--- title: Periods (Menstruation) | Push Doctor description: Periods are a normal part of menstruation cycle for women. Changes with your menstruation cycle could be symptom of another condition. You can discuss any changes you experience with a qualified UK doctor quickly and easily with the online GP, Push Doctor. image: https://www.pushdoctor.co.uk/hubfs/PDR_Global_6_logo_images/PD%20Logo.png --- ![Providing NHS services logo](https://www.pushdoctor.co.uk/hubfs/Providing-NHS-Services.png) ** PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP /what-we-treat/sexual-health/period PP 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BBB /what-we-treat/sexual-health/period CCC what-we-treat CCC sexual-health CCC period ** ** ## What is a period? A period is a normal part of the menstrual cycle in women. It occurs about 2 weeks after ovulation, if an egg isn’t fertilised. During ovulation, the lining of the womb thickens in preparation for the arrival of a fertilised egg. If the egg isn’t fertilised within 24 hours of ovulation, this lining detaches itself and is passed out of the body in the form of a period. It occurs once a month, but the exact length of time between periods differs between women. Menstruation itself usually lasts around five days, with the heaviest flow occurring in the first 48 hours. ** ** ## When does menstruation begin? Women experience their first period during puberty, usually around the age of 12. However, it can occur earlier or later and this is nothing to worry about. ** ** ## Dealing with periods **Premenstrual tension** Some women experience a range of physical and psychological symptoms in the days immediately before their period. This is known as premenstrual syndrome (PMS) and is caused by hormonal changes in the body. Common symptoms of PMS include: - Mood swings - Irritability - [Depression](https://www.pushdoctor.co.uk/what-we-treat/mental-health/depression) and [anxiety](https://www.pushdoctor.co.uk/what-we-treat/mental-health/anxiety) - Lack of interest in sex - Food cravings - Difficulty sleeping - [Headache](https://www.pushdoctor.co.uk/what-we-treat/headaches-and-migraines/headaches) - Backache - Breast tenderness - Digestive problems, such as bloating, [diarrhoea](https://www.pushdoctor.co.uk/what-we-treat/digestive-problems/diarrhoea), [constipation](https://www.pushdoctor.co.uk/what-we-treat/digestive-problems/constipation-symptoms) and menstrual cramps **Sanitary products** There are many sanitary products available to absorb or stem the flow of blood during your period. You should choose whichever one you are most comfortable with. Commonly-used products include: **Tampons** These are inserted into the vagina and absorb all the menstruation. When used correctly, you won’t notice them or feel uncomfortable. They have a string at the end which allows you easily remove the tampon when you need to. It’s important not to leave a tampon in for longer than eight hours at a time, as this can lead to a serious, potentially life-threatening condition known as toxic shock syndrome. **Sanitary pads** These are attached to your underwear with adhesive strips so that they catch and absorb the menstruation. There are different sizes available to cater for both light and heavy menstrual flow. **Menstrual cups** These are placed within the vagina and collect the menstruation. Unlike sanitary pads and tampons, menstrual cups can be washed and used again. ** ** ## What to do if you notice changes in your period If you notice any changes in your menstrual cycle, it’s important to tell a doctor about it. Common problems include: **Bleeding between periods** This can be caused by: - Starting a new type of hormonal contraception, such as the pill, patch or injection - A problem with your contraception - Taking emergency contraception - Vaginal injury - Sexually transmitted infections (STIs) - Changes in the cervix or lining of the womb **Painful periods** Some discomfort during menstruation is normal. You may experience a dull or sharp pain in your stomach, back and thighs. However, if you’re experiencing more pain than normal during your period, it could be a sign of: - Endometriosis - Non-cancerous growths in the womb - Pelvic inflammatory disease (PID) **Bleeding after sex** This can be caused by: - Sexually transmitted infections (STIs) - Pelvic inflammatory disease (PID) - Vaginal dryness (this may be more common after the menopause) - Abnormalities of the cervix **Postmenopausal bleeding** This can be caused by: - Lower oestrogen levels resulting in vaginal thinning - Non-cancerous growths in the womb - A thickening of the womb lining - In rare cases, it can be a sign of cancer **Heavy periods** Also known as menorrhagia, if your period is heavier than normal it could have been caused by: - Infections - Cervical problems - Cancer (but this is rare) - Changes in the lining of the womb - Non cancerous growth in the womb - Changes in your hormones **What happens if you miss a period?** A missed period ([amenorrhoea](https://www.pushdoctor.co.uk/what-we-treat/sexual-health/amenorrhoea)) could mean you’re pregnant, so you may want to take a pregnancy test. If these tests come back negative, tell a doctor if you miss more than three periods. If you’re not looking to get pregnant, take a look at some of the [contraception](https://www.pushdoctor.co.uk/what-we-treat/sexual-health/contraception) options available. In some cases, missed periods can also be caused by a change in your lifestyle factors, such as your diet or the amount of exercise you do. Being underweight can also stop your periods. **The menopause** Women experience [the menopause](https://www.pushdoctor.co.uk/what-we-treat/sexual-health/menopause) when ovulation stops, usually around your late 40s and early 50s. It’s a natural part of life, and it’s normal for menstruation to stop either gradually or suddenly. It occurs because when ovulation stops, there’s no need for the womb lining to thicken as there’s no egg to be fertilised. ### Women's Health ### **NHS - trained and registered doctors Every one of our doctors is registered with the General Medical Council and can be found on the NHS National Performers List, so you know you are only ever receiving the best possible care and advice. They are experienced in treating a wide range of conditions, and can help with almost everything your regular GP could in a physical surgery. You can meet some of our doctors [here](https://www.pushdoctor.co.uk/meet-our-doctors). Push Doctor also has an in-house Medical team, who support our doctors day in, day out, and enable our doctors to do what they do best. They are also responsible for the ongoing training and development of doctors on our platform. ** ### **CQC regulated The [Care Quality Commission (CQC)](https://www.cqc.org.uk/) is the independent regulator of health and social care in England. They are the foremost authority in our industry, assessing health providers' ability to provide people with safe, effective, compassionate and high-quality care – be they offline or online doctors. Push Doctor is registered with the CQC under the name 'Push Dr Limited', with the registration number [1-5345986073](https://www.cqc.org.uk/location/1-5345986073). Our most recent inspection took place in May 2019, concluding that the service we provide is safe, effective, caring, responsive and well-led – gaining a 'Good' rating overall. You can read the report in full on [our CQC profile](https://www.cqc.org.uk/location/1-5345986073). ** ### **Same day prescriptions Our NHS-trained GPs can, if appropriate, issue prescriptions online following a consultation. Once your consultation is complete, our team will search for the closest pharmacy to you which has your medication available. We'll then send you a text when your prescription is ready to collect. To collect your medication, simply hear to the nominated pharmacy to collect and pay for your prescription. You will need to take a valid form of ID to show the pharmacist when you arrive. This process is almost always done within the same day of your consultation. ** ### **Instant fit (sick) notes Our GPs can send a sick/fit note directly to you if necessary following an online consultation. These can be sent directly by email or first-class post. Fit notes include recommendations about how and when you'll be able to return to work or education, or whether you're able to return to work with amended duties (e.g no heavy lifting or reduced hours). They can also contain detailed advice about managing your medical issue in the workplace. ** ```json { "@context" : "http://schema.org", "@type" : "WebPage", "description" : "Periods are a normal part of menstruation cycle for women. Changes with your menstruation cycle could be symptom of another condition. 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