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This increased stress level is often associated with several reproductive abnormalities such as delayed menarche, primary and secondary amenorrhea and oligomenorrhea occurring in 6?79% of women engaged in athletic activity (Warren and Perlroth 2001). This wide range of percentages is a result of various levels of athletic discipline and level of competition (Abraham et al. 1982, Glass et al. 1987).
The aforementioned reproductive abnormalities are largely the result of hypothalamic dysfunction and disturbance of the gonadotropin-releasing hormone (GnRH) pulse generator. This suppression of GnRH results in possible infertility and an irreversible decrease in bone density...
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