When Wellness Becomes a Danger
As someone who works daily with women navigating their reproductive health, I've witnessed a troubling shift in our wellness culture—one that prioritizes intensity over intuition. The viral trends dominating social media aren't just about looking good; they're about pushing the body to its limits without considering what it truly needs.
"We've created a wellness culture where women are encouraged to stack stressor upon stressor and call it health: train intensely, fast, restrict calories, get into freezing water, work all day and keep pushing," I said in an interview with Newsweek.
But what many of us don't realize is that this approach can have profound consequences for the female reproductive system. In my experience, these extreme wellness practices often mask a deeper issue: a lack of understanding about how our bodies function—and specifically, how hormonal balance supports fertility.
The Silent Crisis of Under-Eating and Over-Exercising
One of the most alarming patterns I observe is the combination of over-exercising with under-eating. This dynamic creates what researchers call low energy availability (LEA), a state where the body lacks sufficient fuel to support normal physiological functions—including reproduction.
When women consistently consume too few calories relative to their activity levels, it sends a signal to the brain that resources are scarce. In response, the body begins to shut down non-essential systems, including those responsible for ovulation and menstruation. This is not just theoretical—it's a well-documented phenomenon in reproductive medicine.
A 2021 study published in Reproductive Medicine and Biology confirmed that factors like inadequate nutrition, excessive exercise, weight loss, and metabolic dysfunction can interfere with the release of gonadotropin-releasing hormone (GnRH)—a key player in regulating the menstrual cycle and fertility. Without this crucial hormone, ovulation stops, and fertility plummets.
At its most severe, this condition leads to functional hypothalamic amenorrhea—a state where periods cease entirely because the body simply cannot sustain reproductive function with insufficient energy.
Cold Exposure: A Risky Trend for Women
Another trend that gives me pause is cold exposure—especially among younger women who are drawn to ice baths, cold showers, and other methods of “testing” their resilience. While some research suggests these practices may offer benefits for men's health, they don't necessarily apply to women.
The human body is not a machine. We are biological systems shaped by hormones, cycles, and reproductive biology that differ fundamentally from those of men. Cold exposure can trigger stress responses in the body that impact hormone regulation and potentially impair fertility.
A 2025 study in Frontiers in Genetics, using female mice as subjects, found that repeated cold-water immersion was associated with inflammatory responses in the uterus and ovaries, which could disrupt sex hormone regulation. Though more research is needed on human subjects, this data shouldn't be ignored.
My concern isn't with cold exposure per se—it's with how it's often used as a tool for performance enhancement or “recovery” without accounting for its potential impact on women's hormonal systems.
The Illusion of Restriction
Perhaps nowhere is the disconnect between wellness ideals and health more evident than in the popularity of highly restrictive diets. Many women are eliminating entire food groups—dairy, gluten, even whole grains—under the assumption that they'll improve their health or boost fertility.
But the reality is more nuanced. Restrictive eating plans often create nutritional imbalances that can interfere with hormonal production and overall well-being. These diets may be popular for a reason, but their effectiveness—and safety—is often overstated.
I've seen women lose sight of what their bodies actually need in favor of rigid rules about food intake. This approach can be particularly harmful when it involves extreme calorie restriction or the overuse of supplements without professional guidance.
What Women Need Instead
Rather than constantly fighting our biology, I advocate for a more compassionate and intuitive approach to health—one that emphasizes nourishment, warmth, and recovery. This means cooking meals that support hormonal balance rather than relying on cold foods or processed options.
We must move away from the idea of "cleaning" or "resetting" the body through restriction. Instead, focus on eating enough nutrient-dense foods to fuel your life—both physically and emotionally. Prioritize adequate rest over constant productivity, and remember that your body is not a machine to be optimized but a system to be respected.
Ultimately, we shouldn't be trying to hack our hormones or manipulate them through extreme practices. We should be learning how to listen to them, support them, and give them what they need to thrive.
A Call for Balance
As someone who studies reproductive health, I'm not here to shame anyone for trying to live well. But I do believe it's crucial that we approach wellness with knowledge and care, especially when it comes to the delicate systems governing fertility.
The goal should never be to make the body suffer in service of an ideal. It should be to nourish it, understand it, and treat it with kindness. For women who are trying to conceive or simply want to maintain their health, these principles matter more than ever.
In a world obsessed with perfection and productivity, let's not forget that our bodies are not meant to be conquered—they're meant to be honored.
Key Facts
- Primary Entity: Bethany MacLeod
- Age: 28
- Profession: Fertility Specialist
- Main Concern: Viral wellness trends harming women's hormonal health
- Key Trend 1: Extreme fitness and over-exercising
- Cold exposure practices: Cold plunges, cold showers, iced drinks
- Key Trend 3: Restrictive diets
- Condition Mentioned: Functional hypothalamic amenorrhea
Background
A fertility specialist has warned that popular wellness trends such as extreme fitness, cold exposure, and restrictive diets may be harming women's hormonal health. Bethany MacLeod, a 28-year-old fertility specialist, identified these practices as potentially disruptive to female reproductive systems. The article discusses how these wellness habits, which often involve stacking stressors and restricting calories, can interfere with normal hormonal cycles and fertility by creating low energy availability. Research cited includes studies on the impact of inadequate nutrition and excessive exercise on gonadotropin-releasing hormone release, as well as findings from animal studies linking cold exposure to reproductive health issues.
Quick Answers
- Who is Bethany MacLeod?
- Bethany MacLeod is a 28-year-old fertility specialist who has warned about viral wellness trends harming women's hormonal health.
- What is Bethany MacLeod's main concern?
- Bethany MacLeod's main concern is that viral wellness trends like extreme fitness, cold exposure, and restrictive diets are harming women's hormonal health and fertility.
- What specific wellness practices does Bethany MacLeod identify as risky?
- Bethany MacLeod identifies extreme fitness combined with under-eating, cold exposure practices such as cold plunges and ice baths, and highly restrictive diets as risky wellness practices.
- What condition can result from extreme exercise and low eating?
- Extreme exercise combined with insufficient eating can contribute to functional hypothalamic amenorrhea, a condition where periods stop due to lack of energy for normal reproductive function.
- How does Bethany MacLeod describe the relationship between wellness trends and women's bodies?
- Bethany MacLeod describes how wellness practices that work for men may not apply to women due to different hormonal environments and reproductive biology, particularly noting that women aren't small men.
- What does Bethany MacLeod recommend instead of extreme wellness trends?
- Bethany MacLeod recommends focusing on nourishment, warmth, recovery, eating enough nutrient-dense foods, and prioritizing adequate rest over constant productivity.
- What does Bethany MacLeod say about cold exposure for women?
- Bethany MacLeod questions whether cold exposure recommendations should automatically apply to women, noting that research in female mice shows potential inflammatory responses in reproductive organs from repeated cold immersion.
- What is the significance of low energy availability according to Bethany MacLeod?
- Low energy availability occurs when women consistently consume too few calories relative to their activity levels, which can send signals to the brain that resources are scarce and shut down non-essential systems including those responsible for ovulation and menstruation.
Frequently Asked Questions
What health risks does Bethany MacLeod identify with extreme fitness?
Bethany MacLeod identifies that extreme fitness combined with under-eating creates low energy availability, which can disrupt hormonal signaling involved in ovulation and menstruation, potentially leading to functional hypothalamic amenorrhea.
How does cold exposure affect women's reproductive health according to Bethany MacLeod?
Bethany MacLeod notes that while cold exposure may have benefits for men, it's questionable whether these apply to women due to different hormonal environments. Research in female mice suggests cold exposure may induce inflammatory responses in uterus and ovaries that could disrupt sex hormone regulation.
What does Bethany MacLeod say about restrictive diets?
Bethany MacLeod warns against highly restrictive eating plans that eliminate entire food groups like dairy and gluten, which can create nutritional imbalances interfering with hormonal production and overall well-being.
What alternative approach does Bethany MacLeod suggest for women's wellness?
Bethany MacLeod advocates for a more compassionate approach emphasizing nourishment, warmth, recovery, eating enough nutrient-dense foods, and prioritizing adequate rest rather than constantly pushing the body to its limits.
Source reference: https://www.newsweek.com/im-a-fertility-specialist-these-viral-trends-may-be-harming-your-hormones-12394188





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