Menstrual Health

Understanding your monthly cycle

Medically reviewed by Letena Medical Team

ወርሃዊ ጊዜዎን መረዳት
ወርሃዊ ጊዜ ጤና ተፈጥሯዊ ነው። ይህ ጽሑፍ የወርሃዊ ጊዜ ዑደትዎ እንዴት እንደሚሰራ፣ ልዩነት የተለመደ መሆኑን፣ እና ምቾትን በደህና እንዴት ማስተዳደር እንደሚችሉ በቀላል ቋንቋ ያብራራል።


Understanding your monthly cycle

Your period is a normal, healthy part of life. It's not dirty, it's not shameful, and it's nothing to hide. For many young people in Ethiopia, no one ever sat down and explained what's happening in the body each month. This guide does that, in plain words, so you can feel calm and in charge.

What a cycle actually is

A menstrual cycle is the monthly rhythm your body goes through to prepare for a possible pregnancy. When pregnancy doesn't happen, the lining of the womb sheds, and that's the bleeding you see. Then the whole rhythm starts again.

People often talk about a "28 day cycle," but that's only an average. A cycle is counted from the first day of one period to the first day of the next. For most people the gap falls somewhere between about 21 and 35 days, and it can shift from month to month. The bleeding itself usually lasts about 2 to 7 days, and for many people it is around 5 days, with the heaviest flow in the first couple of days.

Variation is normal

This is the most important thing to know. Cycles aren't clocks. Stress, travel, illness, big changes in weight, hard exercise, and simply being young and still settling into your rhythm can all move things around. In the first years after your periods begin, they're often irregular, and that's expected.

So one late or early period, on its own, usually isn't a reason to worry.

The phases, in plain terms

You don't need to memorise these, but it helps to know the shape of the month.

  • The bleeding days. The womb lining sheds. You may feel more tired or low on energy.
  • The build-up days after bleeding. The body prepares an egg. Many people feel more energetic here.
  • The release, around the middle of the cycle. An egg is released. Some people notice a slight change in discharge or a mild twinge on one side.
  • The wind-down days before the next period. Some people feel more emotional, bloated, or tender. This is often called PMS.

Tracking your cycle

Tracking simply means writing down the first day of each period. You can use a notebook, your phone calendar, or a period app. The Abeba app lets you follow your cycle privately on your phone and gently reminds you when your next period is likely. After a few months you'll start to see your own pattern, which makes it easier to plan and easier to notice when something is truly different for you.

Note what you feel too, like cramps, mood, or heavier days. Your pattern is your own baseline, and knowing it is powerful.

Managing the usual discomforts

Cramps and mood changes around your period are common. Gentle, everyday measures help most people:

  • A warm compress or warm water bottle on the lower belly.
  • Gentle movement, like a short walk or light stretching.
  • Rest, water, and regular meals.
  • Warm drinks and a calm, comfortable space.

For many people, common painkillers you can buy at a pharmacy also help, such as paracetamol or ibuprofen. Take them as the packet directs, and ask a pharmacist or doctor first if you have a stomach ulcer, asthma, or another health condition, or if you're unsure what suits you.

A word of care. Some remedies passed around aren't helpful and can even harm you. Don't apply ice or very cold objects to try to stop bleeding, don't use harsh substances, and don't push through severe pain by ignoring it. Comfort measures should feel soothing. If pain isn't settling with these simple steps, a doctor can help.

When to talk to a doctor

Reach out if something feels wrong for you. A doctor can help make sense of it calmly and privately. It's worth asking about:

  • Very heavy bleeding, for example soaking through a pad or tampon every one to two hours, needing two products at once, passing clots larger than about the size of a small coin, or bleeding through to your clothes or bedding.
  • Periods that last longer than 7 days.
  • Periods that stop for three months or more in a row when you're not pregnant.
  • Pain that stops you doing normal daily things, or that painkillers and warmth don't ease. If pain is severe and painkillers haven't helped, seek help urgently.
  • Bleeding between periods, or after sex.
  • Feeling very tired, dizzy, or short of breath during heavy periods, which can be a sign your iron is low.

Your cycle is a signal from your body, and learning to read it is one of the kindest things you can do for yourself.

If anything about your period is worrying you, our doctors can help you make sense of it, gently and in private. It's free, and you'll hear back within a few hours. Message on WhatsApp at https://wa.me/251908182838, on Telegram at https://t.me/LetenaEthBot, or send a written question at https://letena.letena.et/ask/.

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