title: Long-term menstrual and reproductive function in patients with bulimia nervosa.
abstract: OBJECTIVE
  Menstrual dysfunction occurs frequently in patients with bulimia nervosa. Whether this is associated with diminished fertility is unknown. This study examined menstrual and reproductive function in bulimia nervosa patients retrospectively, with 10-15-year follow-ups.
  
  
  METHODS
  A total of 173 women with bulimia nervosa were interviewed an average of 11.5 years (SD=1.9) after initial assessment with the Structured Clinical Interview for DSM-IV and a questionnaire about menstruation, pregnancy, and eating disorder symptoms.
  
  
  RESULTS
  At baseline assessment, 38.2% of the subjects reported regular menses, and 4.6% reported amenorrhea. At follow-up, the rate of amenorrhea was 16.8% (2.9% because of pregnancy). At baseline, 34.7% of the subjects had experienced at least one pregnancy. At follow-up, 74.6% had been pregnant at least once, and 1.7% reported an inability to conceive.
  
  
  CONCLUSIONS
  These results suggest that while menstrual irregularities are common, bulimia nervosa appears to have little impact on later ability to achieve pregnancy.
authors.affiliation: Department ofPsychiatry, University of Minnesota Medical School, Minneapolis, 55454-1495, USA. crowx002@tc.umn.edu
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Crow
authors.forename: Paul
authors.initials: P
authors.lastname: Thuras
authors.forename: Pamela K
authors.initials: PK
authors.lastname: Keel
authors.forename: James E
authors.initials: JE
authors.lastname: Mitchell
mesh_terms: D000367:Age Factors; D000568:Amenorrhea / Q000453:epidemiology; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology; D002032:Bulimia / Q000175:diagnosis* / Q000453:epidemiology; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D005298:Fertility / Q000502:physiology*; D005500:Follow-Up Studies; D020073:Gravidity / Q000502:physiology; D006801:Humans; D007247:Infertility, Female / Q000453:epidemiology; D008137:Longitudinal Studies; D008597:Menstrual Cycle / Q000502:physiology*; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology