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The clinical factors to be considered in female boxers
6. Menstrual irregularities associated with exercise ~ Conclusion
6. Menstrual irregularities associated with exercise
The origin of menstrual irregularity of female athletes is the hypothalamus. To control a production of Follicle Stimulating Hormone and progesterone from a hypophysis, Various interactive factors continuously decrease a functional disability of hypothalamus and a production of GnRH, Gonadotrophin Releasing Hormone. Those hormones directly control the progress of menstrual cycle included estrogen and progesterone. Accordingly, exercise-induced amenorrhea is a type of hypothalamic amenorrhea.

1) Low body fat
Obviously, the decrease of body fat mass is related to menstrual irregularity. when body fat mass is decreased, the production of estrogen is diminished and the amenorrhea and menstrual irregularities is induced. if body fat mass controlled is excessively decreased in boxing, menstrual irregularities will be occurred. Therefore, for the long life of athlete, to maintain a suitable bodyweight is better than to participate in low boxing weight by excessive reduction of body weight. And after retirement, female boxers may be able to avoid several complications by disharmony of hormone.

2) Inadequate diet
Inadequate diet is also a factor which causes the menstrual irregularity. menstrual irregularity is originated from inadequate diet, low intake of protein, carbohydrate and calcium. It is not clear whether this bad regimen directly effects menstrual irregularity or decrease of body fat mass. Thus to early execute a program to control bodyweight is better in female boxer. the reason is that for losing bodyweight, a rapid reduction of intaking food leads a female player to a nutritional imbalance, so an menstrual irregularity takes place.

3) Psychological stress
The true psychological stress is capable of affecting the function of hypothalamus is well proved. so, psychological stress can occur menstrual irregularity in female athletes, but no research is still studied.

4) Level of exercise
When the athletes stop the training by injuries or retirement or reduce volume of exercise in off-season, normally menstruation is often recovered. Accordingly, between a menstrual irregularity and level of exercise are linked each other. Cortisol which effects hypothalamus on training seems to have a relation to opoid-peptide.

7. Menstrual hygiene
a social recognition about training or match on menstruation have being changed lately. Many athletes avoided a match of training in menstruation. However, through a recent changing perception and a certain evidence that an exercise on menstruation makes no bad effects, the match is possible on menstruation.
The commercial usability of Tampon promote the situation. The tampon have been used in most of athletes. Specially, in female boxers, taking a tampon on menstruation or not is not a recommendation but an obligation. Because the uterus and ovary are located in low abdomen of female. This part is related to female hormone, so without a menstruation, the tissue of the uterus and ovary get weaken or a melena of the part is occurred by minor impact. Let's assume that because of the melena by the shock of low abdomen, the bleeding is happened under pants on air. this situation is very different from a bleeding by butting or nosebleed. Do you bet this situation is not took place? It is very terrible as just a imagination.

8. Pregnancy
Most females can do a suitable exercise on pregnancy. But the true is just the program to maintain or improve a health and the pregnancy of female players have different means. the boxing match is obviously prohibited on pregnancy. In professional boxers, menstrual irregularity can be happened due to a decrease of body fat and stress by overtraining of body mass reduction. Despite a menstruation is ceased by pregnancy, the players mistake menstrual irregularity for a pregnancy. As a result, when the low abdomen is impacted on match, the danger of melena or abortion will be always existed. So far, it is no case. If this state take place on match, the female boxing is to be caught in fatal physical and ethical disputes, and to be on the road of maintain or abolition. so it seems to need a radical preliminary step.
Since professional boxing have the initial responsibility, the boxer always have to keep in mind the true and carry out an aggressive precaution like contraception on boxer,s life. Particularly, within 15days of pregnancy, a pregnancy isn't checked by a test of pregnancy just before a match. On the medical test before match, a ring doctor needs a detailed diagnosis and checkup with the possibility of pregnancy. Although the test is not perfectly to confirm a pregnancy, the test is the best choice for a check of pregnancy now, and have to be adopted as an essential check.

9. Injuries
female boxers have problems of the injuries of the breast and low abdomen. By a punch, the external trauma of the breast give rise to results like bleeding and swelling. Though the obvious evidence that the external trauma of the breast cause a cancer isn't discovered, another theory says that repeated impacts lead to secondary breast cancer. Therefore, to wear sports brassiere is essential for protecting chest actively.
The impact of the low abdomen is protected by the protector, but it's not perfect. The shock in case of direct punch is bigger than you think. However, many female boxers have many time to get sparring without a protector just because the equipment is uncomfortable on training and there is even occasion, when some female boxer is on the ring in unimportant game.
The life of boxer is short, the life is long. When the boxer return to the natural woman after retirement, is it unfortunate that the repeated uterus shock took on boxer cause a myoma of the uterus or a sterility?
Through a cognition of the boxer or coach to the true, they have to protect themselves from injuries.

Conclusion
We check some important things on clinical factors considered in female boxer. Passing the quickening, female boxing gains more popularity than games of male in some countries. many corresponding medical researches and interest related in female boxer is needed. I wish to finish this report with arrangement of a necessary knowledge needed to female boxers or their trainers and a recommendation to Boxing Organization.

1. Avoiding the menstrual cycle and the menstruation on match, female boxer will do it through a intake of contraceptive. Therefore, in female boxer, an certain schedule will be announced before at least 45days and a rapid change of game schedule is strictly limited by the association, because female boxer is related to the menstrual cycle unlike male boxer.

2. On female boxer, to attempt a decrease of bodyweight by restriction of intake of food and to diminish body fat mass by much decrease of bodyweight are able to cause the menstrual irregularity. So a trainer doesn't make female boxer to occur a physical disharmony through the program to early control bodyweight.

3. Since the blow in low abdomen is capable of occurring the melena, taking Tampon is mandated or actively recommended.

4. By the menstrual irregularity often occurred in player, a player who have no cognition of pregnancy is able to participate in a match. Before a match, a medical test is strictly necessary for a pregnancy by a ring doctor. In WBA, a player is required to submit the diagnosis whether she is expecting or not before a match. To avoid a possibility of pregnancy, if possible, by the test before the match, a possibility of pregnancy have to be avoided.

5. The shock in low abdomen causes abnormal condition of the uterus or ovary. therefore, To take a protector is recommended on sparring too.
 
 
 
 
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