Functional Hypothalamic Essay
Stress –Induced Anovulation
Functional Hypothalamic (FHA) is a reproductive disorder in which secondary amenorrhea occurs, due to decreased Gonadotropin releasing hormone (GnRH) pulse secretions. It is characterized by hypercortisolism, hypogonadism, lower leptin levels, and dysregulated thyroid function (Berga and Loucks 2007). There are three types of FHA categorized as either weight loss–related, psychological stress–related, or exercise–related amenorrhea. In each, higher than normal levels of cortisol caused diminished functional activity of the ovaries, leading to deficiency in estrogen.
GnRH is a hormone produced by the hypothalamus, and stimulates the anterior pituitary gland to secrete follicle stimulating hormone (FSH) ... Show more content on Helpwriting.net ...CBT is a better treatment alternative to pharmacological treatments because it targets the underlying cause of the disorder by reducing allostatic load through teaching stress management skills, and prevents other health conditions linked to chronic stress such as cardiovascular disease (Michopoulos, Mancini, Loucks, & Berga, 2013). Additionally, it prevents potential side effects of HRT and ovulation, and can foster better overall wellbeing and parenting skills of potential mothers. Given that there is a direct relationship between the psychogenic stress, increased cortisol and neuroendocrine imbalance, and negative health outcomes, it is important for physicians to be cognizant of the psychological, emotional, and social stressors of their patients, as they might directly cause their conditions, or may interfere with the patients' ability to comply with their treatments, and recover. Since there may be many other illnesses that are directly influenced by stress, more research should be done on how stress interacts with other illness. Physicians should emphasize the importance of mental health and stress management techniques on patients' health
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