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Menstruation: What to Expect

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Intro

Girls go through a process called puberty, during which their body experiences many changes in order to allow it to physically reproduce and become an adult.

One change is that girls begin to get their menstrual periods. Menstrual periods occur once a month and can last from a few days to a week. Some girls have cramps during their periods while others do not. It’s important for girls to understand that their first period signals the beginning of ovulation and their body’s ability to get pregnant if they were to have unprotected sex. Once a month, a hormone in the girl’s brain signals her ovaries to release an egg or ovum (a process called ovulation). The hormone estrogen is also released to signal the girl’s uterus to build up its lining. If an egg is not fertilized within 12 to 24 hours after ovulation, the egg dies and disintegrates while still in the uterine tube. Two weeks later, when the uterus realizes there is no fertilized egg, the built-up lining of the uterus is released or shed during a girl’s menstrual period.

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There are many other physical, emotional and social changes of puberty as well, and it generally takes five to seven years for all of the changes to be complete. Additional physical changes of puberty include a growth spurt during which girls become taller as well as hair growth under their arms, on their legs and around their genitals. Their genitals will grow in size as their whole body grows larger. They may also experience acne, and their sweat may now have a strong odor.

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There are also emotional changes during puberty, including mood swings, experiencing sexual feelings, being interested in other people in a new romantic and/or sexual way and often feeling a need for more privacy from parents and/or siblings.

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What Are Pads?

Pads are rectangles of absorbent material that attach to the inside of a girl's underwear and catch menstrual blood. They're sometimes also called sanitary pads or sanitary napkins. Some pads have extra material on the sides. These "wings" fold over the edges of your underwear to help hold the pad in place and prevent leaking.

There are many different types of pads, including:

  • super

  • slender

  • overnight

  • scented

  • maxi

  • mini

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Some girls have heavier bleeding with their periods and others have lighter bleeding. And most girls have a light days and heavier days. Pads can vary by size or by absorbency. You want to try to find a pad that is big enough that you don't worry about leaking through, but is small enough to be comfortable. It might take a little bit of experimenting to find the right pad for the different times of your period.

Some pads are scented or come with a deodorant in them. But these can irritate the vagina or cause an allergic reaction in some girls.

What Are Tampons?

Tampons absorb blood from inside the vagina. A tampon is also made of absorbent material, but it's compressed into a small tube. Tampons come in different sizes and absorbencies for heavier and lighter periods.

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Tampons also can come with or without deodorant. There's no need for deodorant in a tampon, though, because changing tampons regularly usually gets rid of any odor. The deodorant in tampons can irritate the vagina, and could cause an allergic reaction in some girls.

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Some tampons come with an applicator. An applicator is a plastic or cardboard tube that guides the tampon into the vagina. Other tampons are inserted using a finger.

Some girls find that a slender size, applicator-style tampon is easier to use when they first start their periods. An applicator with a rounded top can be especially helpful for beginners. The first time you use a tampon, try to do so on a heavier flow day. This will make the tampon slip in easier.

What Is a Menstrual Cup?

Like a tampon, a menstrual cup is inserted into the vagina. Instead of absorbing blood, the cup catches it before it flows out of the vagina. Menstrual cups are made of flexible materials, like rubber or silicone.

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You can't see when the cup is full, so empty it (or, in the case of disposable cups, throw it away) several times a day. Instructions that come with the cup explain how to do this.

Because some menstrual cups look like a diaphragm, girls might wonder if a menstrual cup could be used as birth control. But a menstrual cup does not prevent pregnancy.

How Do I Decide What to Use?

Choosing a type of period protection is up to you. Some girls like tampons because they're easy to store in a purse or pocket. Tampons and cups are also helpful for girls who do sports like swimming, since you can't wear a pad in the water.

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Some girls prefer pads because they're easy to use and it's easier to remember when to change them because you can see them getting soaked with blood. And some girls with heavy periods use tampons together with pads or pantiliners for added protection against leaking.

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Many girls switch back and forth depending on:

  • their situation

  • where they're going to be

  • their menstrual flow

  • time of day (day or night coverage)

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