**Question:** Female Athlete triad consists all EXCEPT

A. Hyperprolactinemia
B. Osteoporosis
C. Anemia
D. Hypothyroidism

**Core Concept:** Female Athlete Triad (or Reversible Osteoporosis) is a clinical syndrome characterized by a triad of energy deficiency, menstrual dysfunction, and low bone mass. It is prevalent in female athletes due to the combination of factors such as amenorrhea, low body weight, and excessive physical activity.

**Why the Correct Answer is Right:** Hypothyroidism (D) is not part of the Female Athlete Triad because it is a separate endocrine disorder characterized by low thyroid hormone levels, typically caused by Hashimoto's thyroiditis. Hypothyroidism does not directly relate to menstrual dysfunction, bone health, or energy deficiency.

**Why Each Wrong Option is Incorrect:**

A. Hyperprolactinemia (A) is a condition characterized by abnormally elevated prolactin levels in the blood. Although prolactin is associated with lactation and menstrual irregularities, it is not a primary component of the Female Athlete Triad.

B. Osteoporosis (B) is a condition characterized by low bone density and increased fracture risk. While low bone mass contributes to the Female Athlete Triad, it is not a primary component; the syndrome focuses on the energy deficiency, menstrual dysfunction, and low bone mass as separate entities.

C. Anemia (C) is a condition characterized by low red blood cell count or low hemoglobin level, which can contribute to the Female Athlete Triad but is not a primary component. The syndrome emphasizes the combination of energy deficiency, menstrual dysfunction, and low bone mass as separate entities.

**Clinical Pearl:** Female athletes should be screened for the Female Athlete Triad to identify, prevent, and manage these medical issues simultaneously. Early intervention and management can prevent long-term complications and improve overall health and performance.