Ep 75: No Period, Now What? HA & Fertility with Victoria Myers, RD

Today, we’re diving into one of the most overlooked reasons women lose their periods and struggle to conceive: hypothalamic amenorrhea (HA).

Joined by dietitian Victoria Myers, we explore how under-fueling, over-exercising, and chronic stress can cause the brain to essentially shut down ovulation - and why so many women are misdiagnosed with PMOS/PCOS in the process.

We also dive into why “just eat more and move less” is unhelpful, the overlap between HA and PMOS/PCOS, and the emotional side of recovery - especially for high-achievers and perfectionists.

We chat:

• The physiological connection between under-fueling, stress, and lost cycles
• Why the advice to “just eat more and move less” often creates even more confusion in recovery
• The overlap between HA and PMOS/PCOS, and how to distinguish between the two
• The long-term health consequences of untreated HA beyond fertility
• The emotional and psychological side of recovery, including perfectionism, body image, control, and fear around changing exercise habits
• Why high-achieving women, athletes, and “healthy eaters” are often the most susceptible
• The identity shift that recovery often requires - and why healing is about far more than food alone

This conversation is nuanced, compassionate, and deeply validating for anyone navigating missing periods, fertility struggles, overtraining, or confusion around their hormone health. If you’ve ever wondered whether you’re “healthy” on paper but your body is telling a different story, this episode is for you.

Want to connect with Victoria? You can reach her virtual nutrition practice at Nourished Fertility or follow her on Instagram.