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Table 3 Factors that were mentioned to optimize care around menstrual problems in athletes (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
Informing federations/coaches/trainers/mentors Educate general practitioners Informing coaches/trainers, responsibility
Fixed team doctor/trainer etc Care for non-top athletes Realistic image of consequences
Gynaecologist with sufficient knowledge early in the process Create awareness/break taboos through social media/presentations Starting the conversation with athletes
Sports doctor with the right knowledge Informing coaches through sports federations Confidential adviser
Mentioning concerns about the future/fertility No clear difference between male and female doctors Education/informing
Female doctors/care providers Helicopter view Discuss risks with athlete/educate
Red flag list at general practitioner, refer to specialist when necessary Attention to nutrition/eating problems Involve sports physician
Shared clinic/consultation: gynaecologist + sports physician Informing parents Involve psychologist
Other specialisms: gastroenterologist, endocrinologist, pulmonologist Breaking the taboo/being taken seriously Involve sport dietician
Casemanager Knowledge in schools Signalling function for trainer and paramedic care
   Regionally bound network
   Breaking the taboo; must become normal to discuss it
   Role model who does menstruate
   Better background information/guidelines for general practitioner