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Table 2 Reasons that were mentioned not to report absence of menstruation (in bold; most important factors according to the corresponding group)

From: Absence of menstruation in female athletes: why they do not seek help

Group 1

Group 2

Group 3

Is not seen as a problem

Fear of something serious

Do not worry

It is not known what consequences will be later in life

‘Denial’

Perceiving it as normal

Will go away, general practitioner says ‘it is part of the game’

Thinking it is normal

Experiencing no menstruation as convenient

Little attention from mentors for this problem (in certain sports/certain federations)

Shame and taboo

Showing you are fit

No direct supervision of team doctor (in certain sports/levels)

Little confidence in Western healthcare

No desire to have children

Sign of getting in shape

Ignorance

Not easy to discuss with (male) trainers

Appears to be reversible, therefore less worries

 

Not common for coaches to ask about it

Difference between top-level sports and recreational sports: detect and report subtle signals

 

Other priorities

Shame

 

More common among teammates

  

Not wanting to hear it/denial

  

Seeking help late by athletes in general