Although Title IX has contributed positively in some aspects, psychological problems increased dramatically for these athletes. As Laframboise states in a study of the female athlete triad, "Western society has placed a strong emphasis on ultra-thinness as the ideal body shape and size for females. To maintain this "ideal " image, many women will begin to starve themselves or go to extreme lengths to reach a truly unrealistic goal weight. Therefore, these women don't get the proper nutrient intake that is required which may lead to improper bone formation, and low estrogen. Nissenbaum, in an article concerning the female athletes triad, illustrates that "Women who were diagnosed with female athlete triad syndrome as adolescents and young adults in the 1990s are now in their 30s and 40s; negative long term effects of the female athlete triad, such as low bone mineral density, are now starting to manifest. " Many athletes may not even realize something is wrong until they suffer from something like a stress fracture or a broken bone. Dr. Fischer, a faculty member with the Ohio State University College of Medicine says, "Many girls are so active they need 3,500 calories a day because they are competing at a high-level. " With a proper dietitian or nutritionist these athletes will thoroughly understand what they need to do when it comes to calories, and will have the help they need by learning to introduce more calories into their diet. .
Enduring all of this stress plays a tremendous role on one's mental health. The pressure and expectations can break down and tarnish one's confidence. Most of these causes start early as well because college athletes are more susceptible to overcome to the pressure than other athletes. These disorders normally originate when transitions occur, such as leaving home to attend college, which is known as the most important and difficult transition. This is when something called Amenorrhea occurs, which is the absence of menstruation or a regular period.
