Periods and the menstrual cycle

When the body is ready. Most young people start their periods when they are about 12, but they can start as young as 8 or as old as 16.

When people reach the age of 45‒55, their periods will gradually stop. This phase is called menopause.

The timings for each stage will vary from person to person.

Day 1-5: Period. The first day of the cycle starts on the first day of a person's period.

Days 5-14: When a period finishes, the womb will start to prepare for a fertilised egg. At around day 12-14, a new egg is released from an ovary (there are two ovaries in the body). These are the days when pregnancy is most likely to happen. But pregnancy can happen any time live sperm meets a live egg.

Days 15-24: The egg travels down the fallopian tube to arrive in the womb, and the womb gets ready to receive the egg by growing a thick lining for the egg to be implanted into.


Days 25-28: If the egg has been fertilised, it will implant into the lining and start to grow into a foetus. This means the person is pregnant and their periods will stop for as long as they are pregnant. But if the egg hasn’t been fertilised it will start to break down and so will the lining. The lining will then be ready to leave the body. And the cycle begins again.

Starting your period does not mean you are ready to have sex. Only YOU can decide whether you’re ready, and you should base this on what you think and feel. No one should ever pressure you into having sex.

Not necessarily. But you may experience changes in your cycle when you start or stop using some types of contraceptives, such as:

• the pill
• the implant
• the injection
• some IUDs.

If you don’t use contraception you can get pregnant at any time during your menstrual cycle, even during or just after your period.

You have the highest chance of getting pregnant (called being ‘fertile’) on the day your ovary releases an egg (called ovulation) and the days around it. If a live egg meets live sperm a pregnancy will happen. Your egg lives for about one day after ovulation, and sperm can live in your womb and fallopian tubes for up to seven days after sex.

Some people have very regular cycles, but other people don’t. When you first start your periods they are likely to be irregular. This can make it hard to predict when your period will arrive and when you are likely to be most fertile.

If you don’t want to get pregnant you need to use contraception (birth control). And remember – only condoms protect against pregnancy and STIs, including HIV. This makes them a great option, as they can give you the freedom to enjoy sex knowing that you and your partner are protected.

Don’t panic! It is normal for periods to arrive a few days earlier or later than expected.

But if you have had sex and your period is more than a week late it is a good idea to take a pregnancy test. If you don't want to wait until you've missed your period, you should wait at least one to two weeks after you had sex.

The answer to this will be different for different people. Long periods (more than 5 or 6 days) are normal for some people while short periods (around 3 days) are normal for others.

If you’re experiencing a period that lasts longer than your normal length of time, or longer than 7 days, then it’s a good idea to talk to a healthcare provider. It doesn’t necessarily mean there’s a problem! But there are different causes for heavy or long periods so it's important to get advice.

People who have heavy periods might need to change their sanitary products every couple of hours, have a lot of abdominal pain and even bleed through their clothes.

People who have light periods might find their period results in only a very small loss of blood.

It’s normal for your period to change each month. But, if you’re always having a heavy or a light period it’s best to speak to a healthcare provider to get advice.

Spotting is when you notice small spots of blood on your underwear when you are not on your period.

This might happen if you:

• are ovulating
• are pregnant
• taking a new contraceptive
• have an STI
• have an injury to your vagina.

If you're spotting, it’s best to speak to a healthcare provider so that they can check why.

Throughout the menstrual cycle, people can experience mood and energy changes, cramps, sore breasts and other symptoms. These things are caused by changing hormone levels in the body, which control the menstrual cycle. All these things are called by the medical name ‘pre-menstrual syndrome’ (PMS) and they are completely normal.

It’s important to talk to young people from an early age so they're prepared for their period to start. This can be as young as eight. Boys also need to learn about periods so they understand why they happen, what they are like, and how periods relate to pregnancy.

Periods are natural and they are nothing to be ashamed of. So do not be embarrassed. If you are struggling to raise the issue, you could try discussing a tampon or sanitary towel advert to start the conversation. Or you could simply ask someone what they know about periods and go from there.

It's important to use factual information and clear language, which you can find above.

When someone starts their period it's a sign their body is able to have a baby. But it does not necessarily mean they will be emotionally ready. It’s important to speak to them about pregnancy, contraception, HIV and STIs, but in a way that is appropriate for their age and maturity.