Textbook Problem

Exercise can be bad for you—or at least it is for Anna Marie. She and her husband Mark already have two delightful children, full-time jobs, and hectic schedules. Mark wants more children, but Anna Marie is dead set against it. Mark refuses to use contraception and has made Anna Marie promise not to use any, either. Anna Marie makes the promise because she thinks she can avoid pregnancy by staying at her weight of 210 pounds. At this weight, Anna Marie seldom has a menstrual period and figures the odds of conception are slim. For two years, Anna Marie's plan for avoiding conception has worked.

Now that the children are older, Anna Marie finds she has a bit of free time, which she uses to indulge her love of swimming. Within months of beginning her program of swimming regularly, however, Anna Marie abandons it. Her menstrual periods have become regular, and her contraception method is lost.

Anna Marie’s weight at 210 pounds has remained stable during the months she has been swimming. It appears that her improved level of physical fitness and body fat has improved her fertility status.

Name a possible health consequence related to Anna Marie’s high weight and lack of menstrual cycles.