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How does menstruation occur

In the early phase of the cycle, a hormone (FSH) is released. It acts on the ovaries. The female eggs are formed in the two ovaries. But under the effect of this hormone, only one follicle matures and also releases estradiol (another hormone) and this acts on the uterus. This leads to the growth of the uterine lining known as endometrium. In the meantime the mature follicle ruptures, and releases the ovum (egg). After its release, if it does not get fertilised it is shed away along with the uterine lining. It is this lining which flows out along with menstrual blood.

Remember:

You should not harbour any negative feeling toward menstruation. You need not be ashamed or embarrassed. You must not perceive it as dirty, unclean or impure. Though some religions like Hinduism associates menstrual periods with a ritual impurity, you must remember that this is a notion of ritual/religious impurity. It is not scientific. Menstruation is not a curse upon women or a punishment by the gods. It is a completely natural process. It is nature's way of preparing you for motherhood.

The average duration of the menstrual cycle is 28 days (range 21-44 days). But during first two years after menarche, an interval of more than 50 days between two periods is considered normal. The normal duration of menstrual periods is 4-7 days. If the flow is for more than seven days, you can suspect some abnormality.

You may face a few discomforts during menstruation. The usual discomforts are:

  1. Weakness and exhausted feeling
  2. Pain in lower abdomen
  3. Back pain
  4. Headache
  5. Tenderness of breasts
  6. Itching in private parts

Weakness and feeling of exhaustion, tiredness and headache may occur due to lack of proper nutrition. Since you are growing, you need extra nutrition, especially iron, to make up the loss of blood during menstruation. Lack of iron may lead to anaemia. Itching may be due to lack of cleanliness. Daily bath and clean genitals should be ensured. If the pain or weakness or itching is unbearable consult a paramedic or a doctor.


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