What is a menstrual cycle?

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Published 21 May 2025 | Written by Dr Nancy B. French

 

The menstrual cycle is a natural process that prepares a person’s body for pregnancy each month. It's a vital part of reproductive health and plays a key role in hormonal balance, fertility, and overall well-being. Understanding your menstrual cycle is not just important for managing your periods—it also helps you take charge of your health, track ovulation, and notice any irregularities early on.


🗓️ The Basics of a Menstrual Cycle

A menstrual cycle begins on the first day of your period (menstruation) and ends the day before your next period starts. The average cycle lasts 28 days, but it can range from 21 to 35 days and still be considered normal.

Every cycle is your body’s way of preparing for a potential pregnancy. If pregnancy doesn’t occur, the uterine lining sheds through the vagina—this is your period.


🧬 The Four Phases of the Menstrual Cycle

To better understand the menstrual cycle, let’s break it down into four key phases:

1. Menstrual Phase (Days 1–5)

This is when you get your period. The uterus sheds its lining, resulting in bleeding. Symptoms like cramps, fatigue, and mood swings are common.

2. Follicular Phase (Days 1–13)

Overlapping with the menstrual phase, this stage begins on the first day of your period and ends with ovulation. The pituitary gland releases FSH (follicle-stimulating hormone), which helps follicles (each containing an egg) grow. One dominant follicle matures while the uterine lining starts rebuilding.

3. Ovulation Phase (Day 14)

Ovulation usually happens around the middle of the cycle. A surge in LH (luteinizing hormone) triggers the release of a mature egg from the ovary. This is the most fertile time of the cycle—perfect for tracking if you’re trying to conceive or avoid pregnancy.

4. Luteal Phase (Days 15–28)

After ovulation, the empty follicle becomes the corpus luteum, releasing progesterone to maintain the thickened uterine lining. If fertilization doesn’t happen, hormone levels drop, leading to the shedding of the lining—and a new cycle begins.


🩺 Why Tracking Your Cycle Matters

Tracking your menstrual cycle isn’t just about predicting when your period will come. It helps you:

  • Understand your fertile window if you’re trying to get pregnant

  • Spot signs of hormonal imbalances

  • Recognize patterns in mood, energy, and cravings

  • Monitor symptoms like PMS, cramps, or irregular periods

  • Have informed conversations with your doctor

You can track your cycle using a calendar, journal, or menstrual tracking app. Note start and end dates, flow intensity, symptoms, and emotional changes.


🛑 When to See a Doctor

While every cycle is unique, consult a healthcare provider if you notice:

  • Extremely heavy bleeding

  • Periods lasting more than 7 days

  • Severe pain or cramping

  • Missed periods (without pregnancy)

  • Cycles shorter than 21 or longer than 35 days

  • Unusual spotting between periods

These could signal conditions like PCOS, endometriosis, or thyroid issues.


🌸 Final Thoughts

Your menstrual cycle is a natural and powerful indicator of your health. Learning how it works—and tracking it—puts you in control of your body. Whether you're looking to better manage your period, boost your fertility awareness, or simply understand your body’s rhythms, knowing your cycle is the first step.