final push to commit to getting your period back, definitely buy her book. If you think you have hypothalamic amenorrhea, visit your GP to get your hormone levels checked and Nicola also offers blood test results analysis through her website if you’re unsure. Three steps you can take right now:

  1. Eat more food and let go of any dietary rules and restrictions
  2. Take a break from intense exercise for at least a month
  3. Reduce the stress in your life and add more stress relieving activities

Easier said than done I know, but I believe in you! It’s never too late to recover your period and undo at least some of the damage to your body from hypothalamic amenorrhea. Recovery is challenging but so worth it.

References

Emma O’Donnell, Jack M. Goodman, Paula J. Harvey, Cardiovascular Consequences of Ovarian Disruption: A Focus on Functional Hypothalamic Amenorrhea in Physically Active Women, The Journal of Clinical Endocrinology & Metabolism, Volume 96, Issue 12, 1 December 2011, Pages 3638–3648, https://doi.org/10.1210/jc.2011-1223

Over to you…

I hope you enjoyed this article on why it’s important to have your period and the series so far. Let me know in the comments below your thoughts and experiences, I’d love to hear from you.

  • If you want to follow along with this Real Health January blog series, like this post and follow my blog for daily updates. And please share with anyone you think might be interested!
  • If you are looking for guidance, support and accountability on you health journey, please contact me for information on the nutrition and holistic health coaching packages I offer. I would love to work together with you to get you feeling your best again.

Other posts you might like

Shufelt, C. L., Torbati, T., & Dutra, E. (2017). Hypothalamic Amenorrhea and the Long-Term Health Consequences. Seminars in reproductive medicine35(3), 256–262. https://doi.org/10.1055/s-0037-1603581