Women with anorexia nervosa should not be treated with estrogen or birth control pills in a bone-sparing effect
Bergström, I.; Crisby, M.; Engström, A-May.; Hölcke, M.; Fored, M.; Jakobsson Kruse, P.; Of Sandberg, A-Marie.
Acta obstetricia et gynecologica Scandinavica 92(8): 877-880
2013
ISSN/ISBN: 0001-6349 PMID: 23682675 DOI: 10.1111/aogs.12178Document Number: 576379
Eating disorders is a prevalent, serious condition that affects, mainly young women. An early and enduring sign of anorexia is amenorrhea. There is no evidence for benefits of hormone therapy in patients with anorexia, however, hormone medication and oral contraceptives are frequently prescribed for young women with anorexia as a prevention against and treatment for low bone mineral density. The use of estrogens may create a false picture indicating that the skeleton is being protected against osteoporosis. Thus the motivation to regain weight, and adhere to treatment of the eating disorder in itself, may be reduced. The most important intervention is to restore the menstrual periods through increased nutrition. Hormone and oral contraceptive therapy should not be prescribed to young women with amenorrhea and concurrent eating disorders.This article is protected by copyright. All rights reserved.