“When did you last have your period?”
For every menstruating person, it is a routine query at every doctor's visit.
Healthcare providers generally ask this query to search out out whether their patient is worried about menstrual cramps or possible pregnancy, or whether menopause is approaching or has already occurred.
Yet this query is never discussed within the context of research into the menstrual experience as a “vital sign of health” throughout the life course. In fact, many providers fail to acknowledge the basic role of the menstrual cycle in overall health.
Menstrual experiences through the reproductive years and beyond can provide critical insights on an individual's general well-being, much like blood pressure, body temperature and heart rate.
we’re a Medical sociologist and public health researcher which focuses on women’s health issues and Professor Emeritus of Psychology examines menstrual experiences throughout life and works to enhance menstrual education and body literacy.
Although it might seem to be the first function of the menstrual cycle is to facilitate pregnancy, this is barely a part of its purpose. In fact, it’s a cornerstone of overall health and well-being through the reproductive years and into menopause.
Understanding the menstrual cycle
The Menstrual cycleor period, is a term that describes the sequence of events that happen within the body every month to organize for the potential of pregnancy. It is measured from the primary day of menstruation until the primary day of your next menstruation.
Although Cycles varythe general menstrual process is similar for everybody. The menstrual cycle often lasts about 28 days, but menstrual cycles between 24 and 38 days are often considered healthy. Cycles that don’t repeatedly fall inside this range ought to be further investigated for underlying causes.
![A diagram showing the changes in the uterus during the four phases of the menstrual cycle.](https://images.theconversation.com/files/610495/original/file-20240731-21-dku801.png?ixlib=rb-4.1.0&q=45&auto=format&w=237&fit=clip)
Elara Care/Wikimedia Commons, CC BY-SA
The menstrual cycle is related to specific hormonal changes and physiological processes and consists of 4 important phases:
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Menstruation: This is the shedding of the uterine lining that happens when pregnancy doesn’t occur. Bleeding often lasts two to seven days, but can vary from month to month and throughout life. However, if bleeding tends to be outside this range, especially from month to month, underlying causes ought to be considered. The Total blood volume Blood loss during a period is normally about 60 milliliters (about 2 ounces), although sometimes it could actually feel like rather more. At this rate of bleeding, it takes about 4 hours for a daily tampon or pad to turn into completely soaked.
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Follicular phase: The ovarian follicles grow under the stimulation of the follicle-stimulating hormone and prepare for ovulation.
![A diagram showing changes in the ovary throughout the menstrual cycle.](https://images.theconversation.com/files/610496/original/file-20240731-21-udxy3l.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=237&fit=clip)
Shazz/Wikimedia Commons, CC BY-SA
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ovulation: In the center of the cycle, an increase in luteinizing hormone triggers the discharge of a mature egg from the ovary, preparing the body for possible fertilization. If fertilization occurs, pregnancy begins.
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Luteal phase: After ovulation, the follicle transforms into the yellow bodyproduces progesterone to support a possible pregnancy.
The menstrual cycle as an indication of life
Regular menstrual cycles will be a sign of balanced hormone levels and reproductive health. Regular cycles are related to higher Bone density, Cardiovascular health And mental well-being.
Irregularities within the menstrual cycle include changes in cycle length, bleeding intensity or other negative period-related changes similar to cramps – also Dysmenorrhea – or painful periods, breast tenderness, fatigue or negative mood swings. These irregularities can indicate underlying problems, similar to PCOSwhich may also be a precursor to diabetes, primary ovarian insufficiency or Endometriosis.
Irregular menstrual cycles may also result in osteoporosis or indicate a thyroid disorder or abnormalities of the reproductive organs. These in turn can fertility and total life quality.
Unusually heavy bleeding can indicate diseases similar to Myomas, Endometriosis or certain endocrine tumors. Missed periods may indicate hormonal imbalances or problematic lifestyle aspects, similar to exercise-induced amenorrhea – the absence of periods – or eating disorders like anorexia And bulimia.
In fact, some female athletes suffer from a condition called Athlete triadwhose exercise program results in a mix of eating disorders, cessation of menstrual cycles and lack of bone density. Missed periodalso called Amenorrheaare often the primary sign of problems. If left untreated, they will result in more serious lifelong conditions similar to osteoporosis and infertility.
Start the conversation early
Menarcheor a woman’s first period, often occurs across the age of 12. The Centers for Disease Control and Prevention state that the The average age of menarche is 11.9 yearsFor some, menstruation begins as early as age 8 and for others as late as age 16. Earlier onset of menstruation could also be influenced by a mix of ethnicity, socioeconomic status, and obesity attributable to unhealthy eating regimen.
Overall, girls get their first periods earlier than in previous many years, although nobody knows exactly why.
![A mother and her daughter compare packs of sanitary pads in a store.](https://images.theconversation.com/files/610497/original/file-20240731-19-nzz9tv.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=237&fit=clip)
vgajic/E+ via Getty Images
For nearly twenty years, the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics have advocated that healthcare professionals girls’ first menstrual experiences as an indication of life that may indicate healthy or problematic development.
For this reason, these organizations are urging doctors to teach parents or caregivers about what’s physically normal through the first few days of menstruation. This way, parents and girls know what to anticipate and may discover abnormalities that have to be investigated further.
Learning about menstruation as Vital signs health can provide girls a more positive foundation for later life as they start to know and think about themselves as sexual beings.
Early negative messages about menstruation are distinguished in books for young girlsand that isn’t good for them as they start to find their very own sexuality. In fact, research shows that girls who feel negative about their bodies, including discomfort with their menstrual cycle, have less room for maneuver in some sexual situations.
A recent study of women found that almost all prefer to take medication to stop the period completely than continuing to experience healthy menstrual cycles. Early discussions about menstruation with health care providers and caregivers can reduce such negative societal attitudes, persistent stigma and cultural taboos about menstruation.
After puberty
Of course, discussions in regards to the menstrual cycle as a source of essential health information mustn’t end at puberty. An average menstruating person experiences 450 periods in your life.
Researchers are investigating the Menstrual experiences of mature adults found that hormonal changes on the road to menopause can occur before menstrual bleeding, sometimes as early as your 30s and 40s. This can affect sleep, mood, and more, making it much more essential to listen to menstrual health.
And while much of the present research on the menstrual cycle as an indication of life focuses on women and girls, some health experts who understand the crucial role of menstrual health point to the good have to Experiences of individuals with gender diversity.
Be proactive
It is very important for each menstruating person to know Facts about menstruation throughout their entire lives.
Cycle tracking at any age might help discover symptom patterns, each physical and mental. This is very essential for those impending menopause and even after menopause.
When you see your doctor, don't be afraid to ask questions or indicate any changes or concerns. Keep the conversation going, and don't just tell them the date of your last period.
image credit : theconversation.com
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