
6 - Relative Energy Deficiency in Sports (RED-S)
03/31/25 • 28 min
Dr. Susan Kaufman is joined by Dr. Mary Romano, a PAG physician from Vanderbilt and the current president of NASPAG, to discuss Relative Energy Deficiency in Sports (RED-S) previously knows as the Female Athlete Triad.
Outline:
• Highlights of a case study involving a 17-year-old athlete
• Identifying high-risk sports for developing energy deficiency
• Psychological and physiological impacts of inadequate energy
• Importance of early detection and intervention strategies
• Key roles of nutrition and hydration in athlete health
• Holistic approaches to treatment, involving multiple disciplines
• Empowering parents and coaches to support athletes effectively
• Importance of addressing hormonal imbalances with appropriate therapies
References:
NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 13
- Reproductive Health Management of Female Adolescent Athletes With Relative-Energy Deficiency in Sport by Mary Romano and Amy Sass in Journal of Pediatric and Adolescent Gynecology
Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching?
What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.
Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.
Dr. Susan Kaufman is joined by Dr. Mary Romano, a PAG physician from Vanderbilt and the current president of NASPAG, to discuss Relative Energy Deficiency in Sports (RED-S) previously knows as the Female Athlete Triad.
Outline:
• Highlights of a case study involving a 17-year-old athlete
• Identifying high-risk sports for developing energy deficiency
• Psychological and physiological impacts of inadequate energy
• Importance of early detection and intervention strategies
• Key roles of nutrition and hydration in athlete health
• Holistic approaches to treatment, involving multiple disciplines
• Empowering parents and coaches to support athletes effectively
• Importance of addressing hormonal imbalances with appropriate therapies
References:
NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 13
- Reproductive Health Management of Female Adolescent Athletes With Relative-Energy Deficiency in Sport by Mary Romano and Amy Sass in Journal of Pediatric and Adolescent Gynecology
Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching?
What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.
Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.
Previous Episode

5 - Prepubertal Bleeding
Camille Imbo, MD PGY6 and Susan Kaufman, MD talk about how to work up and examine prepubertal bleeding, as well as differential diagnoses.
Outline
- Patient and Family History
- Examination techniques and consent
- positioning and observation techniques
- differential diagnoses of prepubertal bleeding
- Common Causes
- Rare Causes
- Case review
Check out the episode visuals on YouTube.
References:
- Clinical Review: Prepubertal Bleeding, Valerie Bloomfield, MD, FRCSC, Abigail Iseyemi, MD,FRCSC, Sari Kives, MD, MSc, FRCSC, JPAG, 2023
- Current review of prepubertal vaginal bleeding, Dwiggins, Gomez-Lobo, 2017
- Essentials of Pediatric and Adolescent Gynecology: Chapter 7
Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching?
What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.
Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.
PAG over Pastries - 6 - Relative Energy Deficiency in Sports (RED-S)
Transcript
So we have a 17-year-old high school student who presents with secondary amenorrhea . Menarche was at age 14 , and her periods occurred every 50 to 90 days until they stopped , and her period stopped about six months ago . She denies any acne or hirsutism . Her BMI is 18 . She is applying to college and currently she plays on three varsity teams in high school . I'm Susan Kaufm
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