Tag: period health

Yes, stress can affect your period. It can delay ovulation, which makes your period late. It can also make your cycles shorter or more irregular, change how heavy your bleeding is, and in some cases stop your periods altogether. This happens because stress hormones can disrupt the signals from your brain that control your cycle. Most of us have noticed our period arriving late during a stressful month, or acting differently when life feels overwhelming. That’s not your imagination. This guide explains how stress affects your menstrual cycle, the different changes it can cause, how to tell if stress is behind them, and when to get checked. Quick facts: Want to know what’s really behind your cycle changes? Hertility’s Advanced Hormone and Fertility Test checks the key hormones that control your periods from home. It comes with a doctor-written report, so you’re not left guessing. How does stress affect your period? Stress affects your period through your brain. Two systems are involved, and they both start in the same place: a part of your brain called the hypothalamus. Your stress response. When you’re stressed, your hypothalamus releases corticotropin-releasing hormone (CRH). This leads your adrenal glands to make cortisol, often called the stress hormone. This system is known as the hypothalamic-pituitary-adrenal (HPA) axis. Your menstrual cycle. Your hypothalamus also makes gonadotropin-releasing hormone (GnRH). GnRH tells your pituitary gland (another part of the brain) to make follicle-stimulating hormone (FSH) and luteinising hormone (LH), which control how your eggs develop and when you ovulate. This system is known as the hypothalamic-pituitary-ovarian (HPO) axis. Because both systems are controlled from the same place, one can affect the other. When your stress response is working hard, CRH and cortisol can interfere with the release of GnRH. That disrupts FSH and LH, which can delay or prevent ovulation. And because the timing of ovulation largely decides when your next period arrives, disrupted ovulation can change your whole cycle. In the short term, this is your body putting survival ahead of reproduction. A one-off stressful week is unlikely to cause lasting changes, but ongoing, chronic stress can keep disrupting these signals over many months. What counts as stress. Stress isn’t only emotional. Your body responds in a similar way to physical stress, such as not sleeping or eating enough, being unwell, or exercising very hard. Worry, feeling overwhelmed, and big life events such as exams, job pressure, money problems or relationship difficulties can all play a part.  Everyone reacts differently. Some people notice changes to their cycle straight away. For others, changes take longer to appear, and some people never notice a physical effect at all. That’s why it’s hard to predict which kinds of stress will affect your period.The science behind stress Can stress delay your period? Yes. Stress is one of the most common reasons for a late period. Your cycle has two halves. The first half, before ovulation, is known as the follicular phase, and it can vary in length. The second half, known as the luteal phase, usually lasts about 12 to 14 days. When stress hormones block the LH surge that triggers ovulation, ovulation happens later, so your period arrives later too. How late depends on how long ovulation is delayed. It might be a few days, or a week or more. If you don’t ovulate at all that cycle, you may skip a period entirely. If your period is late, take a pregnancy test first if there’s any chance you could be pregnant. Pregnancy is the most common reason for a missed period. Can stress cause early periods? Yes, it can. Research has linked high stress with shorter cycles as well as longer ones. A cycle that arrives a few days early once in a while is usually nothing to worry about. The average menstrual cycle is about 28 days, but anywhere from 21 to 35 days is considered within a normal range. Cycles can naturally vary by a few days from month to month, especially during times of higher stress, travel, or schedule changes. If your period is a little early but your flow, length, and symptoms feel like your usual cycle, it is likely your body responding to a temporary change. Things often settle back into rhythm on their own once the stressor passes. Stress can also cause spotting or light bleeding between periods, which is easy to mistake for an early period. If you often bleed between periods, see your GP to rule out other causes. Can stress stop your period? Yes. Severe or ongoing stress can stop ovulation for months at a time, which stops your periods altogether. This is known as functional hypothalamic amenorrhoea (FHA). FHA is most likely when psychological stress, such as a major life event, work or study pressure, money worries or relationship difficulties, happens alongside physical strain on your body. That strain could be: When your body senses it doesn’t have the energy or safety to support a pregnancy, it switches off the signals that control your cycle. FHA isn’t just about missed periods. Without regular periods, your oestrogen levels fall. Over time, that can affect your bone health and make it harder to get pregnant. The NHS advises seeing your GP if your periods have stopped for three months or more, or if you’ve missed periods and are worried. With the right support, which can include reducing stress, eating enough and adjusting your exercise, periods often return. Have your periods stopped or become unpredictable? Missed periods can be caused by stress, but they can also be a sign of PMOS, a thyroid problem or raised prolactin. Hertility’s Advanced Hormone and Fertility Test checks your FSH, LH, oestradiol and other key hormones from home, to help find out why your periods have changed. Can stress cause longer or heavier periods? It can. When stress delays or stops ovulation, your body doesn’t make the progesterone that normally follows. Without progesterone to balance it, oestrogen can keep thickening your womb lining for longer […]

Your menstrual cycle is the full sequence of hormonal and physical changes your body runs from the first day of one period to the first day of the next, not just the days you bleed. Your period is simply the part you can see. Getting to know it is one of the most useful things you can do for your health: it helps you make sense of your periods, spot your own patterns, and notice when something’s changed. And yet most of us were taught remarkably little. Hertility’s own peer-reviewed study of 383,085 UK women found that more than one in five didn’t know their cycle length, rising to one in three of those under 25. We really think that needs to change. Here’s exactly what happens between one period and the next: the phases, the hormones behind them, when ovulation happens, and what counts as normal. Quick facts: What is the menstrual cycle? First things first: your period and your menstrual cycle aren’t the same thing. The menstrual cycle is the series of hormonal and physical changes that happen from the first day of one period to the first day of the next.  So, if your period starts on 1 June and your next one starts on 29 June, you had a 28-day menstrual cycle. The first day you have a full bleed is day 1, spotting doesn’t count. Then you count each day until your next period begins. Underneath, two processes run in tandem. The ovarian cycle is what’s happening in your ovaries  – follicles develop, an egg may be released at ovulation, and the ovary then prepares for a possible pregnancy. The uterine cycle is what’s happening to your endometrium (your womb lining) – it sheds during your periodand grows back in preparation for an embryo to implant.  Both are carefully regulated by four cycling hormones – oestrogen, progesterone, luteinising hormone (LH) and follicle-stimulating hormone (FSH) and, as you’ll see, they map neatly onto each other. It sounds complex, but it’s far easier to follow phase by phase. How long is a normal menstrual cycle length? Thinking that every menstrual cycle is 28 days can be misleading for many women. For adults, a cycle of roughly 21-35 days is within the expected range, so 28 days can be perfectly normal, but so can 24, or 31. In fact, a study examining over 600,000 cycles found that only 13% of cycles in the study group were 28-days long – 29.3 days was the average.  Rather than expecting your to body fit a textbook number, it’s far more useful to know what’s usual for you. Further, a little month-to-month variation is common. Illness, stress, changes in exercise, energy intake and weight, and different life stages can all make it a little longer or shorter than expected. A ‘regular’ cycle doesn’t mean your period lands on the same date every month, just that it tends to follow a reasonably predictable pattern. And there’s a real difference between feeling regular and actually knowing your numbers: in Hertility’s research, nearly 5% of women who described their cycles as regular and gave a cycle length were, in fact, reporting one outside the 21-35-day range. Which is exactly why knowing your actual figures beats a vague ‘regular’ or ‘irregular’. What counts as an irregular menstrual cycle? For most adults, cycles that are repeatedly shorter than 21 days or longer than 35 are generally considered irregular, but the numbers aren’t the whole story. If your periods always come every 27-30 days and suddenly start arriving every 40, that change is useful information to know. Plenty of things can influence your cycle, and an irregular period doesn’t automatically mean something’s wrong. Common reasons include the first few years after periods begin (most women’s menstrual cycles don’t regulate until they are ~25 years old) , pregnancy, breastfeeding, perimenopause and hormonal contraception, as well as stress, major changes in weight or energy intake, and intensive exercise. Underlying causes include thyroid conditions, raised prolactin and PMOS, along with some medications. If your periods suddenly become irregular, stay that way for several cycles, or come with other symptoms, it’s worth understanding why. If irregular periods, missing periods or symptoms that don’t quite add up sound familiar, our Online Health Assessment is a good first step towards understanding what’s going on. How long should a period last? A period usually lasts 2-7 days, with 5 to 6 days being most common. Some people naturally have short, light periods; others bleed for longer or more heavily, and flow is often heavier on some days than others. There’s no single pattern everyone has to match, what’s useful is knowing what’s normal for you, so a sudden change stands out. What is a normal amount of bleeding during my period? Rather than chasing an exact millilitre figure, the more useful question is simpler: is your bleeding getting in the way of your life? Signs your periods may be heavy include: Heavy periods can also lead to iron-deficiency anaemia, which may leave you unusually tired, dizzy or short of breath. NICE defines heavy menstrual bleeding by its impact on your quality of life rather than a strict volume, so if it’s disrupting your everyday life, that alone is reason enough to get it checked. You don’t have to just cope. What are the phases of the menstrual cycle? The cycle is usually described in four stages, though they overlap rather than switching cleanly: Biologically, there’s a little overlap between these phases. For example, your period actually happens during the beginning of the follicular phase. But thinking about the cycle in four stages is a useful way to picture what’s happening. The follicular phase: from your period to ovulation The follicular phase starts on the first day of your period and ends when you ovulate. For most people, this phase lasts about 10-22 days, but this can vary. At the start of a new cycle, oestrogen and progesterone are low, so the brain releases gonadotrophin-releasing […]