Your menstrual cycle is a vital sign of your overall health, and understanding what’s normal (and what isn’t) can empower you to take control of your well-being. We know that every person’s body is different at Women’s Health Specialists,and that means every period can look a little different, too.
What a “Normal Period” Looks Like
Most menstrual cycles range from 21 to 35 days and last between 2 and 7 days. It’s normal to experience some cramping, mild fatigue, and mood changes during your period. Many people also notice fluctuations in their cycle due to stress, lifestyle changes, or illness, and that’s okay.
Your cycle should be:
- Fairly consistentin timing and duration
- Moderatein flow (not soaking through pads or tampons every hour)
- Manageablewith over-the-counter pain relief
If your cycle is predictable, you feel generally well, and your symptoms don’t interfere with daily life, that’s a good sign—even if it’s still a bit of a headache.
How Menstruation Changes Over Time
Your menstrual cycle evolves throughout your life. In your teens, irregular periods are common as your body adjusts. In your 20s and 30s, you may see more regular cycles, but pregnancy, stress, or certain medical conditions can affect them. As you approach perimenopausein your 40s or 50s, cycles often become more erratic or heavier.
These shifts are normal, but it’s important to track them and bring up changes with your provider, especially if they impact your quality of life.
When to Ask Questions: Signs of Abnormal Periods
While every woman’s period is different, there are several symptoms that are considered outside the norm and should prompt a conversation with your healthcare provider:
- Very heavy bleeding: Soaking through one or more pads or tampons an hour, or passing large clots
- Periods lasting more than 7 days
- Cycles shorter than 21 days or longer than 35 days
- Severe painthat can’t be managed with typical over-the-counter medications
- Spotting between periodsor after intercourse
- Missing periodswithout pregnancy, especially if it happens more than once
- Sudden changesin your cycle, such as increased pain or flow without a clear cause
- Symptoms of anemia,such as extreme fatigue, dizziness, or shortness of breath
Conditions such as endometriosis, polycystic ovary syndrome (PCOS), fibroids, or thyroid issues can all contribute to abnormal cycles. Identifying and treating these issues early can protect your overall health and fertility.
If something feels off, trust your instincts and talk to us. Taking a proactive approach to your care is a top priority for our physicians.
Premenstrual Dysphoric Disorder (PMDD)
PMDD is a more severe form of premenstrual syndrome (PMS) that affects a smaller percentage of individuals but can have a major impact on daily life. While PMS may cause mild mood swings or physical discomfort, PMDD includes intense emotional and physical symptoms that disrupt work, school, and relationships.
Common symptoms of PMDD include:
- Severe mood swings
- Intense irritability or anger
- Feelings of hopelessness or depression
- High levels of anxiety or tension
- Fatigue or low energy
- Changes in sleep patterns
- Difficulty concentrating
- Physical symptoms like bloating, breast tenderness, and joint or muscle pain
If you suspect your monthly symptoms go beyond typical PMS, talk to your providerat Women’s Health Specialists. With the right support and treatment—such as lifestyle adjustments, medication, or hormonal therapy—PMDD can be managed effectively, and you can regain a better quality of life.
How to Manage and Regulate Volatile Periods
If your cycles are irregular or unpredictable, several treatment optionscan help restore balance:
- Lifestyle changes: Reducing stress, improving sleep, and maintaining a healthy weight can make a big difference.
- Hormonal birth control: Pills, patches, rings, or IUDs can regulate cycles, reduce bleeding, and ease cramps.
- Non-hormonal medications: NSAIDs like ibuprofen can reduce inflammation and lessen bleeding.
- Supplements: In some cases, adding iron, magnesium, or vitamin B6 can help improve symptoms (always consult your doctor first).
- Underlying condition management: Treating PCOS, thyroid disease, or endometriosis can stabilize your cycle.
Your provider will work with you to find the right plan based on your health history and goals.
Why Trust Women’s Health Specialists?
What makes Women’s Health Specialists different is our people. Our physicians are nationally and internationally recognized for their achievements, research, and dedication to advancing women’s healthcare.
- Board-certifiedand fellows of the American College of Obstetricians and Gynecologists
- Top Doctorsnamed by Memphis Magazine and Good Housekeeping
- Leaders in the field, with over 400 published research papers and 10 reference books
- Committed to your careat every stage of life
If you’re in the Memphis area, we would love to meet you at our new Baptist Memorial Hospital office.