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CK Birla Hospital
Category:
Gynaecology
March 2, 2025Author:
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What is a Menstrual Cycle (Periods)?

The menstrual cycle is the body’s natural biological process for preparing for a possible pregnancy. The menstrual cycle starts on the first day of a period and ends when the next period begins. The menstrual cycle lasts for 28 days on average, however, it can range from 21 to 35 days in healthy individuals. The cycle involves hormonal changes that regulate:

  • The release of an egg.
  • Prepare the uterus to support a pregnancy.

In case the pregnancy doesn’t occur, the uterine lining sheds resulting in a period. Understanding the menstrual cycle is critical in order to track fertility and manage reproductive health.

What are the symptoms of periods?

Symptoms of periods may vary from person to person, additionally, the intensity of these symptoms may also vary. Some of the most common symptoms include:

  • Abdominal Cramps
  • Bloating
  • Breast Tenderness

Other signs/symptoms include mood changes, trouble sleeping, headaches, food cravings, acne, etc. These symptoms may persist throughout the menstrual cycle and usually appear one to two days prior to the start of the period.

What should be the maximum delay in periods if not pregnant?

A 7 to 10 days delay in a period is considered normal if pregnancy is ruled out. The delay can be associated with various factors like stress, sudden weight changes, excessive exercise, or hormonal fluctuations. However, if the period is delayed for more than 10 days, it might indicate an underlying issue/condition including: 

To address the delay and determine the underlying cause, consulting a gynaecologist is recommended.

What to do when periods are late?

There are various conditions that can delay the period. The most common ones are stress and pregnancy (if sexually active). Practicing relaxation techniques like meditation, and yoga, eating a healthy diet, and exercising regularly can help regulate the cycle.

Why are my periods late?

The period can be delayed due to various reasons including:

  • Stress
  • Weight fluctuations (sudden)
  • Hormonal changes
  • Excessive physical activity

Additionally, medical conditions like PCOS, and thyroid dysfunction may also cause delays. Consulting a gynaecologist is essential to identify and treat the cause/condition behind the delayed period.

How long does a menstrual cycle usually last?

The menstrual cycle usually lasts between 21 and 35 days. The bleeding phase lasts between 2-7 days. However, the duration can vary slightly from month to month and is influenced by factors like age, lifestyle, and health conditions.

What are the phases of the menstrual cycle?

There are 4 phases in the menstrual cycle, including:

  • Menstrual Phase:

    Phase where uterine lining sheds leading to bleeding.

  • Follicular Phase:

    The uterine lining thickens & hormones stimulate egg maturation

  • Ovulation Phase:

    The mature egg is released from the ovary.

  • Luteal Phase:

    The body starts to prepare for pregnancy. (If fertilisation does not occur hormone level drops)

What is considered a normal period?

A period that lasts between 2-7 days is considered a normal period. A normal period has a normal blood flow and occurs every 21–35 days. The common symptoms that occur during a normal period include mild cramps, bloating, fatigue, etc. 

What causes irregular periods?

Irregular periods may be caused by various lifestyle factors including:

  • Stress
  • Weight fluctuations (sudden)
  • Excessive physical activities.

Also, individuals approaching menopause often experience irregular periods.

How to get relief from period pain?

Period pain can be managed with home remedies and medications. Home remedies include:

  • Use a hot water bag or heating pad for cramps.
  • Use painkillers for pain management.
  • Stay hydrated & consume anti-inflammatory food.
  • Do gentle exercises to help with blood circulation.

How to get periods immediately?

There is no guaranteed way to get periods immediately, however, there are few natural methods that may help, including consuming food that promote uterine contractions like papaya, pineapple, parsley, etc. Additionally, exercising and managing stress can also help regulate cycle.

Can stress affect periods?

Yes, stress can significantly affect the menstrual cycle. Stress can disrupt the balance of hormones like estrogen, cortisol, etc. Stress if combined with unhealthy lifestyle habits may also delay or even skip periods entirely. Techniques like mindfulness, yoga, exercises, etc. can help reduce stress.

What are the important things you should avoid during periods?

During periods certain things that worsen the symptoms should be avoided, including:

  • Reduce intake of salty food as it may contribute to bloating, water retention, and cramps.
  • Avoid alcohol & excessive caffeine because it may lead to dehydration & disrupt hormonal disbalance.
  • Refrain from over-exerting yourself with heavy exercises, weightlifting, etc.
  • Change sanitary pads, tampons, etc. frequently to avoid infections.
  • Keep away from processed food, it may cause bloating & inflammation.

What is PMS?

PMS – Premenstrual Syndrome. It refers to physical and emotional symptoms that usually occur 1 to 2 weeks before a period. PMS is caused by hormonal fluctuations and can cause symptoms like:

  • Mood swings
  • Irritability
  • Fatigue
  • Bloating
  • Breast tenderness
  • Food cravings.

What are common period symptoms?

The most common period symptoms include abdominal cramps, back pain, mood swings, etc. The symptoms and the intensity of the symptoms vary between individuals. Acne breakouts, breast tenderness, and food cravings are also typical at this time.

Is it normal to have clots during a period?

Having small blood clots during the heavy flow day of the period is considered normal. However, if there are frequent large blood clots or heavy bleeding that lasts for several days may indicate other medical conditions like fibroids, endometriosis, etc.

Can I get pregnant during my period?

The chances of getting pregnant during periods are low, though the sperm in the body can survive up to 5 days, and if the period cycle is short or ovulation occurs early, there’s a possibility of conception.

How can I manage period pain?

Period pain can be managed with a combination of: 

  • Home remedies
  • Medications
  • Lifestyle changes

Additionally, using a heating pad can help relax muscles and reduce cramps. Yoga, stretching, and other light exercises can improve circulation and reduce discomfort. Taking recommended over-the-counter painkillers can help with severe cramp pain.

Is it normal to skip a period?

Skipping periods occasionally is normal and can be associated with factors like stress, illness, over exercising, sudden weight change, etc. However, if you are experiencing frequent period skip it may indicate an underlying medical condition like PCOS or thyroid dysfunction.

What is a heavy period?

A period that lasts for more than 7 days and has excessive blood loss, or requires frequent pad changes is considered a heavy period. Also referred to as menorrhagia, it can have symptoms like fatigue, large blood clots, anaemia, etc. Heavy periods can be caused due to various factors like hormonal imbalances, fibroids, or uterine polyps.

When should I see a doctor about my periods?

Consulting a doctor may be required in cases of:

  • Extremely painful periods
  • Heavy bleeding
  • Frequent delays in your cycle
  • Missing periods for more than 3 months (if not pregnant)
  • Foul-smelling discharge

Can exercise or diet affect periods?

Yes, exercise and diet can significantly impact the menstrual cycle. Over exercising can disrupt the hormonal balance, leading to irregular or missed periods. While light/moderate exercises can help with alleviating period pain and discomfort. Additionally, a nutrition-rich diet reduces symptoms like fatigue and cramps.

How can I maintain menstrual hygiene?

Maintaining menstrual hygiene is crucial to prevent infections. Changing menstrual pads, tampons, etc every 6 to 8 hours helps avoid odour and bacterial growth. Washing the genital area with warm water helps maintain the PH balance. Maintaining hygiene promotes overall reproductive health.

Are painful periods a sign of good fertility?

Painful periods are not necessarily a sign of good fertility. Also known as dysmenorrhea, severe pain during periods can indicate underlying medical conditions like endometriosis or pelvic inflammatory disease, etc. Certain conditions that lead to painful periods can even affect pregnancy and should not be ignored.