What is menstruation?  How is menstrual bleeding?

What is menstruation? How is menstrual bleeding?



Most of the time, we do not know the details about menstruation, or menstruation as a medical name. When we learn about the cycles that occur every month in our body, it is possible to improve our relationship with menstruation. We can explain everything about menstruation in 6 simple steps:

Menstruation is when menstrual bleeding comes out through the vagina for a few days each month. It usually starts in adolescence and continues until menopause. Menstruation is part of the menstrual cycle regulated by certain hormones. Monthly bleeding is medically known as menstruation, as well as periods, menstruation, menstruation, menstrual bleeding, and lunar state.

The tissues in the uterus are affected by various hormones in our body, especially estrogen, during our menstrual cycle, and change by thickening and thinning. The reason for these monthly changes is to prepare the body for a possible pregnancy. When the egg is fertilized, it can spontaneously attach to the thickened walls in the uterus and thus pregnancy can begin, and the embryo can continue its development in a richly textured, nourished environment. However, if there is no fertilization and embryo placement, menstruation begins approximately two weeks after the ovulation date. The day the bleeding begins is considered the first day of the new cycle and is a very important cleansing process for the body.

When menstruation begins, the intrauterine thickness built in the previous cycle begins to decrease again. Menstrual blood and tissues spill out through the small opening in the cervix (cervix). Menstrual bleeding is the monthly expulsion of blood and tissues produced and accumulated in the walls of the uterus throughout the cycle.

To put it directly, menstrual bleeding is not just about blood. It is mostly a mixture of blood, the lining of the uterus expelled, unfertilized egg and cervical fluids (cervical mucus). There may be other dead cells in the mixture. Therefore, menstrual bleeding is not in the form of a clear liquid like other bleeding in the body, some small pieces can also be seen in it. You can see how the structure of blood changes in the cycle better when you use a menstrual cup because the cup placed in the vaginal canal corresponding to the cervix collects all the blood spilled from here, and its structure can be seen more clearly as it is not absorbed as in tampons or pads.

The color of menstrual blood can range from light red to dark blood red. There may also be dark brown and blackish bleeding. However, as the color of the bleeding can give important clues about our health, it should be carefully observed. On the first day of the bleeding, the bleeding is still fresh and usually bright red in color. Towards the last days of menstruation, the color starts to change to reddish brown. The reason for these color changes is related to how fresh the blood is and whether the blood reacts with oxygen. The amount of bleeding can also affect their color. For example, if there is heavy bleeding, the color of the discharge will be dark red and slightly clotted. In a lighter bleeding color appears pinkish. Spotting, called premenstrual bleeding, which can be seen before the menstrual bleeding begins completely, is mostly brown.

An average of 35 millimeters of blood is lost in one menstrual period; roughly 2-3 tablespoons. However, bleeding between 10 and 80 ml is also considered normal, which means that it is normal for you to lose a tablespoon to six tablespoons of blood each cycle. It sounds low because the pads and tampons we use prevent us from estimating the amount of bleeding. However, when the menstrual cup is used, the amount of blood spilled can be seen clearly and the containers are generally designed to have a capacity of 10-25 ml.

In people with high estrogen levels, the amount of bleeding increases as the hormones will function as a balance. Gynecological disorders such as endometriosis can also increase the amount of menstrual bleeding. Likewise, people with low estrogen levels may experience less bleeding.

References:

Britta. “Menstruation 101: The most important period facts explained”. Şuradan alındı: https://vulvani.com/en/menstruation-101-the-most-important-period-facts-explained (10.12.2019)


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