Menstruation

Menstruation, also known as menses, is the monthly shedding of the uterine lining in females of reproductive age. It is a natural part of the female reproductive cycle and is controlled by hormones.

What happens during menstruation?

During menstruation, the uterus prepares for a potential pregnancy by thickening its lining. If pregnancy does not occur, the uterine lining is shed, resulting in bleeding. This bleeding, along with tissue from the uterine lining, is released through the vagina.

Phases of Menstruation

The menstrual cycle is divided into several phases:

  • Menses: The phase where the uterus sheds its lining, resulting in bleeding. This typically lasts 3-7 days.
  • Follicular phase: After menses, the body starts to produce follicle-stimulating hormone (FSH), which stimulates the growth of follicles in the ovaries. These follicles produce estrogen, causing the uterine lining to thicken.
  • Ovulation: Around day 14 of a 28-day menstrual cycle, the pituitary gland releases a surge of luteinizing hormone (LH), triggering the release of an egg from one of the ovaries.
  • Luteal phase: After ovulation, the empty follicle in the ovary produces progesterone, which helps prepare the uterine lining for a fertilized egg. If pregnancy does not occur, the levels of estrogen and progesterone drop, and the uterus sheds its lining, starting the cycle again.

Symptoms of Menstruation

Common symptoms associated with menstruation include:

  • Bleeding or spotting
  • Cramping in the lower abdomen
  • Bloating and breast tenderness
  • Mood changes, such as irritability or anxiety
  • Fatigue

Managing Menstruation

There are several ways to manage menstruation, including:

  • Sanitary products: Such as pads, tampons, and menstrual cups to absorb or collect menstrual flow.
  • Pain relief medication: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate cramps and other symptoms.
  • Hormonal birth control: Can help regulate the menstrual cycle and reduce symptoms.
  • Lifestyle changes: Maintaining a healthy diet, exercising regularly, and managing stress can also help manage menstruation symptoms.

Menstrual Disorders

Certain conditions can affect menstruation, including:

  • Amenorrhea: The absence of menstruation.
  • Dysmenorrhea: Painful menstruation.
  • Menorrhagia: Heavy or prolonged menstrual bleeding.
  • Polycystic ovary syndrome (PCOS): A hormonal disorder that can cause irregular periods.

Conclusion

Menstruation is a natural part of the female reproductive cycle. Understanding the phases and symptoms of menstruation can help individuals manage their menstrual health and seek medical attention if necessary.

Article last updated on: 15th June 2025.
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