• 3 or more months of consecutive amenorrhea with a diagnosis of functional hypothalamic amenorrhea or screening hormones consistent with functional hypothalamic amenorrhea including but not limited to:

‣ Estradiol: \< 50pg/mL

⁃ LH: \< 10 IU/mL

⁃ FSH: \< 10 IU

⁃ Testosterone: 2 - 45 ng/dL

⁃ Free Testosterone: 0.1 - 6.4 pg/mL

⁃ FT4: 0.93 - 1.70 ng/dL

⁃ Prolactin: \< 20 ng/mL

⁃ AMH: \> 1 ng/mL

⁃ Urine or serum human chorionic gonadotropin: Negative

• LH:FSH Ratio \<1

• No signs of male-like hair growth on the upper lip, chin, chest, abdomen, buttocks, or back

• Does not have a diagnosis for secondary amenorrhea, including prolactinoma, PCOS, premature ovarian insufficiency, pituitary surgery, infection, or infarction

• Premenopausal status determined by WISE criteria

• Able to give informed consent

• Able to read English