Pippa Woolven knew thing was wrong.
On an athletics assistance successful the United States, she was expected to beryllium pursuing her dream. Instead, Woolven was fatigued, had debased moods and her show was going downhill.
She knew thing was wrong, but it took years to find retired what.
Woolven was suffering from Relative Energy Deficiency successful Sport. Known arsenic Red-S, the information occurs erstwhile athletes expend much vigor successful grooming than they devour done nutrient and drink.
"I was suffering for astir 5 years of my athletics career," long-distance runner Woolven, 29, told Women's Sport Matters - a Sports Desk podcast peculiar produced with the Open University.
"I truly struggled to get the diagnosis that I needed [for] years and years. As a consequence, I coiled further and further into this vigor deficit, developed each sorts of wellness consequences."
What is Red-S?
Several different sportswomen person spoken astir their acquisition with Red-S, including athletes Anna Boniface and Bobby Clay, and upland motorcycle racer Evie Richards.
The information affects some men and women, and tin interaction levels of oestrogen - an indispensable hormone for bony health. As a effect of the condition, some Boniface and Clay developed osteoporosis.
The interaction connected oestrogen means losing your play tin beryllium a informing motion of Red-S. Unfortunately for Woolven, each of the doctors she saw thought it was mean for an jock grooming astatine her level.
On apical of that, she was utilizing the contraceptive pill, which gives women a bleed that is not technically a play arsenic it happens purely due to the fact that of hormone changes brought astir synthetically.
Woolven, who represented England astatine the 2014 Commonwealth Games, says doctors "just encouraged maine to support taking it [the pill] successful this mendacious consciousness of information that it provided of having a real, earthy period".
She adds grooming "should ne'er travel astatine the outgo of losing oregon impacting your menstrual rhythm successful immoderate way".
Damaging thought that 'thinner is faster'
It took years for Woolven's menstrual rhythm to recover, but the intelligence effects of Red-S were challenging too.
She says she bought into "the content strategy that thinner is faster", adding: "You person to enactment for a agelong clip to reverse those mindsets that tin go truthful damaging.
"We're each led to judge successful athletics that hard enactment equals reward, but if that is not balanced with capable rest, betterment and nutrition, you volition ne'er scope your potential."
Open University athletics and fittingness prof Simon Rea points retired that coaches tin "lack control" successful this concern due to the fact that "they don't truly person power implicit what nutrient is going successful earlier oregon aft training".
"There is this thought that airy is best," Rea adds.
"The lighter they are, the amended their show is going to be. Unfortunately it works for a portion arsenic well.
"They suffer value and they go amended but past everything starts crashing down erstwhile determination is not capable oestrogen disposable and the bones go brittle."
Rea believes coaches tin play their part.
"You tin speech to the jock astir what they had to substance up for the grooming and what they are going to person to substance up afterwards," helium says.
"If we tin unfastened up these conversations and person environments wherever athletes and coaches tin person respect for each other, past these conversations tin happen."
Woolven has founded Project RED-S - an organisation that works to summation consciousness and prevention and enactment athletes successful their recovery.
Its website highlights immoderate of the cardinal informing signs: unexplained fatigue; recurrent injuries oregon illness; show decline; irregular oregon missing periods; irritability and anxiousness astir nutrient oregon value gain.
Woolven adds immoderate parting advice: "Try and zoom retired and look astatine the bigger picture. Look astatine your show implicit the people of five, 10, nevertheless galore years you privation to beryllium enjoying athletics for, and not conscionable the short-term success."
If you, oregon idiosyncratic you know, person been affected by immoderate issues raised successful this article, enactment and accusation is disposable astatine BBC Action Line.
Sports Desk: Women's Sport Matters is simply a peculiar mini-series produced successful concern with the Open University. You tin perceive to each 4 episodes, covering periods; sportswear; the science of injuries and workout habits, here.