Practice Updates: Female Athlete Triad

Stay up to date with ACOG's authoritative clinical guidance and helpful patient education materials. The following provides Practice Updates for May and June 2017. 


Featured Committee Opinion: Female Athlete Triad

The female athlete triad is a medical condition which stems from the energy imbalance that occurs when dietary energy intake minus exercise expenditure doesn’t leave adequate energy for remaining body functions. ACOG recommends assessing active female patients for components of the triad: 1) low energy availability with or without disordered eating, 2) menstrual dysfunction, and 3) low bone density, and performing further evaluation if one or more components are identified.

A team approach involving the patient, ob–gyn, sports nutritionist, coaches, parents, and mental health care provider, if indicated, is optimal for treating the female athlete triad. Diet and activity modification are the most important aspects of treatment. The overall goal is the restoration of regular menses, which is the clinical marker for energy balance. There is a common misconception that birth control pills can treat female athlete triad, but studies show they have little effect on restoring bone mass density and can make it more difficult to use menstruation as a marker of recovery.

Committee Opinion 702: Female Athlete Triad is available in the June 2017 issue of Obstetrics and Gynecology.

Zika Information

ACOG’s Zika webpage

ACOG Zika Practice Advisory

ACOG Zika Toolkit, including patient education video, infographic, and assessment web tool endorsed by CDC

CDC’s Pregnancy and Zika Testing Clinical Algorithm

CDC Zika Virus Website

State Health Department Contact list for ob-gyns (members only) for questions on CDC’s Zika Registry

State Health Department Contact list for ob-gyns (members only) for questions on testing

CDC Zika Pregnancy Hotline for Health Care Providers: Ob-gyns can contact the CDC Zika Pregnancy Hotline at 770-488-7100, or email for any concerns related to clinical management or the US Zika Pregnancy Registry

Office of Population Affairs' Zika Toolkit


New Committee Opinions


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New Practice Bulletins (members only)

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New Title: Clinical Updates in Women's Health Care (members only)

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New Patient Education Pamphlets (members only)

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Frequently Asked Questions (FAQs) for Patients

  • 003 Especially for Teens – Healthy Female Athlete (June 2017)
  • 171 Cystic Fibrosis (Coming later in June 2017)
  • 086 Medications for Pain Relief During Labor and Delivery (Coming later in June 2017)
  • 069 When Pregnancy Goes Past Your Due Date (Coming later in June 2017)
  • 039 Newborn Male Circumcision (Coming later in June 2017)

See all Frequently Asked Questions

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