Understanding Menstrual Periods

A Comprehensive Guide to Menstrual Health and Normal Cycle Variations

Family Medicine

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Last updated: Mar 24, 2025

What is a Period?

A menstrual period is part of the monthly reproductive cycle. It occurs when the uterine lining (endometrium) is shed through the vagina if pregnancy doesn't occur.

Normal Cycle Characteristics

  • Length: Typically 21-35 days
  • Bleeding duration: 2-7 days
  • Blood loss: 30-80 mL per cycle

Common Symptoms

Physical Symptoms

  • Cramping (dysmenorrhea)
  • Breast tenderness
  • Bloating
  • Lower back pain

Emotional Changes

  • Mood swings
  • Irritability
  • Fatigue
  • Food cravings

When to Seek Medical Attention

Consult your healthcare provider if you experience:

  • Extremely heavy bleeding (changing pad/tampon hourly)
  • Severe pain that interferes with daily activities
  • Irregular cycles
  • Bleeding between periods

Managing Your Period

Hygiene Products

  • Pads
  • Tampons
  • Menstrual cups
  • Period underwear

Lifestyle Tips

  1. Stay hydrated
  2. Exercise regularly
  3. Maintain a balanced diet
  4. Get adequate rest

Tracking Your Cycle

Keeping track helps identify:

  • Pattern changes
  • Fertility windows
  • Potential health issues

Common Variations

  • Light vs. Heavy Flow: Normal variation exists
  • Cycle Length: Can fluctuate monthly
  • Symptoms: Severity varies person-to-person

Prevention and Relief

  • Over-the-counter pain relievers
  • Heat therapy
  • Regular exercise
  • Stress management

Long-term Considerations

  • Birth control options
  • Age-related changes
  • Impact of health conditions

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