The Menstrual Cycle: A Normal, Healthy Process

The menstrual cycle is a natural monthly process controlled by hormones. Learn about the Follicular, Ovulation, and Luteal phases. Discover tips for managing period symptoms like cramps, mood swings.....

The Menstrual Cycle: A Normal, Healthy Process

Menstrual Cycle: A Natural and Health Process

Every month, most women experience what is known as their menstrual cycle - an unfailing natural process which prepares their body for potential pregnancy. The menstrual cycle is controlled by complex interplay of hormones and usually lasts approximately 28 days - although anywhere between 21-35 days is considered normal. Knowing more about your cycle will give you greater control of your own body.

Phases of Menstrual Cycle

The menstrual cycle can be broken into three main phases:

Follicular Phase (Days 1-14)

Phase One begins the day you begin menstruation. At this point, estrogen and progesterone levels drop, prompting your uterus to shed its lining.

As your period ends, the pituitary gland releases follicle stimulating hormone (FSH), prompting multiple immature follicles to begin growing and maturing - though only one usually fully matures.

A maturing follicle releases estrogen, prompting uterine lining thickening in preparation for possible pregnancy. Estrogen levels tend to peak just before ovulation.

Ovulation (Day 14)


At around the midpoint of a cycle, a surge of luteinizing hormone (LH) triggers a mature follicle to rupture and release an egg from the ovary; this process is known as ovulation.

Ovulation occurs when an egg travels down the fallopian tube where it can meet with sperm for fertilization. Ovulation lasts 24-48 hours and is the peak fertile period during a cycle.

Luteal Phase (15-28 Days)


Once an egg has been fertilized, its ruptured follicle develops into the corpus luteum, producing progesterone and estrogen hormones for about 28 days post-ovulation.

Progesterone helps thicken and maintain the uterine lining in preparation for fertilization and implantation, but if this doesn't occur progesterone and estrogen levels drop significantly causing its thickened surface to disintegrate over time.

About 12-16 days post-ovulation, if no fertilization occurred, your vaginal lining sheds through your vagina. This process is called menstruation and marks the return to menstruation cycle.

Menstrual Cycle Changes and its Effects

As your hormone levels fluctuate, you may experience various physical and emotional shifts:

Increased estrogen during the follicular phase can result in breast tenderness, bloating, and an increased libido.

At ovulation, you may notice an egg-white cervical mucus and mild pelvic discomfort (mittelschmerz).

- As progesterone levels reach their zenith, breast tenderness will likely persist and fatigue or moodiness could surface as its levels increase.

Just before your period, decreasing estrogen and progesterone can result in headaches, cramps, and increased irritability.

Your flow can differ in terms of heaviness, color, clotting and length while still being considered normal. Keep in mind that stress, diet and other factors can impact it; tracking symptoms helps you understand what's normal for your body.

Control Menstrual Symptoms with An Effective Approach

Periods may seem like an inconvenience for most women, but for others their symptoms of pain, heavy bleeding, and mood changes can interfere with work, school, and everyday activities. Here are some effective strategies for managing periods:

Over-the-counter pain relievers such as ibuprofen (Advil, Motrin) or naproxen (Aleve) can provide temporary relief of cramps.

Heating pads placed on the abdomen or lower back provide warmth to help ease cramped muscles.

Exercise helps boost endorphin levels and counteract cramps or mood swings.

- Be sure to rest adequately during your period, adjusting your schedule as necessary.

Reduce stress with meditation, yoga or relaxation techniques such as deep breathing exercises. Stress can amplify symptoms.

- Avoid triggers such as caffeine, salt, alcohol and sweet foods that exacerbate symptoms.

Maintain a balanced, healthful diet to prevent fatigue and mood swings. Take an iron supplement if your periods are heavy.

- For easier periods while out and about, utilize a menstrual cup, pad, or comfortable underwear like period-proof underwear instead of pads. On lighter days period-proof underwear may even suffice.

Seek medical help immediately if you experience extreme discomfort, unusually heavy bleeding, or symptoms which interfere with daily activities. Medication or medical procedures may provide temporary relief in certain instances.

Menstrual cycles are a vital indicator of overall health when experienced without much discomfort. Though some minor irritation is expected, any substantial disruption should be discussed with your healthcare provider immediately. Staying aware and in tune with your body helps manage periods more confidently.

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