Menstruation is the shedding of the lining of the uterus that occurs approximately once a month in women of reproductive age. The menstrual cycle is typically 28 days long, but it can vary from 21 to 35 days. The menstrual cycle can be divided into four phases: the menstrual phase, the follicular phase, the ovulatory phase, and the luteal phase. The menstrual phase is when the lining of the uterus sheds, and it lasts for three to seven days.

Importance of Understanding Normal Periods

It’s important to understand what is considered a normal period because abnormal periods can be a sign of an underlying health condition. For example, heavy bleeding may indicate a hormonal imbalance or fibroids. Irregular periods may be a sign of thyroid problems or polycystic ovary syndrome (PCOS). By understanding what constitutes a normal period, women can better identify potential problems and seek appropriate medical attention.

Signs of Abnormal Menstruation

While every woman experiences menstrual cycles differently, certain signs can indicate abnormal periods.

  1. Heavy Bleeding: Heavy bleeding, also known as menorrhagia, is defined as bleeding that lasts longer than seven days or requires changing tampons or pads more frequently than every two hours.
  2. Painful Periods: Painful periods, or dysmenorrhea, are characterized by severe cramping and pain in the lower abdomen and back.
  3. Irregular Periods: Irregular periods are defined as periods that occur more frequently than every 21 days or less frequently than every 35 days.
  4. Absent Periods: Absent periods, or amenorrhea, are defined as the absence of a menstrual period for three or more consecutive months.
  5. Premenstrual Syndrome (PMS): PMS is a collection of symptoms that occur in the days leading up to a period, including mood swings, irritability, and bloating.

Diagnosing Abnormal Menstruation

Diagnosing abnormal menstruation can be a complex process, as it can be caused by a range of underlying conditions.

Diagnostic Process:

  1. Medical History: A healthcare provider will begin by taking a detailed medical history, which includes asking about menstrual cycle length, frequency, and symptoms. They may also ask about any underlying medical conditions, medications, and lifestyle factors that can affect menstruation.
  2. Physical Examination: A physical examination can help identify any visible signs of abnormal menstruation, such as uterine fibroids or endometriosis. During the exam, the healthcare provider may check for tenderness in the pelvic area and perform a Pap test to screen for cervical cancer.
  3. Diagnostic Tests: Depending on the results of the medical history and physical exam, a healthcare provider may order diagnostic tests such as:
  • Ultrasound: An ultrasound can help identify any structural abnormalities in the reproductive system, such as uterine fibroids or ovarian cysts.
  • Blood Tests: Blood tests can help evaluate hormone levels, such as estrogen and progesterone. They can also help diagnose conditions such as thyroid disorders or polycystic ovary syndrome (PCOS).
  • Biopsy: A biopsy involves taking a small sample of tissue from the lining of the uterus and examining it under a microscope. It can help diagnose conditions such as endometrial cancer or hyperplasia.

Tips for Managing Menstrual Cycles

Managing menstrual cycles can be challenging, especially for those who experience irregular periods or other menstrual disorders.

Lifestyle Changes:

  1. Maintain a Healthy Weight: Being underweight or overweight can affect menstrual cycle regularity. Maintaining a healthy weight can help regulate menstrual cycles and reduce the risk of menstrual disorders.
  2. Reduce Stress: Stress can affect hormone levels, which can lead to irregular periods or other menstrual disorders. Managing stress through relaxation techniques, such as yoga or meditation, can help regulate menstrual cycles.
  3. Exercise Regularly: Regular exercise can help regulate menstrual cycles and reduce the risk of menstrual disorders. Aim for at least 30 minutes of moderate exercise most days of the week.
  4. Get Adequate Sleep: Lack of sleep can affect hormone levels and lead to irregular periods. Aim for 7-8 hours of sleep per night to help regulate menstrual cycles.

Treatment Options:

  1. Hormonal Birth Control: Hormonal birth control can help regulate menstrual cycles and reduce symptoms such as heavy bleeding and painful periods. There are various types of hormonal birth control, including the pill, patch, and IUD.
  2. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs, such as ibuprofen, can help relieve menstrual cramps and reduce inflammation. They can be helpful for those with mild to moderate menstrual pain.
  3. Alternative Treatments: Some people find alternative treatments such as acupuncture or herbal supplements helpful in managing menstrual disorders. It’s essential to speak with a healthcare provider before trying alternative treatments.
  4. Surgery: In some cases, surgery may be necessary to treat conditions such as uterine fibroids or endometriosis.


Is it normal to have irregular periods?

Yes, it is common to have irregular periods, especially during puberty and perimenopause. However, if the irregularity persists or is accompanied by other symptoms like heavy bleeding or severe pain, consult us.

Is it normal to have cramps during a period?

Mild cramps are normal during a period as the uterus contracts to shed its lining. However, severe or persistent cramps that interfere with daily activities may indicate an underlying condition.

Are changes in period length and flow normal as you age?

Yes, changes in period length and flow are normal as you age. Menstrual periods may become lighter, shorter, or irregular as you approach menopause.

Is it normal to experience PMS symptoms?

It is common to experience premenstrual syndrome (PMS) symptoms, such as mood changes, bloating, and breast tenderness, in the days leading up to a period. However, if these symptoms are severe and interfere with daily activities, it is important to consult a healthcare provider.


Menstruation is a natural process that occurs in the female body every month. It’s important to understand what constitutes a normal period and to be aware of common concerns surrounding menstrual cycles.

By maintaining a healthy lifestyle, using pain relief medication, considering hormonal birth control, and seeking medical attention when necessary, women can manage their menstrual cycles and reduce associated symptoms. Remember, if you have concerns about your menstrual cycle, consult with us.

About the Author Christine-Marie Quigless

Christine Marie Quigless, developed a pragmatically driven, zero-substance, which = zero-risk, solution, to eradicate pain, PMS, and symptoms of Graduated Period Problems through her proprietary system, Fierce Gentleness™ . The results of her work on herself (She is Case Study 3: endometriosis diagnosis, ovary removal, debilitating cramps, extremely volatile PMS) and her clients prove that the womb is not broken, just out of balance, so we balance it and up-level our lives in the process. Once we leverage the power of our periods, they become our unfair advantage in every facet of our lives--living our way into multi-purpose-driven lives and cultivating resilience in the process starts (literally) within.

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Our Womb is in the center of our body for a reason.

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