skip to main content

Female athlete triad — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateEndocrineFemale athlete triadRACP Paediatrics

A 14-year-old elite female gymnast has primary amenorrhoea. She has a BMI of 16 and trains 30 hours per week. LH and FSH are low. Bone density is reduced. What is the most likely cause?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Functional hypogonadotrophic hypogonadism

Low BMI and excessive exercise causing functional hypogonadotrophic hypogonadism (hypothalamic amenorrhoea) is part of the female athlete triad (energy deficiency, menstrual dysfunction, reduced bone density). Management involves reducing training load, increasing energy intake, and possibly oestrogen replacement for bone health.

Reference: RACP Paediatric Curriculum – Endocrine; RCH Melbourne – 2023 – Amenorrhoea CPG