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[https://doi.org/10.1186/s40337-025-01516-3](https://doi.org/10.1186/s40337-025-01516-3)  \nJournal of Eating Disorders  \nMATTERS ARISING Open Access  \nThe broader implications of menstrual health in eating disorders: Matters Arising from Porter (2025)  \nGemma Sharp1,2*  \nAbstract  \nMenstrual disturbances are a common yet often overlooked feature of eating disorders, impacting individuals across diagnostic categories and age groups. This Matters Arising piece responds to Porter (2025), a survivor-led qualitative study highlighting that menstruation is often treated as a simple health indicator, with little attention to emotional or psychosocial aspects. Specifically, I discuss broader intersections between eating disorder pathology and menstrual health, including functional hypothalamic amenorrhea, oligomenorrhea and menopause-related changes, illustrating how menstrual irregularities reflect disruptions in hormonal and metabolic regulation and carry psychological and identity-related implications. Current clinical approaches frequently overlook these dimensions, focusing narrowly on the presence or absence of menstruation rather than holistic well-being. Drawing on research evidence and clinical experience, I recommend a patient-centred approach that includes routine assessment of menstrual history and symptoms, integration of menstrual considerations into nutritional, medical and psychological treatment plans and sensitive communication regarding emotional and identity-related experiences. Interdisciplinary collaboration and further research are essential to better understand menstrual experiences across the lifespan. Recognising menstrual health as a meaningful component of overall treatment can enhance recovery and provide more comprehensive, empathetic care.  \nPlain English summary  \nMenstrual health is an important but often overlooked part of care for people with eating disorders. This article responds to a recent survivor-led study by Porter (2025), which found that eating disorder inpatient services often viewed menstruation simply as a sign of physical recovery, with little attention to the emotional or personal meaning of these changes. Building on these findings, this Matters Arising article discusses how eating disorders can affect menstrual cycles in different ways, including missed or irregular periods (amenorrhea andoligomenorrhea respectively) and changes related to menopause. These menstrual disruptions are linked to changes in hormones, metabolism and mental health, and can influence how people feel about their bodies and recovery. Despite this, menstrual health is seemingly rarely discussed in a sensitive or holistic way in treatment. This  \nThis comment refers to the article available online at [https://doi.org/](https://doi.org/)[ ](https://doi.org/)[10.1186/s40337-025-01266-2](10.1186/s40337-025-01266-2.)[.](10.1186/s40337-025-01266-2.)  \n*Correspondence:  \nGemma Sharp [g.sharp@westernsydney.edu.au](g.sharp@westernsydney.edu.au)  \nFull list of author information is available at the end of the article  \n© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the perm","cbCaiieA4MBiCw3a","https://ap.wps.com/l/cbCaiieA4MBiCw3a","pdf",587714,"English","# Abstract\n# Plain English summary\n# Introduction\n# Recommendations and implications\n# Keywords","[{\"question\":\"What does the article mean by the broader implications of menstrual health in eating disorders?\",\"answer\":\"It emphasizes that menstrual irregularities reflect disruptions in hormonal and metabolic regulation and also carry psychological and identity-related implications beyond physical status.\"},{\"question\":\"How does the piece respond to Porter (2025)?\",\"answer\":\"It builds on Porter’s survivor-led qualitative findings and discusses how inpatient services often treat menstruation as a simple indicator, with limited attention to emotional or psychosocial meaning.\"},{\"question\":\"What patient-centred actions does the article recommend for clinicians?\",\"answer\":\"It recommends routine assessment of menstrual history and symptoms, integrating menstrual considerations into nutritional, medical, and psychological treatment plans, and using sensitive communication about emotional and identity-related experiences.\"}]","The broader implications of menstrual health in eating disorders - Matters Arising from Porter (2025) - Recommendations for patient-centred menstrual assessment | PDF",1790699467]