Secondary amenorrhoea (disappearance of previously established men-struation) in a 25-year-old female athlete is associated with

A. True This is a recognized adverse effect of strenuous training over weeks or months.

B. True Amenorrhoea is likely when body weight falls markedly below the normal value.

C. False It is usually a hypothalamic response to a reduction in the body’s energy stores which are sensed in the hypothalamus.

D. True As at the menarche, reproductive activity, including ovulation and menstruation, generally depend on attaining a normal adult body mass, including fat stores.

E. False This is the normal female body fat level.