2014 Female Athlete
Triad Coalition Consensus Statement on Treatment and Return to Play of the 
Female Athlete Triad:
1st International
Conference held in San Francisco, California, May 2012
and 2nd International
Conference held in Indianapolis, Indiana, May 2013
De Souza MJ, Nattiv A, Joy E, Misra M, Williams NI,
Mallinson RJ, Gibbs JC, Olmsted M, Goolsby M, Matheson G, Expert Panel. Br J
Sports Med 2014. 48: 289. doi:10.1136/bjsports-2013-093218
“This consensus statement represents a set of
recommendations developed following the 1st
(San Francisco, California, USA) and 2nd (Indianapolis, Indiana,
USA) International Symposia on the Female Athlete Triad. It is intended to
provide clinical guidelines for physicians, athletic trainers and other
healthcare providers for the screening, diagnosis and treatment of the Female
Athlete Triad and to provide clear recommendations for return to play. The…expert
panel has proposed a risk stratification point system that takes into account
magnitude of risk to assist the physician in decision-making regarding sport participation,
clearance and return to play. Guidelines are offered for clearance categories,
management by a multidisciplinary team and implementation of treatment contracts.
This consensus paper has been endorsed by the Female Athlete Triad Coalition,
an International Consortium of leading Triad researchers, physicians and other
healthcare professionals, the American College of Sports Medicine and the
American Medical Society for Sports Medicine.”