Do oral contraceptive pills improve bone mineral density (BMD) in the treatment of amenorrheic female athletes?

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No, there is no difference in BMD between amenorrheic female runners taking oral contraceptive pills and those receiving no treatment (SOR: B, small RCT). Restoring normal menstrual function by correcting underlying causes of amenorrhea—like energy imbalance or gaining weight—are the preferred methods of treatment (SOR: C, consensus guideline).

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