The silent pandemic of stress: impact on menstrual cycle and ovulation

In the current age of technological advancement, stress has emerged as a silent pandemic affecting individuals, especially young generations, globally. Factors such as increased competition, social pressures fueled by social media and smartphones, and a sense of diminished control in the face of mod...

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Main Authors: Mariam Saadedine, Sarah L. Berga, Stephanie S. Faubion, Chrisandra L. Shufelt
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Stress
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/10253890.2025.2457767
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author Mariam Saadedine
Sarah L. Berga
Stephanie S. Faubion
Chrisandra L. Shufelt
author_facet Mariam Saadedine
Sarah L. Berga
Stephanie S. Faubion
Chrisandra L. Shufelt
author_sort Mariam Saadedine
collection DOAJ
description In the current age of technological advancement, stress has emerged as a silent pandemic affecting individuals, especially young generations, globally. Factors such as increased competition, social pressures fueled by social media and smartphones, and a sense of diminished control in the face of modern challenges contribute to rising stress levels. In addition to the negative implications on mental well-being, stress affects physiological processes such as the menstrual cycle. Functional hypogonadotropic hypogonadism is a spectrum ranging ranging from regular menstrual cycles with short or insufficient luteal phases to irregular cycles, oligomenorrhea, anovulation, and complete amenorrhea, depending on how stress variably disrupts gonadotropic-releasing hormone (GnRH) drive. Functional hypothalamic amenorrhea (FHA), the most severe manifestation, is a complex global neuroendocrinopathy with several serious health consequences in addition to amenorrhea and infertility. Concomitant health consequences include bone loss, endothelial dysfunction, and cardiovascular risks. The collective health burden underscores the need for clinical awareness and comprehensive treatment strategies addressing behavioral and biopsychosocial stressors that lead to chronic hypothalamic-pituitary-adrenal (HPA) axis activation. Despite its prevalence and numerous adverse health consequences, research on this condition remains limited, revealing a significant gap in understanding and addressing this condition. Larger and long-term follow-up studies are important to accurately assess FHA prevalence, its health consequences, intervention efficacy, and recovery outcomes.
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spelling doaj-art-849de70380e74141ae6045d31fae514b2025-01-25T12:26:24ZengTaylor & Francis GroupStress1025-38901607-88882025-12-0128110.1080/10253890.2025.2457767The silent pandemic of stress: impact on menstrual cycle and ovulationMariam Saadedine0Sarah L. Berga1Stephanie S. Faubion2Chrisandra L. Shufelt3Department of Obstetrics and Gynecology, George Washington University, Washington, District of Columbia, USADepartment of Obstetrics and Gynecology, University at Buffalo, Buffalo, New York, USADivision of General Internal Medicine, Mayo Clinic, Jacksonville, Florida, USADivision of General Internal Medicine, Mayo Clinic, Jacksonville, Florida, USAIn the current age of technological advancement, stress has emerged as a silent pandemic affecting individuals, especially young generations, globally. Factors such as increased competition, social pressures fueled by social media and smartphones, and a sense of diminished control in the face of modern challenges contribute to rising stress levels. In addition to the negative implications on mental well-being, stress affects physiological processes such as the menstrual cycle. Functional hypogonadotropic hypogonadism is a spectrum ranging ranging from regular menstrual cycles with short or insufficient luteal phases to irregular cycles, oligomenorrhea, anovulation, and complete amenorrhea, depending on how stress variably disrupts gonadotropic-releasing hormone (GnRH) drive. Functional hypothalamic amenorrhea (FHA), the most severe manifestation, is a complex global neuroendocrinopathy with several serious health consequences in addition to amenorrhea and infertility. Concomitant health consequences include bone loss, endothelial dysfunction, and cardiovascular risks. The collective health burden underscores the need for clinical awareness and comprehensive treatment strategies addressing behavioral and biopsychosocial stressors that lead to chronic hypothalamic-pituitary-adrenal (HPA) axis activation. Despite its prevalence and numerous adverse health consequences, research on this condition remains limited, revealing a significant gap in understanding and addressing this condition. Larger and long-term follow-up studies are important to accurately assess FHA prevalence, its health consequences, intervention efficacy, and recovery outcomes.https://www.tandfonline.com/doi/10.1080/10253890.2025.2457767Functional hypothalamic amenorrheastresssocial mediamenstrual cyclekisspeptin
spellingShingle Mariam Saadedine
Sarah L. Berga
Stephanie S. Faubion
Chrisandra L. Shufelt
The silent pandemic of stress: impact on menstrual cycle and ovulation
Stress
Functional hypothalamic amenorrhea
stress
social media
menstrual cycle
kisspeptin
title The silent pandemic of stress: impact on menstrual cycle and ovulation
title_full The silent pandemic of stress: impact on menstrual cycle and ovulation
title_fullStr The silent pandemic of stress: impact on menstrual cycle and ovulation
title_full_unstemmed The silent pandemic of stress: impact on menstrual cycle and ovulation
title_short The silent pandemic of stress: impact on menstrual cycle and ovulation
title_sort silent pandemic of stress impact on menstrual cycle and ovulation
topic Functional hypothalamic amenorrhea
stress
social media
menstrual cycle
kisspeptin
url https://www.tandfonline.com/doi/10.1080/10253890.2025.2457767
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