Female Athlete Triad and Its Components: Toward Improved Screening and Management  Asma Javed, MBBS, Peter J. Tebben, MD, Philip R. Fischer, MD, Aida N. Lteif, MD  Mayo Clinic Proceedings  Volume 88, Issue 9, Pages 996-1009 (September 2013) DOI: 10.1016/j.mayocp.2013.07.001 Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 The spectrums of energy availability, menstrual function, and bone mineral density (BMD) along which female athletes are distributed (orange arrows). An athlete’s condition can shift from one direction to the other, according to her diet and exercise habits. Energy availability can affect BMD both directly via metabolic hormones and indirectly via effects on menstrual function (blue arrows). From Med Sci Sports Exerc,6 with permission. Mayo Clinic Proceedings 2013 88, 996-1009DOI: (10.1016/j.mayocp.2013.07.001) Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Algorithm for evaluation of female athlete triad. BMD = bone mineral density; DXA = dual-energy x-ray absorptiometry. Mayo Clinic Proceedings 2013 88, 996-1009DOI: (10.1016/j.mayocp.2013.07.001) Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions