Are you taking the contraceptive pill?
Are you into “health and fitness”?
Do you exercise a lot?
Do you watch what you eat?
Are you underweight or at the lower end of an average BMI?
Are you under a lot of emotional stress?
If the answer to any of the above questions is yes, then listen up.
Your hormonal health may be suffering and be masked by taking the pill.
In my HA Recovery Diaries series I wrote about my struggles with Hypothalamic Amenorrhea. This is when women stop having their natural menstrual cycle due to physical or emotional stress on the body, including over-exercise, under-eating and being at a low body weight (and by low body weight I mean below our bodies’ happy point, not what is defined by the media or fitness industry).
The hypothalamus is like the control centre of our brain. It sends out hormonal signals which regulate all our important bodily functions, including metabolism, body temperature and reproduction. When the hypothalamus detects a stressful situation, in particular an “energy crisis” which can arise from exercising too much and moving too little, it shuts down any unnecessary functions. This can result in symptoms such as feeling cold, brittle hair and nails and, of course, loss of our menstrual cycle.
For women who are on the pill, this huge sign that something is wrong can easily be missed. The pill introduces synthetic hormones into the body in order to trick the body into thinking it is pregnant, thereby preventing ovulation. In order to induce a monthly bleed, 7 days of sugar pills replace these hormones every 4 weeks. The “period” that we get when on the pill is in fact a withdrawal bleed from the sudden drop in hormones. This means that we assume everything is fine with our hormonal system when actually things could be going very wrong!
In today’s body conscious society, I think this is a much more common problem than we realise. It has become fashionable to hang out at the gym, living in leggings and sports bras, striving to achieve the perfect, toned body. We are told that exercise is important to maintain a healthy body, which is true to a certain extent, however it is not the full story. Moving our body is of course good for our health, however exercising too intensely or frequently is perceived by the body as a physical stress and can cause our metabolic and reproductive systems to shut down.
I was lucky that I came off birth control after only 12 months and after a few years of being fobbed off my doctors that my “post-pill amenorrhea” was normal I realised that something else was going on. However, it still took me another 6 years to actually get to the bottom of the issue and to regain my cycles. During my recovery process, I have met so many women who have come off birth control to try and get pregnant and found that their cycles just didn’t come back. I can only imagine the disappointment and frustration at wanting a child and your body simply not being ready.
And the recovery process is not always quick or easy. Depending on the extent of the damage done, not so much in terms of physical damage to your body but more in how ingrained the thought patterns have become, it can take months or even years to recover. For many who have built their life around nutrition and exercise and may be known by their friends and family as “the fit one” or “the skinny one”, habits can be extremely hard to break. Even once you start treating your body right, it may be months before it feels safe enough to grow a child. I am not saying all of this to scare you, I am just being honest.
You might think that because you are not trying to get pregnant, then it isn’t all that important to have a period. Certainly the whole point of the birth control pill is to shut it down. But like I said earlier, not having a period is a clear signal from your body that it is not happy and that things need to change. Think of it like your monthly report, indicating how well your body is functioning. Menstrual cycle disruptions, including PMS as well as amenorrhea, indicate the health of your bones, thyroid and metabolism. This beautiful, complex hormonal cycle also regulates our emotions, sex drive and even how much we enjoy sex. These days everyone is using fitbits and health and fitness apps, but we have our own built in tool to inform our health decisions and we are simply not using it!
So to summarise, if you are on the contraceptive pill and there is a chance you fall into the category of “health freak”, “fitness fanatic” or “stress head” then I strongly advise you to do some research on Hypothalamic Amenorrhea. Read my HA Recovery Diaries series, check out this link and see what you think. If you think you are someone who could be affected by this then it may be a good idea to come off the pill for a while and see what happens. The first stage of solving any problem is awareness and you now have that after reading this post so you are already on the journey to recovery. Next comes acceptance and hopefully it won’t take you 6 years to get to this stage like it did for me.
Finally comes action! And if you get to this point you are in great company. I have met so many amazing women online going through this healing journey. I have discovered Intuitive Eating, Health at Every Size and Life Unrestricted communities which have helped to totally reprogram my brain. So for that I am thankful!
If you have any questions please contact me and I will be happy to help 🙂