After completing this chapter, you should have an understanding of the following: The American College of Sports Medicine (ACSM) position stand on the female athlete triad. The difference between disordered eating and eating disorders. The progressive nature of menstrual disturbances in athletes. Osteopenia and osteoporosis. The interrelatedness of disordered eating, amenorrhea, and osteoporosis. Athletes at greatest risk for developing signs and symptoms associated with the triad. The growing health concern of the triad for allied health professionals. The general consensus regarding reproductive dysfunction in the female athlete.