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Menstruation occurs naturally. Periods are the result of a complicated cycle governed by female hormones. Menstruation, the follicular phase, ovulation, and the luteal phase are the four stages of the menstrual cycle.

Some women may experience menstrual problems (such as heavy bleeding). Talk to your doctor if you are concerned about your period.

What is the Menstrual Cycle?

The menstrual cycle prepares your body for pregnancy. If you’re not pregnant, your hormones signal your uterus to shed its lining. This is your period. Once you start your period, the cycle starts again.

The menstrual cycle is measured from the first day of your period to the first day of your next period. The average menstrual cycle lasts 28 to 29 days, but every woman’s is different. For example, teens may have cycles that last 45 days, while women in their 20s and 30s may have cycles that last 21 to 38 days.

Phases of the Menstrual Cycle

Four separate periods make up the menstrual cycle.

  1. Menstruation

Menstruation is commonly known as the menstrual cycle. When you menstruate, the lining of the uterus sheds and flows out of the vagina. Your period contains blood, mucus, and some uterine lining cells. The average length of the period is three to seven days.

Pads, tampons, menstrual underwear, and cups can absorb your period. Pads and tampons should be changed regularly (preferably every three to four hours), and menstrual cups should be changed every 8 to 12 hours.

  1. The follicular stage

Your period’s first day marks the start of the follicular phase, which lasts for 13 to 14 days and ends with ovulation. The pituitary gland in the brain releases a hormone to promote the development of follicles on the surface of the ovaries. Most of the time, just one follicle develops into an egg. Starting on the tenth day of your cycle, this is possible. The uterine lining thickens during this stage in preparation for pregnancy.

  1. Ovulation

After ovulation, a mature egg is produced from the ovary and moves down the fallopian tube toward the uterus. This commonly occurs once each month, two weeks before your next period. A woman can ovulate for 16 to 32 hours.

It is possible to conceive in the five days and the day of ovulation, but it is more likely to occur in the three days leading up to and including ovulation. Once released, the egg will live for up to 24 hours. If the sperm reaches the egg during this time, you may become pregnant.

  1. Luteal phase

After ovulation, the cells in the ovary (the corpus luteum) secrete progesterone and a small amount of estrogen. This causes the lining of the uterus to thicken in preparation for pregnancy.

If the fertilized egg implants in the uterine lining, the corpus luteum continues to release progesterone, maintaining the thickness of the uterine lining.

If pregnancy does not occur, the corpus luteum dies, progesterone levels drop, the uterus lining sheds, and menstruation begins again.

Common Menstrual Problems

Some of the most common menstrual problems include:

Premenstrual Syndrome (PMS): In women who are at risk, hormonal changes before menstruation can cause various adverse side effects, such as fluid retention, headaches, lethargy, and irritability. Dietary adjustments and exercise are available treatment options.

Dysmenorrhea – or painful periods. It’s thought that certain hormones cause the uterus to push harder than necessary to push out the lining. Treatment options include pain medications and oral contraceptives.

Heavy menstrual bleeding (previously known as menorrhagia) – if left untreated, it can cause anemia. Treatment options include oral contraceptives and IUDs to regulate the flow.

The absence of menstrual cycles is known as amenorrhea. Except during the prepubertal stage, during pregnancy and lactation, and beyond menopause, this is regarded as abnormal. Low or high body weight, as well as excessive exercise, are potential reasons.

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