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Menstrual Cycle

What is menstruation, better known as a Period?

Every month, you release a single egg from your ovary that begins a trip through the fallopian tube, ending up in the uterus (also called the womb). Before the egg is released from the ovary, the uterus builds up its lining with extra blood and tissue.

If the egg is fertilized by a sperm cell, it stays in the uterus and grows into a fetus, using that extra blood and tissue to keep it healthy and protected as it’s developing.

Most of the time though, the egg is only passing through! When the egg doesn’t getfertilized, the uterus no longer needs the extra blood and tissue, so it leaves the body through the vagina.   This is called a menstrual period and is also known asmahvari , menses or tareekh. Some of you refer to it as ‘getting down’,‘getting my chums’,‘time of the month’ or even ‘aunty’. Getting a period lets a girl know that puberty is progressing and the puberty hormones have been doing their job.

When can a girl expect a period and how long does it last?

Anywhere between 9 and 16 years.

But don’t compare yourself with friends who may be getting it sooner or later than you – each of you is unique with individual biological timings. If it still worries you that you haven’t started your periods yet, then write to onlinedr@srhmatters.org and get an answer in 24 hours.

A period usually lasts from 2 days to 7 days.

What is a menstrual cycle/Period and how can I calculate mine?

The length of time between your periods is your menstrual cycle. So it’s really easy to calculate your cycle. Count from the start of one period to the start of the next. Some of you will have a 28-day cycle while others may have a 24-day, 30-day or even 35-day cycle. You could also download phone apps if you have a smart phone to give an accurate date for your next periods.


A quick journey through your fertility cycle.

What is Pre-Menstrual Syndrome (PMS)?

The Blues and the Blah’s…
 

Premenstrual Syndrome or PMS is the name for some physical and emotional symptoms that may occur a week or two before your period is due to start. Some of the symptoms of PMS are.

 
  • Cramps
  • Pimples
  • Headaches
  • Cravings
  • Mood swings
  • Weight gain
  • Sore breasts
  • Tiredness
  • Poor concentration
  • Food cravings
  • Feelings of anxiety

The symptoms may be mild for a few of you and severe for others. In either case, do remember that this is a natural phenomenon and a painkiller can help ease the pain. If the symptoms are too severe or if they persist even after the period starts, write to our panel specialist (onlinedr@srhmatters.org) for a suggestion and get an answer within 24 hours.

Why are periods painful?

Periods cause hormonal changes in the body. Some of you produce a hormone called Prostaglandin in excess which causes cramping in the uterus muscles. You can ease this by taking a mild painkiller, by putting a hot water bottle against your tummy or taking a hot bath.

 

Oestrogen is another female hormone that gives women an overall feeling of contentment and wellbeing. Oestrogen levels go down a week before your period starts – this explains the high and low moods that some of you experience during periods .

So how do I deal with PMS?

Modify Your Diet
  • Eat smaller, more frequent meals each day to reduce bloating and the sensation of fullness.
  • Limit salt and salty foods to reduce bloating and fluid retention.
  • Choose foods high in complex carbohydrates, such as fruits, vegetables and whole grains.
  • Choose foods rich in calcium. If you can’t tolerate dairy products or aren’t getting adequate calcium in your diet, you may need a daily calcium supplement.
  • Take a daily multivitamin supplement.
  • Avoid caffeine and alcoholic beverages.
  • Get going on your Vitamin B6. Found in whole grains, bananas, meat and fish, not only is it thought to relieve fluid retention (often the cause of sore, tender breasts); it can also help with depression.

Incorporate exercise into your regular routine

Engage in at least 30 minutes of brisk walking, cycling, swimming or other aerobic activity most days of the week. Regular daily exercise can help improve your overall health and alleviate symptoms such as fatigue and a depressed mood.

 

Reduce stress

  • Get plenty of sleep.
  • Try yoga or call in the masi for a massage as ways to relax and relieve stress.

Record your symptoms for a few months

Keep a record to identify the triggers and timing of your symptoms. This will allow you to discuss the issues with your physician who will help you to intervene with strategies that may help to lessen them.

Some Myths and Facts about PMS

 
You should always rest and never exercise during your period.
Do whatever makes you feel comfortable, but don’t be afraid to exercise as there is no impact on the menstrual flow. If anything, it’s a good way of managing PMS and cramps because it increases the supply of oxygen to the muscles.
A bath during menstrual flow intensifies cramps
There is absolutely no reason not to wash your hair, take a bath, or shower during menstruation. In fact, a nice warm bath can do a lot to relieve menstrual cramps and premenstrual tension.
Menstrual blood is ‘dirty’ blood
Think of it as evolved vaginal secretion — there's a little bit of blood, uterine tissue, mucus lining, and bacteria. ... In fact, it's less concentrated blood. It has fewer blood cells than ordinary blood.
Women lose loads of blood during a period
Most women will lose less than 16 teaspoons of blood (80ml) during their period, with the average being around 6 to 8 teaspoons. Heavy menstrual bleeding is defined as losing 80ml or more in each period, having periods that last longer than 7 days, or both. But it's not usually necessary to measure blood loss.

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