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Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

Every time there is a menstrual-related article, there are always many messages worried that their menstruation is not normal.

Some sisters are worried because menstruation is 7 days, and some sisters are afraid because menstruation is only two or three days.

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

Today, Zhimei will talk about which is better for 3 days of menstruation and 7 days, and give everyone a "reassuring agent"!

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

Menstruation is normal for 2 to 7 days, averaging 4 to 6 days [1,2].

As for why some people come for 3 days and some people come for 7 days, it depends on many factors:

1. Congenital factors

Congenital factors, such as genetic or individual differences [3,4].

For example, the thickness of the uterine lining, the speed of menstrual blood discharge, and the speed of egg maturation are different.

This determines how many days to come", "how many times" and "how often to come" of menstruation are not the same.

Like sisters with thicker endometrium, menstruation may be longer.

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

(Source: Nemours KidsHealth)

But in general, the difference between the long and the short is not much, as long as it falls within the normal range, it is healthy.

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

2. Acquired factors

Age, hormone levels, diet, medications, weight changes, weather changes, mood changes, stress, etc. [3,4] can all contribute to fluctuations in the menstrual period and menstrual cycle.

For example, if the original menstrual period is 5-6 days, it suddenly becomes 2-3 days, which may be caused by stress, weight changes, excessive exercise, diseases or drugs (such as thyroid disease, psychiatric disease drugs, etc.) and need to be corrected.

But if it has been stable for 3 or 7 days, and there are no other abnormalities, it is just an individual difference.

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

Other sisters were worried about a rumor:

"Women can only lay 400 eggs in a lifetime, whoever finishes first will be old first, and the ovulation with short menstruation periods is frequent and older."

Rumors

This is actually outrageously wrong.

First, short menstrual periods ≠ short menstrual cycles.

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

Women with short menstrual cycles usually ovulate more frequently, but "coming a few days" is the menstrual period, and the two are not necessarily related.

Women who come for 3 days may not ovulate more often than those who come for 7 days.

Even a sister who menstruates once every 22 days doesn't have to worry, that doesn't mean you'll get older faster.

Because 400 is just an estimate:

Suppose a woman starts ovulating regularly from the age of 12 until the age of 50, 1 per month, 12 per year, then the total number of ovulations is 456.

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

However, the number of ovulation in each person's lifetime is not uniformly fixed, and is mainly related to the number of their respective follicle bases.

In the womb, girls have about 1-3 million follicles, and most of them die after birth, leaving 300,000-400,000 by adolescence.

From puberty to premenopausal, these follicles continue to mature.

But at each time of ovulation, usually only one can become the dominant follicle, which can be fully matured and discharged, and the rest of the failed competition will degenerate on their own.

The follicle matures

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

By the age of 40, there are generally 5,000–10,000 egg "reserves" left.

That is to say, if your follicle base itself is relatively high, even if the cycle is short for a few days and 400 follicles are discharged first, there is still a "home base" in the ovaries.

As long as the ovarian function is still functioning normally, the remaining follicles can still be mobilized to continue ovulation, and there will be no premature menopause because of dozens of more.

As for the specific age of the follicle "exhausted", ovarian failure, ushered in menopause, mainly related to genetics.

If your mother and grandmother are menopausal around the age of 45, as long as there is no premature ovarian failure, you may also be menopausal around the age of 45, and you will not advance more because menstruation comes for 3 days or the cycle is short.

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear
Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

If you want to pay attention to menstruation and understand the health of the ovaries, in addition to "a few days of menstruation", you should also pay attention to these 3 aspects:

1. Menstrual volume

The total amount of each menstrual period is normally about 60ml, which is about the amount of sanitary napkins or tampons that are changed every 4 hours (the specific products are different).

Menstruation less than 5 ml is too little menstruation, and more than 80 ml is menorrhagia [1].

It varies depending on the material of the tampon

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

It is more difficult to make an accurate assessment in real life, and the range of this normal amount is also wider.

Therefore, it is recommended to see a doctor in time if it is found that the menstrual volume is significantly reduced, or the sanitary napkin (or tampon) is completely soaked every 1-2 hours, the menstrual period is obviously dizzy and weak, and a large number of blood clots are excreted[ 1,15].

2. Cycle

Including the length of the cycle and the frequency are normal.

A menstrual cycle is between the first day of menstruation and the first day of your next menstrual period.

Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

The normal period is 24 to 38 days, but if the shortest period and the longest period differ by more than 9 days, menstruation is irregular [1,16].

Whether it is the length of the cycle or the frequency of problems, it is recommended to seek medical treatment in time.

3. No abnormal bleeding

Post-intercourse and non-menstrual bleeding are all abnormal bleeding.

Occasional intermenstrual bleeding may be ovulatory bleeding, which is usually not to be feared, but if it occurs frequently, it is necessary to seek medical attention as soon as possible [17].

If you meet the above 3 points, then whether the menstruation comes for 3 days or 7 days, it is healthy!

I hope that all sisters can pay more attention to their own situation (menstrual period, cycle, menstrual volume, and whether there is abnormal bleeding) in accordance with the above 3 aspects, so that they can detect and seek medical treatment in time when menstruation changes occur significantly.

Reviewer

Feng Cuiping | Deputy Chief Physician of the Department of Obstetrics, China-Japan Friendship Hospital

bibliography

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Xie Xing,Kong Beihua,Duan Tao. Obstetrics and Gynecology (9th Edition)[M].People's Medical Publishing House:Beijing,2018:18.]

[3] World Health Organization. Medical eligibility criteria for contraceptive use (5th edition). 2015. http://www.who.int/reproductivehealth/publications/family_planning/MEC-5/en/

[4] Jahanfar S. Genetic and environmental determinants of menstrual characteristics. Indian J Hum Genet. 2012 May;18(2):187-92. doi: 10.4103/0971-6866.100759. PMID: 23162294; PMCID: PMC3491292.

[5] Nalaboff KM, Pellerito JS, Ben-Levi E. Imaging the endometrium: disease and normal variants. RadioGraphics. 2001;21(6):1409-1424. doi:10.1148/radiographics.21.6.g01nv211409

[6] De Souza MJ, Toombs RJ, Scheid JL, O'Donnell E, West SL, Williams NI. High prevalence of subtle and severe menstrual disturbances in exercising women: confirmation using daily hormone measures. Hum Reprod. 2010 Feb;25(2):491-503.

[7] Windham GC, Elkin EP, Swan SH, Waller KO, Fenster L. Cigarette smoking and effects on menstrual function. Obstet Gynecol. 1999;93(1):59-65.

[8] Lyngso J, Toft G, Hoyer BB, Guldbrandsen K, Olsen J, Ramlau-Hansen CH. Moderate alcohol intake and menstrual cycle characteristics. Hum Reprod. 2014;29(2):351–8.

[9] Fenster L, Waller K, Chen J, Hubbard AE, Windham GC, Elkin E, Swan S. Psychological stress in the workplace and menstrual function. Am J Epidemiol. 1999 Jan 15;149(2):127-34.

[10] O'Connor KA, Holman DJ, Wood JW. Menstrual cycle variability and the perimenopause. American Journal of Human Biology. 2001 Jul 1;13(4):465-78.

[11] Hatch MC, Figa-Talamanca I, Salerno S. Work stress and menstrual patterns among American and Italian nurses. Scand J Work Environ Health. 1999 Apr;25(2):144-50.

[12] Cleveland Clinic. Female reproductive system. https://my.clevelandclinic.org/health/articles/9118-female-reproductive-system Reviewed on Jan 19,2019.

[13] CNY Fertiliy, Paul C. Magarelli. How many eggs does a woman have? https://www.cnyfertility.com/how-many-eggs-do-women-have/ Sep 13,2021.

[14] Lee-may Chen, Jonathan S Berek. Epithelial carcinoma of the ovary, fallopian tube, and peritoneum: Incidence and risk factors. https://www.uptodate.com/contents/epithelial-carcinoma-of-the-ovary-fallopian-tube-and-peritoneum-incidence-and-risk-factors. UpToDate. Nov 15,2021.

[15]InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Heavy periods: Overview. [Updated 2017 May 4].

[16] Rachel Grumman Bender. 8 period myths many people with periods still get wrong. https://www.self.com/story/period-myths Jun. 19,2017.

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Menstruation comes for 3 days or 7 days, which one is healthier? The answer is finally clear

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