Skip to main content

Female Athlete Triad

Reviewed 06/2018
 


BASICS

Syndrome of three interrelated clinical entities: low energy availability (EA) (with or without disordered eating [DE]), menstrual dysfunction (MD), and low bone mineral density (BMD) (1

DESCRIPTION

DIAGNOSIS

  • The female athlete triad is a clinical diagnosis based primarily on patient history; screening for the female athlete triad at annual sports physicals or during routine exams and acute visit...

TREATMENT

  • The goal is to optimize nutritional status and treat maladaptive behavioral disorders (1,3)[A].

  • A multidisciplinary team includes a physician, registered dietitian, and behavioral health prov...

ONGOING CARE

  • Patients should have regular follow-up with a multidisciplinary treatment team (6)[A].

  • Cognitive-behavioral therapy (CBT) is effective for exercising women with ED and may be more benefici...

REFERENCES

1
De Souza MJ, Nattiv A, Joy E, et al. 2014 Female Athlete Triad Coalition consensus statement on treatment and return to play of the female athlete triad: 1st International Conference held ...

ADDITIONAL READING

Nattiv A, Loucks AB, Manore MM, et al. American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc.  2007;39(10):1867–1882. [View Abstra...

SEE ALSO

Algorithms: Amenorrhea, Primary (Absence of Menarche by Age 16); Amenorrhea, Secondary; Weight Loss, Unintentional 

CODES

ICD10

  • F50.9 Eating disorder, unspecified

  • N91.2 Amenorrhea, unspecified

  • R53.83 Other fatigue

  • M81.8 Other osteoporosis without current pathological fracture

  • M85.9 Disorder of bone density and structure...

CLINICAL PEARLS

  • The female athlete triad consists of low EA (with or without DE), MD, and low BMD. Athletes may exhibit varying degrees of dysfunction in any of these three areas.

  • Screen at-risk women ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×