Periods and Menstrual Cycle
A period is part of the menstrual cycle when blood discharges from the vagina for a few days. You can expect to lose about 20 to 90ml (about 1 to 5 tablespoons) of blood during your period, although some bleed more heavily than this. Periods are completely normal for biological females, and most will start their periods during puberty. Lots of people will start their periods around the age of 12, but it could be earlier or later than that.
A menstrual cycle will last for around 28 days, but it is normal for periods to be more or less frequent - ranging from every 23 to 35 days.The menstrual cycle will usually last around 5 days, but can be as short as 3 days and as long as 7 days. The first two days are normally the heaviest of the period.
WHAT IS THE MENSTRUAL CYCLE
The menstrual cycle is controlled by hormones. There are two potential outcomes from each cycle: pregnancy or a period.
The lining of your womb thickens for a short while during this time. If the egg is fertilised by sperm, it will stick in this lining and grow. This is how you get pregnant.
If the egg is not fertilised, then the lining of the womb breaks down and passes out of your body through your vagina as blood — this is called a period.
Today there are a number of products that are designed to help you during your period. They are made to absorb the blood that is lost - potentially saving your underwear!
The name of these products are Sanitary Products.
1. Sanitary Pads
This is probably the first option that you will use when you first start. They are a sticky pad that sticks to your underwear to catch the blood as it leaves the vagina.
They come in a variety of sizes and shapes for different flow (the amount you bleed) rates.
You can also buy something called Liners which can be used on very light flow days. Pads must be disposed of in a sanitary way and can be placed in normal bins at home or sanitary bins in public places. Herts Sustainable periods and Love Essex provides an alternative to disposable sanitary napkins.
2. Tampons
These are small tubes of cotton wool that are inserted into the vagina and absorb the blood before it leaves the body.
There are two types of tampons:
- With an applicator
- Without an applicator
Each brand will supply instructions on how to insert the tampon. When a tampon is in the right position you shouldn't be able to feel it, so if it hurts, it’s best to remove it and try to insert a new one.
Always change tampons regularly, every 3 to 6 hours as specified to minimise risks. Never leave a tampon in for more than 8 hours.
You might want to use a combination of products depending on your flow.
A tampon will expand inside you as it fills with blood so it will look bigger when you take it out. Tampons must be disposed of in a sanitary way and can be placed in normal bins at home or sanitary bins in public places.
3. Menstrual Cups
These are small rubber or silicone cups which can be put inside the vagina to catch the blood. The muscles of the vagina keep them in place so they don't fall out. They're then emptied, washed and used again.
4. Period Underwear and Charcoal Pads
In recent years, period underwear has been developed and are designed to be worn (catching the blood like a sanitary pad) and then washed rather that disposed of.
When you start getting your periods, you will notice that in the days before, you may experience some unusual signs. As you get older and begin to notice these signs and symptoms, they can be a great way to know that your period is due.
These symptoms are called Premenstrual Syndrome (PMS) or Premenstrual Tension (PMT).
There are two types of symptoms that you can experience - emotional and physical.
Emotional and behavioral signs and symptoms
- Tension or anxiety
- Depressed mood
- Crying spells
- Mood swings and irritability or anger
- Appetite changes and food cravings
- Trouble falling asleep (insomnia)
- Social withdrawal
- Poor concentration
- Change in libido (sex drive)
Physical signs and symptoms
- Joint or muscle pain
- Headache
- Fatigue
- Weight gain related to fluid retention
- Abdominal bloating
- Breast tenderness
- Acne flare-ups
- Constipation or diarrhoea
- Alcohol intolerance
If you feel that you need some support with these symptoms, visit NHS Online or contact your GP to discuss your symptoms.
There are some simple steps you can take to manage the discomfort or pain you may experience.
- Take part in gentle exercise, like walking, swimming or yoga.
- Use a hot water bottle or have a hot bath.
- Ask your parents, carers or the school nurse for advice on taking pain relief. Painkillers such as ibuprofen or paracetamol can ease the pain.
- Eat a healthy, balanced diet – you may find that eating frequent smaller meals (every 2-3 hours) suits you better than eating 3 larger meals a day
- Get plenty of Sleep – 7 to 8 hours is recommended
- Try reducing your stress by doing yoga or meditation
- Keep a Flow Diary
- If you are having issues, your GP may be able to give medication to lessen the pain.
If you haven't started your period yet, or have and you want to be prepared, you can create yourself a little 'emergency' kit to have in your locker or school bag. Here is a list of things that you might want to include:
Essential:
- Sanitary products - have what you are comfortable with, sanitary pads, tampons, etc.
- Spare pair of tights
- Spare under garment or change of clothes
- Tissues
- Hand Gel
- Wet Wipes
You might want to include other items that you also might find useful having to hand:
- Mini toothbrush and toothpaste
- Deodorant or body spray
- Hand cream/lotion
- Hair ties
- Hairbrush/comb
You can make a kit that you carry with you in your handbag or school bagpack. You may want to add in a bottle of water and a snack.
There are lots of reasons you might have missed a period. Lots of young people have irregular periods when they first start. It can take 2-3 years before your period stabilises into a normal rhythm.
If you’re sexually active, then it’s possible that you may be pregnant. For more information on this, visit our page Am I pregnant?.
If you are on contraception, this can affect your cycle and how often you are bleeding. For more information, visit our contraception page.