Breaking the Silence on Hypothalamic Amenorrhea and oral contraceptive pill : A Call to Action for healthcare professionals

“We can’t see the wood for the trees” #functionalhypothalamicamenorrhea #contraceptivepill #relativeenergydeficiency Introduction The International Olympic Committee (IOC) recently made a new statement about Relative Energy Deficiency in Sport (REDs) (1). Low sexual hormone levels cause hypothalamic amenorrhea, often misunderstood in clinical practice. This blog is an attempt to explain why oral contraceptive pills are not […]

Read More…

The state of play on relative energy deficiency in sport (REDs)

Long-term low energy availability leads to adaptive changes throughout the body resulting in the clinical outcomes of REDs This blog is in light of recently published updated International Olympic Committee (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs) in BJSM. What’s in a name change? Making “s” lower case is helpful as relative energy deficiency […]

Read More…

Excess is a fatal thing: Nothing succeeds like moderation for optimal health

Author: Dr Nicky Keay, Honorary Clinical Lecturer, Division of Medicine, UCL Oscar Wilde quipped that “Moderation is a fatal thing. Nothing succeeds like excess.” However, when it comes to enjoying a healthy lifespan, nothing succeeds like moderation. Illustration from “Hormones, Health and Human Potential” Personalising Health through Lifestyle Hippocrates advocated that giving each individual just the right […]

Read More…

Hormones, Health, Human Performance and Potential

Hormones play a crucial role in determining health. Hormone networks provide the feedback mechanism by which our lifestyle and behaviours enable us to reach our personal potential.       This blog provides an overview of some of the main themes discussed in the forthcoming book “Hormones, Health and Human Potential” written to help understanding of how harnessing […]

Read More…

The Abnormal Menstrual Cycle: Misunderstood and Mismanaged

Understanding the causes and clinical features of menstrual cycle dysfunctions Menstrual cycle dysfunctions (MCDs) do not have one uniform definition or diagnostic criteria, and can be deconstructed into several presenting conditions. The most common of these involve alterations to cycle length and volume, presence of pain, and absence of ovulation.  The discussion around Relative Energy […]

Read More…

Female Athlete Hormone Health 2022 – NICE guideline update

What’s new for female hormone health? At the start of the year, the National Institute for Health and Care Excellence (NICE) in the Clinical Knowledge Summaries (CKS) updated the guidelines for the management of bone health in the situation of amenorrhoea with low oestrogen. Hormone replacement therapy (HRT) is advised, rather than the combined oral […]

Read More…

Hormone Intelligence for Female Dancers, Athletes and Exercisers

Applying artificial intelligence techniques to modelling female hormones enables dancers and athletes to access hormone intelligence at her fingertips Female hormone networks form the most complex aspect of the endocrine system. The menstrual cycle depends upon a delicate web of feedback mechanisms that trigger significant changes in hormone levels. This intricate physiological process generally operates […]

Read More…

Energy Availability in Dancers – and lessons for all sports

Here I discuss the findings from our recent study: Indicators and correlates of low energy availability in male and female dancers[1] Key Points Dancers display indicators of low energy availability and are at risk of the adverse consequences of relative energy deficiency in dance There are dance specific psychological correlates associated with low energy availability […]

Read More…