Top ways to speed up metabolism!

If you read my previous post and relate to the signs of a slow metabolism, you might be wondering about the ways to speed up metabolism. Or maybe you are here because you can’t seem to lose weight no matter how hard you try. You are convinced you just have a slow metabolism and there is nothing you can do about it. Well, I’m here to tell you that there is something you can do. It is entirely possible to increase a low metabolism and maintain a healthy weight without restriction and deprivation.

I want to start by saying that we are all born with a different genetic metabolic rate. Our metabolism also depends on factors such as our age, gender the amount of muscle we have. Therefore, some people naturally have a “faster metabolism” and others tend to hold onto weight more easily. However there are ways to speed up metabolism, especially if your natural metabolic rate is slowed down. When you experience any or all of the symptoms of a low metabolism such as feeling cold and tired all of the time, hair falling out or disruptions to your hormones.

I am talking to those of you who have been through periods of chronic stress, or who have been dieting and over-exercising for many years. If your metabolism has decreased you might just not feel like yourself. You might feel like your energy has been zapped and you’ve lost your natural vibrancy. If this sounds like you, read on to find out my simple strategy and top ways to speed up metabolism!


Top ways to speed up metabolism

There are many different causes of a slow metabolism but at the root of them all is STRESS. This can be physical stress due to calorie restriction or over exercising, psychological stress or emotional stress. Any of these can put your body into a state of survival mode and cause your metabolism to slow down. Therefore one of the main ways to speed up metabolism is to help your body feel safe and relaxed again. How can you do this? Try out the protocol below for a month and see how your body responds!

Diet for a faster metabolism

To speed up a slow metabolism, getting adequate calories and nutrients is paramount. Even if your goal is to lose weight, focus first on getting your metabolism healthy again before trying to cut calories. Fixing your metabolism first will make it much easier to lose weight down the line and keep it off. So if you have been following a restrictive diet, take a break. Stop counting calories or macros and weighing your food. Don’t restrict any food groups, eat plenty of carbohydrates, fats and proteins. Focus on mainly whole foods but don’t stress out about eating some processed foods too.

Basically you want to flood your body with energy and nutrients so that it feels a state of abundance. This is easiest with a diet including meat and fish but it is definitely also possible on a vegetarian or vegan diet. Go for energy dense foods such as potatoes, dairy, chocolate and coconut products. Focus less on high water, high fibre foods such as fruits and vegetables. Allow yourself to eat till you feel fully satisfied at each meal or snack. Listen to your body and it will tell you what it needs. One of the easiest ways to speed up metabolism is to eat more food and metabolically supportive foods.

Exercise to boost metabolism

If you are currently following an intense exercise regime, please give yourself permission to take some time off. It might seem counter-intuitive to stop exercising but it is another one of the ways to speed up metabolism.

Of course you do burn calories through exercising. But exercise, especially chronic cardio can actually decrease your basal metabolic rate, the amount of energy you burn at rest. This means that your body is more efficient at using calories. A sign of this is a lowered pulse rate (below 60bpm) which we often associate with fitness but is also a sign of the body adapting to stress. Listen to your body and if you are feeling tired, don’t be afraid to rest.

This is even more important if you are feeling chronically stiff and sore. These are signs your body is feeling stressed and overloaded. It is important let your body heal any underlying injuries and relax any built up tension. Yoga is a great way to move your body whilst supporting your metabolism. Gentle walking, tai chi, stretching and dancing are also great ways to stay active whilst healing your metabolism.

Have fun and let go of any pressure to perform, burn calories or change your body in any way. As your metabolism starts to improve and you feel more energetic, you can add in some resistance training to build muscle which will help to boost your metabolic rate even further.

Relaxation to increase metabolism

This is a big one! If you are feeling stressed, anxious and on edge your metabolism is highly likely to suffer. Stress alone can be enough to prevent you from losing weight and can cause the symptoms of a low metabolism. So if you feel like you have tried everything and nothing works, definitely take a look at your stress levels and you might understand. Reducing stress is one of the most efficient ways to speed up metabolism.

Start by identifying the major stressors in your life. Then, maybe with a coach or therapist, work out how you can reduce your stress and develop helpful coping strategies. Reducing stress is one of the keys to how to speed up a slow metabolism. Additionally, try to bring more relaxing activities into your day whether that is meditation, deep breathing, creative projects, reading or playing with your pets. Basically anything that helps you to get into a calm and relaxed state.

Making relaxation a priority part of your every day self-care routine is a key step to getting your metabolism functioning optimally. If you are stressed about losing weight or comparing yourself to others, ask yourself why? Purge your social media of any accounts that make you feel down on yourself and replace them with interesting or uplifting things instead.

Sleep more to speed up metabolism

This goes hand in hand with relaxation. There have been so many studies showing the impact of lack of sleep on the metabolism. Poor quality sleep is a stress on your body and can cause your cortisol levels (a stress hormone) to spike. Not only does it make you feel terrible but lack of sleep puts your body into energy conserving mode and makes you more likely to gain weight. Not getting enough sleep has also been linked to changes in blood sugar control and release of the hormones that regulate appetite. Ever noticed that you crave more sweets and caffeine after a bad night’s sleep? Now you know why!

To speed up your metabolism, make sure you are getting as much sleep as you need to feel refreshed and energised. If you are struggling with sleep, try out my tips on dealing with sleep disturbances. Especially taking care of your sleeping environment and having a solid evening routine to help you to relax and wind down. If you have chronic insomnia and signs of a low metabolism, focus on the tips here and you might just find your sleep improves naturally along with your metabolism. It goes both ways, sleep supports your metabolism and a healthy metabolism enables deep, sound sleep!


Are the ways to speed up metabolism working?

As you experiment with these ways to speed up metabolism, keep track of how you are feeling throughout this process. Look out for changes in your energy levels, sleep and motivation for life. Notice if you are feeling warmer and more relaxed. Or maybe your hormones and hunger levels become more balanced. Celebrate any small wins you observe and don’t worry if you gain a bit of weight along the way. You are in this for the long haul and setting your body up for future health and success!

Enjoy the process as much as you can and take the chance to focus on other areas of your life outside of health and fitness. Remember that this isn’t forever. This is a protocol for helping your body to heal itself and your metabolism to recover. As you start to feel better and have more energy you can start to switch things up. Maybe by changing the foods you eat or by adding in more exercise. Always let this process be guided by your body rather than your mind!

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.

  • Please like this post and share to support my business
  • If you liked this post, follow my blog or subscribe by email to receive updates on new content
  • Follow me on Instagram and Facebook for daily updates and inspiration

cycling exercise during period recovery

Can exercise stop your period coming back? 5 ways exercise can slow recovery

A common question from women trying to recover from Hypothalamic Amenorrhea is “can I exercise while trying to get my period back?”. I wrote about my tips for exercising during HA recovery but if you are thinking about taking a break and need some motivation, here are 5 ways exercise can work against your recovery.

1.Exercise burns calories which could otherwise be directed towards healing and repair of damage caused by dieting. The point of eating a lot more food during recovery is to flood the body with energy and nutrients to use for healing and repair. Exercise burns up some of these precious resources which will only prolong the healing process. Often women find it hard to meet the minimum recommended calorie intake for recovery and if you choose to exercise you should eat even more to compensate which can be a challenge.

2. Many women use exercise as a way to compensate for “over-eating” and it can be temping to start to move more when we allow ourselves to eat in abundance. We don’t want to exchange one control mechanism for another, we want to be completely free of all restrictions and compensations around food. We want to get to a place where we let go of any toxic beliefs around exercise and let go of guilt for resting. Exercising to make up for eating more is just another form of disordered eating behaviour.

3. Intense exercise is perceived as a stress by our hypothalamus, the brain master control centre. This means it can continue to feel it is unsafe to reproduce and not send the signal to restart our cycles. Although exercise is a good way to relieve mental stress, it is a physical stress on the body as it depletes glycogen reserves, increases the heart rate and damages muscle tissue. Exercise is healthy for a healthy body but if you don’t have your period you are not healthy right now and rest and recuperation will be your medicine.

4. For many women with HA, exercise has long been used as a way to manipulate their body and separating exercise from weight loss is difficult. We want to get to the point were we can exercise for fun and well being, regardless of the impact that it has on our physical appearance. If we continue to exercise during recovery, we might not do some of the mental work that is needed to fully break free of the weight loss mindset. It’s likely that you need to gain weight if you have lost your period and exercising could make this more difficult.

5. Exercise can be used as an appetite suppressant or a distraction from hunger. Exercise puts our nervous system in “fight or flight” mode when our body is stimulated and running on adrenaline which decreases hunger. You might find that you are more hungry on rest days because your body has calmed down and this is exactly what we want for healing. If you are hungry on a physical or mental level you should eat. Don’t fall into the trap of being “too busy to eat” as this will only delay your recovery.

Once you have recovered your period and have accepted your healed body, you might want to start exercising again from a much better headspace but at least it will be a conscious choice rather than because you feel you have to control your body in some way.

Over to you…

I hope this article gave you something to think about! It’s a personal choice whether you decide to stop exercising all together during your recovery. Women have recovered successfully from HA whilst still exercising but it is my opinion that we recover faster and more completely if we give our bodies chance to rest and fully repair.

  • Let me know in the comments, how do you feel about taking a break from exercise? Does it feel scary or a relief? For those in recovery, are you still exercising or taking a break?
  • If you are looking for support, guidance and accountability on your period recovery journey, please contact me for further information on the health coaching packages I offer. Together we will set you up with a plan to get your hormones balanced and you feeing your best mentally and physically.

Other posts you might like

cycling exercise during period recovery

Can exercise delay periods? 5 ways exercise can slow HA recovery

Can exercise delay periods? | The short answer is yes! Exercise is one of the factors which can lead to delayed or missing periods aka Hypothalamic Amenorrhea. In particular too much exercise or too high intensity exercise. If your body perceives your exercise as a stress or if you aren’t eating enough to fuel your activities then exercise can delay periods.

A common question from women trying to recover from Hypothalamic Amenorrhea is “Can exercise delay periods coming back?” or “Can I exercise while trying to get my period back?”. I wrote another post about my tips for exercising during HA recovery. If you are thinking about taking a break and need some motivation, here are 5 ways exercise can work against your recovery.

Can exercise delay periods? 5 reasons why!

1. It burns calories

Exercise burns calories which could otherwise be directed towards healing and repair of damage caused by dieting. The point of eating a lot more food during recovery is to flood the body with energy and nutrients to use for healing and repair. Exercise burns up some of these precious resources which will only prolong the healing process. Often women find it hard to meet the minimum recommended calorie intake for recovery and if you choose to exercise you should eat even more to compensate which can be a challenge.

2. Compensation for eating

Many women use exercise as a way to compensate for “over-eating” and it can be temping to start to move more when we allow ourselves to eat in abundance. We don’t want to exchange one control mechanism for another, we want to be completely free of all restrictions and compensations around food. We want to get to a place where we let go of any toxic beliefs around exercise and let go of guilt for resting. Exercising to make up for eating more is just another form of disordered eating behaviour.

3. Exercise causes stress

Intense exercise is perceived as a stress by our hypothalamus, the brain master control centre. This means it can continue to feel it is unsafe to reproduce and not send the signal to restart our cycles. Although exercise is a good way to relieve mental stress, it is a physical stress on the body as it depletes glycogen reserves, increases the heart rate and damages muscle tissue. Exercise is healthy for a healthy body but if you don’t have your period you are not healthy right now and rest and recuperation will be your medicine.

4. Weight control

For many women with HA, exercise has long been used as a way to manipulate their body and separating exercise from weight loss is difficult. We want to get to the point were we can exercise for fun and well being, regardless of the impact that it has on our physical appearance. If we continue to exercise during recovery, we might not do some of the mental work that is needed to fully break free of the weight loss mindset. It’s likely that you need to gain weight if you have lost your period and exercising could make this more difficult.

5. Appetite supression

Exercise can be used as an appetite suppressant or a distraction from hunger. Exercise puts our nervous system in “fight or flight” mode when our body is stimulated and running on adrenaline which decreases hunger. You might find that you are more hungry on rest days because your body has calmed down and this is exactly what we want for healing. If you are hungry on a physical or mental level you should eat. Don’t fall into the trap of being “too busy to eat” as this will only delay your recovery.

Can exercise delay periods after HA recovery

Once you have recovered your period and have accepted your healed body, you might want to start exercising again. Hopefully this is from a much better headspace! By this I mean it will be a conscious choice to take pleasure from movement rather than because you feel you have to control your body in some way.

As long as you are taking care not to push yourself too hard, you should be able to exercise in the future without losing your period again. It’s best to listen to your body and observe any signs of hormonal imbalance to know if you are on the right track. I enjoy hiking, cycling, dancing and yoga and I am able to do these things regularly and maintain a healthy period.

Over to you…

I hope this article gave you something to think about! It’s a personal choice whether you decide to stop exercising all together during your recovery. Women have recovered successfully from HA whilst still exercising but it is my opinion that we recover faster and more completely if we give our bodies chance to rest and fully repair.

  • Let me know in the comments, how do you feel about taking a break from exercise? Does it feel scary or a relief? For those in recovery, are you still exercising or taking a break?
  • If you are looking for support, guidance and accountability on your period recovery journey, please contact me for further information on the health coaching packages I offer. Together we will set you up with a plan to get your hormones balanced and you feeing your best mentally and physically.
exercise and hypothalamic amenorrhea

What is Hypothalamic Amenorrhea? Why have my periods stopped?

What is Hypothalamic Amenorrhea?

Hypothalamic Amenorrhea (HA) or Functional Hypothalamic Amenorrhea (FHA) is when a woman has no period for 6 months in a row or more, despite having no anatomical or disease-related reason for lack of menstruation. Functional means behaviour related and we will come to what those behaviours might be later in this post.

Primary vs. Secondary Amenorrhea

Amenorrhea is the medical term for missing periods or the absence of a menstrual cycle. HA and FHA are known as secondary amenorrhea, which is when a woman’s periods have stopped or she has missed several periods in a row. Primary amenorrhea is when a woman has reached reproductive age (usually considered to be 15 or 16) and her periods have not yet started. Primary amenorrhea can be due to genetic conditions affecting the ovaries, hormonal issues relating to the pituitary or hypothalamus glands or structural problems with the reproductive system. The most common causes of secondary amenorrhea are pregnancy, breast-feeding and menopause but it can also be due to birth control methods such as the contraceptive pill or implant as well as functional conditions such as Hypothalamic Amenorrhea.

Hypothalamic Amenorrhea symptoms

Aside from missing periods, there are many other symptoms which can occur with Hypothalamic Amenorrhea. I have listed some examples below although not all (or even any!) of these symptoms have to be present and every woman’s body is different.

  • Thinning hair or hair loss
  • Feeling cold, especially cold hands and feet
  • Excessive tiredness or low energy
  • Anxiety and depression
  • Low sex drive or no libido
  • Abnormal appetite
  • Low bone density or osteopenia

Hypothalamic Amenorrhea explained

**If you aren’t interested in the science-y part then feel free to skip to the next section!

Hypothalamic refers to the hypothalamus, an area of the brain sometimes called the “master controller”. The hypothalamus has many functions, the main ones being regulating hormone levels and maintaining stable conditions inside the body including temperature, blood pressure and appetite. It does this sending out correcting signals responding to changes in internal and external factors.

One of these signals relevant to HA is the release of Gonadotropin-releasing hormone (GnRH) which causes another gland, the pituitary to release Follicle-stimulating hormone (FSH) and Luteinizing hormone (LH) which are responsible for maturing a follicle in the ovaries and releasing it in ovulation which is the main event in the menstrual cycle. Watch the short video below if you want to learn more about how the hypothalamus and pituitary glands work together.

The ovaries are the reproductive organs which release the sex-hormones estrogen and testosterone which also play a role in regulating the menstrual cycle. The hypothalamus and the pituitary are connected to the ovaries along what is called the Hypothalamic-Pituitary-Ovarian (HPO) axis. In HA, there is disruption to the HPO axis due to some sort of stress on the body resulting in low levels of FSH, LH and estrogen. This means no ovulation and a missing period.

What causes Hypothalamic Amenorrhea?

There are several factors at play when it comes to missing periods:

  • Under eating, chronic or restrictive dieting or poor nutrition
  • Over-exercise, especially endurance sports
  • Low body weight or rapid/extreme weight loss
  • Stress and excessive worry

The typical woman suffering from HA is a type-A personality and over-achiever in all areas of life. Especially when this perfectionism extends to diet, exercise and body weight. Extreme examples are women who are constantly on a diet, restricting calories or types of foods and go running 7 days a week. Those who maintain a very low weight even though they are fighting against their body to stay there. Or women who work or study long hours expecting nothing but the best from themselves at all times.

But HA can also affect women in less extreme circumstances who might have lost weight in a “healthy” way or who have been accidently under-fueling over a long period of time (I’m talking to you busy working mums!). Or women who have gone through a stressful life transition. Basically our bodies are trying to keep us safe and alive by conserving calories during a stressful time.

Treatment for Hypothalamic Amenorrhea

There has been a steady increase in the number of searches for “how to get my period back” over the last 10 years. In the case of HA recovery the formula is pretty simple!

EAT REST RELAX REPEAT

  1. Eat plenty of food and I’m talking a surplus of calories
  2. Let go of any diet restrictions and consume all food groups
  3. Take a break from intense exercise
  4. Rest or focus on low intensity movement such as light yoga
  5. Remove as many stressors from your life as possible
  6. Take time to relax and de-stress every day
  7. Consider therapy to help with making the changes above if they feel challenging

Over to you…

I hope this article helped you to better understand HA and why your periods might have stopped. If you want to read more on how to get your period back and recover from Hypothalamic Amenorrhea, check out the posts linked below. Like this post and follow my blog for more like this!

  • Let me know in the comments, what is the most difficult part of the recovery formula for you?
  • If you are looking for support, guidance and accountability on your period recovery journey, please contact me for further information on the nutrition and health coaching packages I offer. Together we will set you up with a plan to get your hormones balanced and you feeing your best mentally and physically.

Other posts you might like


Information sources

Gibson S, Fleming N, Zuijdwijk C, Dumont T. Where Have the Periods Gone? The Evaluation and Management of Functional Hypothalamic Amenorrhea. J Clin Res Pediatr Endocrinol. 2020;12(Suppl 1):18-27. doi:10.4274/jcrpe.galenos.2019.2019.S0178

exercise and hypothalamic amenorrhea

Hypothalamic Amenorrhea: the mystery of your missing period?

If you are here, you are likely wondering why your period has gone missing. You aren’t pregnant, you don’t have any health issues that you know of. Nevertheless, your period has been missing for months or even years. Perhaps I can offer you an answer. In this article I explain a condition called Hypothalamic Amenorrhea, one of the common causes of missing periods. I will also outline it’s causes and a basic treatment plan to get your period back. You can also read my story of how I got my period back after 8 years of Hypothalamic Amenorrhea!

What is Hypothalamic Amenorrhea?

Hypothalamic Amenorrhea (HA) or Functional Hypothalamic Amenorrhea (FHA) is when a woman has no period for 6 months in a row or more, despite having no anatomical or disease-related reason for lack of menstruation. Functional means behaviour related and we will come to what those behaviours might be later in this post.

Primary vs. Secondary Amenorrhea

Amenorrhea is the medical term for missing periods or the absence of a menstrual cycle. Hypothalamic Amenorrhea and Functional Hypothalamic Amenorrhea are known as secondary amenorrhea. This is when a woman’s periods have stopped or she has missed several periods in a row. Primary amenorrhea is when a woman has reached reproductive age (usually15 or 16) and her periods have not yet started.

Primary amenorrhea can be due to genetic conditions affecting the ovaries, hormonal issues relating to the pituitary or hypothalamus glands or structural problems with the reproductive system. The most common causes of secondary amenorrhea are pregnancy, breast-feeding and menopause but it can also be due to birth control methods such as the contraceptive pill or implant as well as functional conditions such as Hypothalamic Amenorrhea.

NHS: Amenorrhea

Hypothalamic Amenorrhea symptoms

If you have ruled out other causes of missing periods, Hypothalamic Amenorrhea could be the most likely diagnosis. Aside from missing periods, there are many other symptoms which can occur with Hypothalamic Amenorrhea. I have listed some examples below, although not all (or even any!) of these symptoms have to be present and every woman’s body is different.

  • Thinning hair or hair loss
  • Feeling cold, especially cold hands and feet
  • Excessive tiredness or low energy
  • Anxiety and depression
  • Low sex drive or no libido
  • Abnormal appetite
  • Low bone density or osteopenia

These symptoms are similar to those of hypothyroid. This is because Hypothalamic Amenorrhea often occurs alongside low thyroid function. Both are related to a lowered metabolic rate although the causes might be different. As a result, in some cases a hypothyroid diagnosis can be reversed following a Hypothalamic Amenorrhea treatment plan.

Hypothalamic Amenorrhea explained

If you aren’t interested in the science part then feel free to skip to the next section!

Hypothalamic refers to the hypothalamus, an area of the brain sometimes called the “master controller”. The hypothalamus has many functions, the main ones being regulating hormone levels and maintaining stable conditions inside the body. Primarily core body temperature, blood pressure and appetite. It does this sending out correcting signals responding to changes in internal and external factors.

One of these signals relevant to Hypothalamic Amenorrhea is the release of Gonadotropin-releasing hormone (GnRH). This signal causes another gland, the pituitary to release Follicle-stimulating hormone (FSH) and Luteinizing hormone (LH). FSH and LH are responsible for maturing a follicle in the ovaries and releasing the mature egg. The release of an egg is called ovulation and is the main event in the menstrual cycle.

Watch the short video below if you want to learn more about how the hypothalamus and pituitary glands work together.

The ovaries are the reproductive organs which release the sex-hormones estrogen and testosterone. These hormones also play a role in regulating the menstrual cycle and reproductive health. The hypothalamus and the pituitary are connected to the ovaries along what is called the Hypothalamic-Pituitary-Ovarian (HPO) axis. In Hypothalamic Amenorrhea, there is disruption to the HPO axis due to some sort of stress on the body. This results in low levels of FSH, LH and estrogen. Put simply, no ovulation and a missing period.

What causes Hypothalamic Amenorrhea?

There are several factors at play when it comes to missing periods:

  • Under eating, chronic or restrictive dieting or poor nutrition
  • Over-exercise, especially endurance sports
  • Low body weight or rapid/extreme weight loss
  • Stress and excessive worry

The typical woman suffering from Hypothalamic Amenorrhea is a type-A personality and over-achiever in all areas of life. Especially when this perfectionism extends to diet, exercise and body weight. Extreme examples are women who are constantly on a diet, restricting calories or types of foods and go running 7 days a week. Those who maintain a very low weight even though they are fighting against their body to stay there. Or women who work or study long hours expecting nothing but the best from themselves at all times.

But Hypothalamic Amenorrhea can also affect women in less extreme circumstances who might have lost weight quickly in a “healthy” way or who have been accidently under-fueling over a long period of time (I’m talking to you busy working mums!). Another example is women who have gone through a stressful life transition. Basically our bodies are trying to keep us safe and alive by conserving calories during a stressful time.

Treatment for Hypothalamic Amenorrhea

There has been a steady increase in the number of searches for “how to get my period back” over the last 10 years. In the case of Hypothalamic Amenorrhea recovery the formula is pretty simple although implementing it can be difficult!

EAT REST RELAX REPEAT

  1. Eat plenty of food and I’m talking a surplus of calories
  2. Let go of any diet restrictions and consume all food groups
  3. Take a break from intense exercise
  4. Rest or focus on low intensity movement such as light yoga
  5. Remove as many stressors from your life as possible
  6. Take time to relax and de-stress every day
  7. Consider therapy to help with making the changes above if they feel challenging

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

Summary

In conclusion, Hypothalamic Amenorrhea is a fairly common condition amongst women who restrict their diet, are under stress or exercise excessively. It is usually treatable and requires a combination of rehabilative nutrition, rest and stress management. This is best done under the guidance of a doctor, nutritionist or health coach depending on the severity of the situation.

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.

  • Please like this post and share to support my business
  • If you liked this post, follow my blog or subscribe by email to receive updates on new content
  • Follow me on Instagram and Facebook for daily updates and inspiration


Information sources

Gibson S, Fleming N, Zuijdwijk C, Dumont T. Where Have the Periods Gone? The Evaluation and Management of Functional Hypothalamic Amenorrhea. J Clin Res Pediatr Endocrinol. 2020;12(Suppl 1):18-27. doi:10.4274/jcrpe.galenos.2019.2019.S0178

A hidden reason for missing periods and how to fix it

If you haven’t read my “Why am I so interested in hormones?” series (linked at the bottom of this post), see here for my story on how I lost my period and my journey to getting healthy again. Here I will share what I haveĀ  learned about why we can end up with missing periods and how to get it back. This is for those of you who want to know exactly what to do.

For those who don’t have PCOS or any physical or structural issue with their reproductive system, it is often a condition called Hypothalamic Amenorrhea (HA) that leads to absent menstrual cycles and missing periods. What I have found from working with and speaking to other women is that everybody’s situation is different but it is 99% of the time a combination of the points below. If you have already recovered your period and it has gone awry again, come back to these basics and I’m sure you will find somewhere you can realign.

Can a poor diet cause missing periods?

Food and nutrition play a major role in our hormonal (and general) health. If you don’t eat enough to fuel your body over a period of time, your brain registers a famine. It knows that there isn’t enough energy coming in and tries to protect you. It chooses to shut down some unnecessary functions in order to preserve energy.  This includes our menstrual cycle but can also lead to other symptoms which come along with missing periods. For example, feeling tired and cold all of the time, hair thinning, digestive issues and poor muscle recovery.

If you have been trying to lose weight for many months or years and notice any of the above symptoms it is a good idea for you to reconsider your diet. You are likely in “starvation mode” which is a state of reduced metabolism and limited bodily functions. If this is you, what should you do? EAT THE FOOD! As much as your body is asking for with no restrictions. Eat carbs, fats and proteins. Include both “healthy foods” and “fun foods”. I know this is easier said than done! I will go into the mental and emotional aspects of this in another post. For now, I will just say that you need to nourish your body with good food and lots of it.

 Can exercise cause missing periods?

Simply put, yes too much exercise can stop periods. It is fairly common for female athletes or very active women to lose their period. This can be due to an energy deficit if she is not eating enough to fuel her activities. Or it can be due to stress on the body from too high frequency or intensity of exercise. The fitness industry is huge these days.

It is not unusual for women to be running or doing HIIT workouts on a daily basis. Social media these days is full of images of lean women with abs and defined muscles. However, this is far from the ideal fertile body for many women. Exercise supports our cardiovascular and muscular systems but like anything, too much can be unhelpful. As women, we need a certain amount of body fat to maintain our reproductive systems and therefore a healthy period.

If this sounds like you, what can you do? If you are serious about recovering your hormonal health I would strongly recommend taking a break from intense exercise for a few months. Keep movement to a minimum only light walking and stretching, yoga or any other gentle activity you enjoy. Not only will this help to balance your hormones. But it will give your body a chance to repair any muscle and tissue damage caused by over-exercising and help you to come back stronger than ever.

Can being under weight or weight loss cause missing periods?

This one really goes with the above two points. Nonetheless, I will say it as a separate point just to be clear. Our bodies have a “set point weight” at which they are happy and healthy. However many women today are pursuing an unhealthy ideal due to images in the media of skinny, sexy women.

The truth is, we don’t know the full story and many of these women are harming their body to look this way. Despite looking healthy on the outside. The majority of women need to be at the “fertile BMI” of 22-23 to have a healthy period. Of course some women will menstruate at a lower weight than this and others will need to reach a BMI of 25+. This all depends on your genetic tendencies and history of dieting and over-exercising.

So if you have missing periods and you are not already in the healthy BMI range of 20-25, gaining weight is an absolute must. Follow the above diet and exercise recommendations and allow your body to reach what it considers to be a healthy weight. It may be that your body needs to sit slightly above this range to feel safe and you will need to learn to be ok with that. Really start to reflect on your beliefs around body image and reprogram your brain to disassociate health and weight loss. I know, this is easier said than done. It may take some time but it will be totally worth it when you have a natural, regular cycle again.

weight loss missing periods

Can stress cause missing periods?

Finally, but no less important, is stress! Some women are not dieting or over-exercising but lose their period anyway due to stress. This could be an extremely stressful event in their life or to a lifestyle which leads to chronic low level stress on a daily basis. This doesn’t have to be anything extra-ordinary but can be a typical busy lifestyle of a full time job, active social life and looking after a family.

Again, the hypothalamus, detects stress as a threat. This can cause it to shut down our fertility system until it feels safe again. Unfortunately, many of us live our lives in this chronically stressed fight-or-flight state which means that our bodies never truly feel safe.

Of course it’s not always possible to drop everything and walk off into the sunset to recover our cycles! So what can you do to reduce stress? Start by reflecting on your lifestyle and eliminate any unnecessary sources of stress. This could include saying yes to things when you mean no or worrying excessively over things that are not important in the grand scheme of life. It could also include being perfectionistic or over-critical of yourself. There is the over-use of stimulants such as caffeine which fire up your nervous system and can lead to to spending all day in a state of urgency.

The second thing is to allow yourself to get into a calm state every day. Mindful breathing, meditation, baths, calming music can all help to drop out of “fight or flight” and into “rest and digest” mode allowing your body to enter a state of deep relaxation.

This is a huge topic so that’s all I will say for now. Spend some time reflecting on these four areas of your life. See if you can identify what may be preventing your hormones functioning as they should. I understand you completely if you feel like your body is broken and this can’t work for you. But if I managed to recover my cycles after 8 years of Hypothalamic Amenorrhea then anyone can do it!

I hope you found this helpful and understand some of the causes of missing periods. Tell me, what is the most difficult part of the period recovery process for you?

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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