360. Is the anxiety of HA recovery making things worse? How much working out is too much?
The Hypothalamic Amenorrhea PodcastShow Notes
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In today’s episode, we’re answering two powerful (and very common) questions we see during hypothalamic amenorrhea (HA) recovery:
1. Can you work out 4x per week during recovery? One listener shares that she’s gained weight, regained two periods, and is feeling more stable—but recently increased her training from 3 to 4 days per week (upper/lower split with longer sessions).
We break down: Whether 4 workouts per week is appropriate at this stage The difference between “feeling fine” vs. true recovery safety How intensity, volume, and recovery all matter more than just frequency Signs your body might still be under stress (even if cycles have started returning) How to approach exercise without risking setbacks
2. Why does anxiety increase during recovery? Another listener opens up about feeling more anxious now than before recovery—despite eating 3000+ calories and not exercising.
We dive into: Why recovery can actually heighten anxiety (and why this is normal) The mental shift from control → uncertainty Obsessive tracking of “micro wins” (BBT, ovulation signs, etc.) How healing your body can temporarily dysregulate your mind Practical ways to reduce anxiety and feel more grounded during this phase
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The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician.
More from The Hypothalamic Amenorrhea Podcast
In this episode we answer listener questions that range from: - I used to menstruate at X weight, why not now? - Cycling going backward when REDUCING coffee, is this possible?! - How does BC affect lab work & more - and we address a listener comment from a past episode, explaining that honestly, having HA probably isn’t very feminist either.
If you’ve ever thought, “I’ll do what it takes to get my period back…I just really don’t want to gain THAT much weight,” you’re going to relate to Ali. Ali spent years in and out of recovery, sometimes bleeding, sometimes not, but never really letting go of the food control or trusting her body. And when she finally decided she wanted to become a mom, she had to face the thing she’d been afraid of since childhood...allowing her body to change without knowing exactly where it would land. We talk about her years of “quasi-recovery,” trying to find a way to recover while staying thin, the very real fear of weight gain, and what changed when she finally said, essentially, screw it, I’m doing this. Once Ali went all-in, she got her first period in about 50 days, ovulated, and eventually got pregnant on her third ovulation. If you’re currently trying to figure out how to recover without having to fully surrender to recovery…this episode is for you.
Mady thought she’d go all-in on HA recovery, get her period back in 3 months and move on with her life. Instead, recovery took about a year and forced her to completely rethink health, her identity as the “healthy girl,” weight gain and her need for control. Ironically, it wasn’t until she stopped making recovery the center of her life and started actually LIVING again that her period finally came back.
You've lost your period, you know you're not pregnant... the good news is it's probably just something called hypothalamic amenorrhea. Easy to understand and simple to resolve but surprisingly difficult to actually execute. In this episode we walk you through why you should be relieved that it's not something else like polycystic ovaries, premature ovarian insufficiency or early menopause and how to approach it!
You've gained weight, you've been eating more food consistently, you've even reduced or stopped working out. This isn't making SENSE! I get it and as a coach who works with many women with amenorrhea all of the time, this isn't an uncommon concern.