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Simulation Lab

Simulation Lab

Menstrual Health Studio

Explore a menstrual cycle day by day: what the uterus and ovaries are doing, how the hormones rise and fall, what you might notice, and how to look after yourself.
UterusOvaryOvary

Cycle length

Cycles from 21 to 45 days are usual for teenagers, and in the first years they often change from one month to the next. Ovulation is about 14 days before the next period, so in a 28-day cycle it is around day 14.

Day 1 of 28

Period

The lining of the uterus wasn't needed this cycle, so it comes away and leaves through the vagina as blood. A period usually lasts 2 to 7 days, and day 1 of the period is day 1 of the cycle.

What you might notice

Bleeding that is often heavier in the first days. Cramps in the lower tummy or back, and feeling tired, are common.

Look after yourself

  • Pads, cloth pads, period pants, tampons and cups all work. Change pads and tampons every 4 to 8 hours, more often if it's heavy. Never leave a tampon in longer than 8 hours, and empty a cup at least every 12 hours.
  • For cramps, a warm water bottle on your tummy, gentle movement and rest can help.
  • If the pain stops you doing everyday things, tell a parent or trusted adult and see a doctor: they can help.

See a doctor if

  • a period lasts more than 7 days
  • you soak through a pad or tampon every 1 to 2 hours
  • periods often come less than 21 or more than 45 days apart, or stop for 3 months
  • pain stops you doing everyday things
  • you feel faint or dizzy when bleeding: get help that day
  • periods haven't started by 15

Hormones across the cycle

The shapes show how each hormone rises and falls; they are not measured amounts.

Day 1OvulationDay 28
  • Oestrogen
  • Progesterone
  • LH
  • FSH
  • Period days

Quick check

1. What leaves the body during a period?
2. Which hormone surge releases the egg from the ovary?
3. How long is a usual cycle for teenagers?

About this simulation

About 7 minAwaiting clinical review

Based on:

  • ACOG Committee Opinion 651: Menstruation in girls and adolescents, using the menstrual cycle as a vital sign (2015, reaffirmed 2020)
  • NHS: Periods; Toxic shock syndrome (tampon use)
  • Ministry of Health and Family Welfare, India: Menstrual Hygiene Scheme (RKSK)

Lessons that go with it