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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