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May 23, 1980


Author Affiliations

Mayo Medical School Rochester, Minn

JAMA. 1980;243(20):2028. doi:10.1001/jama.1980.03300460012004

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To the Editor.—  The commentary "Some Lie Down 'Til Urge to Exercise Flees..." appeared in the MEDICAL NEWS section (242:1592, 1979). This letter is in regard to the specific reference made to slender, active young women who the author sees as "threatened" by the "risk of amenorrhea."What is wrong with being amenorrheic, or, for that matter, being thin and active, as long as it is not carried to the point of anorexia nervosa or some comparable mental or physical disorder? Literature has consistently shown lower mortality for those persons who are 10% to 15% below the average weight for age and height.Amenorrhea in itself is only a possible symptom of disease, not a disease. I wholeheartedly agree that cases of amenorrhea, primary or secondary, should be evaluated to rule out the possibility of a pathological condition. However, if nothing important is found and the amenorrhea can be attributed